The prevalence of type 2 diabetes in youth has
increased substantially, yet the genetic underpinnings remain largely
unexplored. To identify genetic variants predisposing to youth-onset type 2
diabetes, we formed ProDiGY, a multi-ethnic collaboration of three studies (TODAY,
SEARCH, and T2D-GENES) with 3,006 youth type 2 diabetes cases (mean age
15.1±2.9 y) and 6,061 diabetes-free adult controls (mean age 54.2±12.4 y). After stratifying by principal
component-clustered ethnicity, we performed association analyses on ~10 million
imputed variants using a generalized linear mixed model incorporating a genetic
relationship matrix to account for population structure and adjusting for sex. We
identified 7 genome-wide significant loci, including the novel locus rs10992863
in <i>PHF2 </i>(<i>P</i>=3.2´10<sup>-8</sup>,
odds ratio [OR]=1.23). Known loci identified in our analysis include rs7903146 in
<i>TCF7L2 </i>(<i>P</i>=8.0´10<sup>-20</sup>,
OR 1.58), rs72982988 near <i>MC4R </i>(<i>P</i>=4.4´10<sup>-14</sup>, OR=1.53), rs200893788 in <i>CDC123</i> (<i>P</i>=1.1´10<sup>-12</sup>,
OR= 1.32), rs2237892 in <i>KCNQ1</i> (<i>P</i>=4.8´10<sup>-11</sup>, OR=1.59), rs937589119 in <i>IGF2BP2</i> (<i>P</i>=3.1´10<sup>-9</sup>,
OR=1.34) and rs113748381 in <i>SLC16A11 </i>(<i>P</i>=4.1´10<sup>-8</sup>, OR=1.04). Secondary analysis with 856
diabetes-free youth controls uncovered an additional locus in <i>CPEB2</i> (<i>P</i>=3.2´10<sup>-8</sup>,
OR=2.1) and consistent direction of effect for diabetes risk. In conclusion, we
identified both known and novel loci in the first genome wide association study
(GWAS) of youth-onset type 2 diabetes.