Here is a comprehensive breakdown of high-confidence SNPs for all 13 traits, with Indian/South Asian evidence highlighted throughout.
High-Confidence SNPs for Metabolic/Diabetes Traits
Indian & South Asian Population Focus
T001 · Fasting Glycemia Predisposition
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs10830963 | MTNR1B | 11 | G | +0.07 mmol/L FPG | ✅ Strong |
| rs560887 | G6PC2 | 2 | A | +0.06 mmol/L FPG | ✅ |
| rs4607517 | GCK | 7 | A | +0.07 mmol/L FPG | ✅ |
| rs1260326 | GCKR | 2 | T | +0.05 mmol/L FPG | ✅ |
| rs11708067 | ADCY5 | 3 | A | +0.06 mmol/L FPG; OR ~1.11 T2D | ✅ |
| rs7944584 | MADD | 11 | A | +0.03 mmol/L FPG | ⚠️ |
Indian evidence: Tabassum et al. (2013, Punjabi Sikhs GWAS) confirmed MTNR1B (p=1.7×10⁻⁸) and GCK at genome-wide significance. MTNR1B G allele frequency ~55% in South Asians vs ~30% in Europeans — substantially elevating population-attributable risk. Saxena et al. (2013) confirmed G6PC2 and GCKR.
T002 · Early Dysglycemia Tendency
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7903146 | TCF7L2 | 10 | T | OR 1.40 T2D | ✅ Strong |
| rs10830963 | MTNR1B | 11 | G | OR 1.09 IGT→T2D | ✅ |
| rs1111875 | HHEX/IDE | 10 | C | OR 1.13 | ✅ |
| rs13266634 | SLC30A8 | 8 | C | OR 1.12 | ✅ |
| rs5015480 | HHEX | 10 | C | OR 1.12 | ✅ |
| rs7961581 | TSPAN8 | 12 | C | OR 1.09 | ⚠️ |
Indian evidence: TCF7L2 rs7903146 T allele ~26% in South Indians; OR ~1.35 (Kumar et al., CURES Chennai, 2007). Replicated in Hyderabad cohort (Vasan et al.), Pakistani cohort (Farooq et al. 2013), and Tabassum et al. (2013). HHEX replicated in Sanghera et al. (Punjabi Sikhs, 2008).
T003 · Hepatic Insulin Resistance
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs1260326 | GCKR | 2 | T | OR 1.06 T2D; ↑TG | ✅ |
| rs738409 | PNPLA3 | 22 | G (I148M) | OR 1.73 NAFLD | ✅ |
| rs58542926 | TM6SF2 | 19 | T | OR 1.68 NAFLD | ⚠️ |
| rs8192675 | SLC2A2 (GLUT2) | 3 | C | β FPG | ⚠️ |
| rs780094 | GCKR | 2 | C | ↑ fasting insulin | ✅ |
| rs2943641 | IRS1 | 2 | C | OR 1.10 | ✅ |
Indian evidence: PNPLA3 G allele ~26–30% in Indians. Duseja et al. (Indian NAFLD cohort, 2015) — strongly predicts NAFLD severity, especially relevant for South Asia's "lean NAFLD" phenotype. GCKR and IRS1 confirmed in Tabassum et al. (2013).
T004 · Skeletal Muscle Glucose Uptake
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs2943641 | IRS1 | 2 | C | OR 1.10 | ✅ |
| rs1801282 | PPARG | 3 | G (Pro12Ala) | OR 1.20 (Pro risk) | ✅ |
| rs8050136 | FTO | 16 | A | OR 1.17 | ✅ |
| rs1044498 | ENPP1 | 6 | C (K121Q) | OR 1.20 | ✅ |
| rs4728142 | IRS1 | 2 | A | — | ⚠️ |
Indian evidence: PPARG Pro12Ala — Ala (protective) allele frequency only ~5% in Indians vs ~12% in Europeans, meaning near-universal Pro/Pro homozygosity in South Asians amplifies risk (Radha et al., CURES 2006; Bhatt et al. 2012). ENPP1 K121Q replicated in Punjabi Sikhs (Sanghera et al. 2008). IRS1 confirmed in Saxena et al. (2013).
