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1. Genetic analysis of blood molecular phenotypes reveals common properties in the regulatory networks affecting complex traits

Author

Brown, Andrew A., Fernandez-Tajes, Juan J., Hong, Mun-gwan, Brorsson, Caroline A., Koivula, Robert W., Davtian, David, Dupuis, Théo, Sartori, Ambra, Michalettou, Theodora-Dafni, Forgie, Ian M., Adam, Jonathan, Allin, Kristine H., Caiazzo, Robert, Cederberg, Henna, De Masi, Federico, Elders, Petra J. M., Giordano, Giuseppe N., Haid, Mark, Hansen, Torben, Hansen, Tue H., Hattersley, Andrew T., Heggie, Alison J., Howald, Cédric, Jones, Angus G., Kokkola, Tarja, Laakso, Markku, Mahajan, Anubha, Mari, Andrea, McDonald, Timothy J., McEvoy, Donna, Mourby, Miranda, Musholt, Petra B., Nilsson, Birgitte, Pattou, Francois, Penet, Deborah, Raverdy, Violeta, Ridderstråle, Martin, Romano, Luciana, Rutters, Femke, Sharma, Sapna, Teare, Harriet, ‘t Hart, Leen, