Completed Diabetes, Hormones & Metabolism Pregnancy, Children & Inherited Conditions

Aetiology of type 2 diabetes and related metabolic disorders

In plain English

AI plain-English summary

Type 2 diabetes arises from a tangled mix of genes, obesity, and lifestyle habits like diet and exercise, but scientists still do not know exactly how these factors combine to cause the disease. This matters because without knowing which risk factors are truly causal—meaning that changing them actually lowers disease risk—prevention efforts can waste time and money on targets that make no difference. The researchers plan to use genetic data from multiple studies worldwide to untangle cause from mere correlation. By identifying genetic variants linked to diabetes and related metabolic traits, they can pinpoint biological pathways that lead to the disease. If this work succeeds, it could reveal which lifestyle or biological changes are most worth intervening on, guiding the development of new therapies and more effective prevention strategies. The project is fundamentally about understanding disease mechanisms rather than delivering an immediate practical tool. But similar fundamental genetic research has already transformed treatment for conditions like high cholesterol and certain cancers, so a clearer map of diabetes’s causal pathways could eventually reshape how the condition is prevented and managed.

View original technical description
It is suggested that type 2 diabetes arises from a complex interaction between genetic factors, obesity and lifestyle factors such as dietary behaviour and physical activity but the detailed mechanisms underlying these interactions have not been identified. We aim to study the interplay between these factors using a range of different epidemiological study designs across multiple studies around the world. We aim to identify genetic variants associated with risk of type 2 diabetes and related metabolic traits which can identify novel pathways to disease. Identification of these pathways can enable development of new therapies to help prevent and treat type 2 diabetes. A broad range of lifestyle, behavioural, anthropometric and biological risk factors are associated with future risk of type 2 diabetes. However, before we intervene on any of these risk factors, it is important to understand which ones are causal (i.e. would changing the risk factor actually result in reductions in risk?). Through the use of genetics, we can prioritise which of these risk factors is most likely to be causal and thereby define which risk factors are likely to be most fruitful for intervention.

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Researchers

Claudia Langenberg (Co-Investigator)Nicholas Wareham (Principal Investigator)Nita Forouhi (Co-Investigator)

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Original classification

Intramural

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