T005 · Fasting Insulin Burden
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs780094 | GCKR | 2 | C | ↑ fasting insulin | ✅ |
| rs10830963 | MTNR1B | 11 | G | ↑ fasting insulin | ✅ |
| rs2943641 | IRS1 | 2 | C | ↑ fasting insulin | ✅ |
| rs1801282 | PPARG | 3 | G | ↑ fasting insulin | ✅ |
| rs7756992 | CDKAL1 | 6 | G | +0.02 ln(fasting insulin) | ✅ |
| rs1552224 | CENTD2/ARAP1 | 11 | A | ↑ insulin resistance | ⚠️ |
Indian evidence: The "thin-fat Indian" hyperinsulinemia phenotype — higher fasting insulin at any given BMI — is well documented (Yajnik & Yudkin, Diabetologia 2004). CDKAL1 G allele ~60% in Punjabi Sikhs; independently associated with T2D (Sanghera et al. 2008). Chandak et al. (Hyderabad cohort, 2007) assessed these loci in rural/urban South Indians.
T006 · First-Phase Insulin Secretion
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7903146 | TCF7L2 | 10 | T | −20–30% AIRg | ✅ Strong |
| rs10830963 | MTNR1B | 11 | G | −14% AIRg | ✅ |
| rs5215 | KCNJ11 | 11 | C (E23K) | OR 1.14 | ✅ Strong |
| rs757110 | ABCC8 | 11 | A (S1369A) | OR 1.10 | ✅ |
| rs4402960 | IGF2BP2 | 3 | T | OR 1.14 | ✅ |
| rs11257655 | CDC123/CAMK1D | 10 | T | OR 1.11 | ⚠️ |
Indian evidence: KCNJ11 E23K (rs5215) — extensively replicated. Radha et al. (Chennai, 2007): E23K frequency ~34% in South Indians, OR 1.18 (p=0.002). ABCC8 S1369A co-inherited with KCNJ11 E23K; both studied in CURES cohort. TCF7L2 shows ~25% lower stimulated C-peptide in T-allele carriers (Chandak et al. 2007). IGF2BP2 replicated in Tabassum et al. (2013).
T007 · Beta-Cell Reserve
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7903146 | TCF7L2 | 10 | T | ↓ β-cell mass | ✅ |
| rs10814916 | JAZF1 | 7 | A | OR 1.10 | ✅ |
| rs10811661 | CDKN2A/2B | 9 | T | OR 1.20 | ✅ |
| rs757210 | HNF1B | 17 | T | ↓ β-cell mass | ⚠️ |
| rs5219 | KCNJ11 | 11 | T | OR 1.15 | ✅ |
| rs11605924 | CRY2 | 11 | A | ↑ FPG | ⚠️ |
Indian evidence: Reduced β-cell reserve relative to insulin demand is a hallmark South Asian phenotype — documented in the Pune Children's Study (Yajnik et al.) and CURES (Mohan et al.). JAZF1 replicated in Saxena et al. (2013), consistent OR with European studies. CDKN2A/2B confirmed in South Asian meta-analysis.
T008 · Proinsulin Processing Efficiency
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7756992 | CDKAL1 | 6 | G | +10–15% proinsulin:C-peptide ratio | ✅ |
| rs10440833 | CDKN2A/2B | 9 | C | OR 1.20 | ✅ |
| rs7102595 | PCSK1 | 5 | G | ↑ plasma proinsulin | ⚠️ |
| rs564398 | CDKN2A/2B | 9 | T | OR 1.17 | ✅ |
| rs1799884 | GCK (promoter) | 7 | T | ↑ proinsulin | ✅ |
| rs3802177 | SLC30A8 | 8 | G | ↑ proinsulin | ✅ |
Indian evidence: Elevated proinsulin:insulin ratio is a well-documented feature of South Asian T2D — marker of β-cell stress (Chandak et al. 2007; Nair et al., Kerala cohort). CDKAL1 G allele ~52% in South Asians; replicated in Tabassum et al. (2013) and Sanghera et al. (2008). SLC30A8 proinsulin association confirmed in South Asian meta-analysis.
