Document Type

Article

Publication Date

11-1-2025

Keywords

JGM, Diabetes Mellitus, Type 2, Animals, Humans, Mice, Islets of Langerhans, Genetic Predisposition to Disease, Genomics, Disease Models, Animal, Insulin

JAX Source

Annu Rev Genet. 2025;59(1):289–314.

ISSN

1545-2948

PMID

40803767

DOI

https://doi.org/10.1146/annurev-genet-020525-114513

Grant

The Stitzel lab is supported by National Institute of Diabetes and Di- gestive and Kidney Diseases (NIDDK) grants R01DK118011, R01DK136671, R01DK117137, and U24DK138515. R.M.B. is supported by Ruth L. Kirschstein Individual Predoctoral National Research Service Award F30DK130582

Abstract

Type 2 diabetes (T2D) is a complex genetic disease with substantial environmental inputs leading to glucose homeostasis defects. Insulin production is central to proper glucose control, and islet cell dysfunction and death lie at the nexus of T2D genetics and pathophysiology. Comprehensive identification of genes and pathways contributing to these processes is essential for mechanistic understanding and therapeutic targeting. Here, we summarize the latest human and mouse T2D genetic and genomic studies and assess how these parallel variant-to-function efforts and associated data contribute convergent or complementary insights and new opportunities to dissect T2D islet (dys)function. We distill mechanistic and phenotypic studies of candidate T2D effector genes into prevailing themes by which these T2D risk genes likely contribute to islet dysfunction. We assess how recent molecular and metabolic studies in genetically diverse mice (i.e., Collabo-rative Cross, Diversity Outbred) help to nominate new putative T2D effector genes and processes for future exploration and provide examples where these studies illuminate potential limitations of studies using inbred mice. Finally, we discuss opportunities to address knowledge gaps and modeling challenges to translate T2D genetic associations into molecular and pathophysiologic understanding.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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