T009 · Glucose-Stimulated Insulin Secretion (GSIS)
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7903146 | TCF7L2 | 10 | T | −20% GSIS | ✅ Strong |
| rs5215 | KCNJ11 | 11 | C | −15% GSIS | ✅ |
| rs4402960 | IGF2BP2 | 3 | T | −8% GSIS | ✅ |
| rs10830963 | MTNR1B | 11 | G | −14% GSIS (early) | ✅ |
| rs1111875 | HHEX | 10 | C | −10% GSIS | ✅ |
| rs13266634 | SLC30A8 | 8 | C | −8% GSIS | ✅ |
Indian evidence: INDICO Consortium cohort systematically measured stimulated insulin secretion by OGTT — TCF7L2 and KCNJ11 variants consistently show reduced insulin secretory AUC in South Indians. Chandak et al. (2007, Hyderabad): TCF7L2-T carriers showed ~25% lower stimulated C-peptide. HHEX/IDE replicated in Tabassum et al. (2013).
T010 · Compensatory Secretion Strain
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs9300039 | KCNQ1 | 11 | A | OR 1.26–1.40 | ✅ Strong |
| rs2237892 | KCNQ1 | 11 | C | OR 1.35 (SA) | ✅ Strong |
| rs10811661 | CDKN2A/2B | 9 | T | OR 1.20 | ✅ |
| rs7756992 | CDKAL1 | 6 | G | OR 1.17 | ✅ |
| rs1552224 | CENTD2/ARAP1 | 11 | A | OR 1.14 | ⚠️ |
| rs4457053 | ZBED3 | 5 | G | OR 1.08 | ❌ |
Indian evidence: KCNQ1 is the landmark South Asian T2D locus. Tabassum et al. (2013): KCNQ1 reached genome-wide significance in the Indian GWAS (p=8.4×10⁻⁹) — second strongest signal after TCF7L2. Sanghera et al. (2009, Hum Mol Genet): rs2237892 C allele ~28% in Punjabi Sikhs, OR 1.38 (p=4.3×10⁻⁵). CDKN2A/2B confirmed in Saxena et al. (2013), OR 1.18.
T011 · Incretin Response Support
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7903146 | TCF7L2 | 10 | T | −30% incretin effect | ✅ Strong |
| rs10010131 | WFS1 | 4 | G | OR 1.13 | ✅ |
| rs1387153 | MTNR1B | 11 | T | OR 1.09 | ✅ |
| rs10305421 | GLP1R | 6 | A | small effect | ⚠️ |
| rs6923761 | GLP1R | 6 | G (Gly168Ser) | −20% cAMP response | ⚠️ |
| rs2295490 | GIPR | 19 | T | ↓ GIP response | ⚠️ |
Indian evidence: Reduced incretin effect documented in South Asian T2D (Zargar et al., Kashmir; Mohan et al., Chennai). WFS1 replicated in Saxena et al. (2013, p=2.1×10⁻⁴). TCF7L2 is the dominant incretin-pathway locus — extensively replicated across India. Clinically notable: DPP-4 inhibitors show comparable or greater efficacy in Indian vs European T2D patients (Rajan et al., Diabetes Obes Metab 2017).
T012 · Insulin Signaling Efficiency
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs2943641 | IRS1 | 2 | C | OR 1.10 | ✅ |
| rs7607980 | COBLL1/GRB14 | 2 | T | OR 1.10 | ✅ South Asian-specific |
| rs1801282 | PPARG | 3 | G (Pro12) | OR 1.20 | ✅ |
| rs1044498 | ENPP1 | 6 | C (K121Q) | OR 1.20 | ✅ |
| rs2284665 | INSR | 19 | G | — | ⚠️ |
| rs4735692 | PIK3R1 | 5 | T | — | ❌ |
Indian evidence: COBLL1/GRB14 (rs7607980) is a novel South Asian-specific locus — identified in Saxena et al. (2013) at p=4.8×10⁻¹¹, not reaching significance in Europeans. GRB14 directly inhibits insulin receptor signaling, making this an Indian-enriched signal with direct relevance to insulin signaling efficiency. PPARG Ala12 (protective allele) frequency only ~4–6% in Indians — near-universal Pro/Pro homozygosity may contribute to this population's insulin signaling vulnerability (Radha et al. 2006).
T013 · Postprandial Glucose Clearance
| rsID | Gene | Chr | Risk Allele | Effect | Indian/SA Replication |
|---|
| rs7903146 | TCF7L2 | 10 | T | +0.18 mmol/L 2h-PG | ✅ Strong |
| rs2237897 | KCNQ1 | 11 | C | OR 1.35 | ✅ Strong |
| rs13266634 | SLC30A8 | 8 | C | OR 1.12 | ✅ |
| rs1111875 | HHEX/IDE | 10 | C | +0.12 mmol/L 2h-PG | ✅ |
| rs11920090 | SLC2A2 (GLUT2) | 3 | T | ↑ 2h-PG | ⚠️ |
| rs7961581 | TSPAN8 | 12 | C | OR 1.09 | ⚠️ |
Indian evidence: "Isolated post-challenge hyperglycemia" (normal FPG, elevated 2h glucose) is disproportionately prevalent in South Asians — ~14% of Indian urban population (Unnikrishnan et al., Diabetes Care 2011). KCNQ1 strongly associated with 2h post-load glucose in South Asians (Tabassum et al. 2013; Sanghera et al. 2009). TCF7L2 postprandial effect replicated across Indian cohorts (Chandak et al. 2007; CURES).
Master Summary
| Trait | Top Genes | Strongest Indian Signal |
|---|
| T001 Fasting Glycemia | MTNR1B, G6PC2, GCK, GCKR | MTNR1B G allele 55% in Indians |
| T002 Early Dysglycemia | TCF7L2, HHEX, SLC30A8 | TCF7L2 (OR ~1.35, CURES) |
| T003 Hepatic IR | GCKR, PNPLA3, IRS1 | PNPLA3 lean NAFLD phenotype |
| T004 Skeletal Muscle Uptake | PPARG, ENPP1, IRS1, FTO | PPARG Ala12 near-absent in Indians |
| T005 Fasting Insulin | GCKR, IRS1, CDKAL1 | Hyperinsulinemia at low BMI |
| T006 First-Phase Secretion | TCF7L2, KCNJ11, ABCC8, MTNR1B | KCNJ11 E23K ~34% in South Indians |
| T007 Beta-Cell Reserve | TCF7L2, JAZF1, CDKN2A/2B | Reduced β-cell mass at lower BMI |
| T008 Proinsulin Processing | CDKAL1, CDKN2A/2B, SLC30A8 | Elevated proinsulin:insulin ratio in SA |
| T009 GSIS | TCF7L2, KCNJ11, MTNR1B, HHEX | INDICO cohort C-peptide studies |
| T010 Compensatory Strain | KCNQ1, CDKN2A/2B, CDKAL1 | KCNQ1 strongest Indian GWAS signal |
| T011 Incretin Response | TCF7L2, WFS1, MTNR1B | DPP-4 inhibitor response data |
| T012 Insulin Signaling | IRS1, GRB14, PPARG, ENPP1 | COBLL1/GRB14 South Asian-specific |
| T013 Postprandial Clearance | TCF7L2, KCNQ1, HHEX, SLC30A8 | Isolated postprandial hyperglycemia phenotype |
Key Indian/South Asian Studies Referenced
| Study | Cohort | Contribution |
|---|
| Tabassum et al. 2013 (Diabetes) | Punjab Sikhs, N~6,800 | First Indian GWAS; KCNQ1 genome-wide sig (p=8.4×10⁻⁹) |
| Saxena et al. 2013 (Nat Genet) | DIAGRAM + SA, N>50,000 | Novel COBLL1/GRB14 SA-specific locus; 36 loci confirmed |
| Chandak et al. 2007 (Diabetologia) | Hyderabad urban-rural | TCF7L2, KCNJ11, ABCC8 with secretion phenotypes |
| Radha et al. 2007 (J Mol Med) | CURES Chennai | KCNJ11 E23K, PPARG, HHEX in South Indians |
| Sanghera et al. 2008/2009 | Punjabi Sikhs | Replication of CDKAL1, KCNQ1, TCF7L2, IGF2BP2 |
| Unnikrishnan et al. 2011 (Diabetes Care) | CURES Chennai | Isolated postprandial hyperglycemia prevalence |
| Anjana et al. 2017 (Lancet DE) | ICMR-INDIAB, N=57,117 | National prevalence; urban-rural heterogeneity |
| Yajnik et al. (multiple) | Pune Birth Cohort | Thin-fat Indian; β-cell reserve; intrauterine origins |
Two population-specific highlights worth flagging:
- COBLL1/GRB14 (T012) — a South Asian-enriched insulin signaling locus not prominent in European GWAS, making it a candidate for India-specific risk panels
- KCNQ1 (T010/T013) — reaches genome-wide significance in Indian GWAS and explains a portion of the characteristic South Asian postprandial hyperglycemia phenotype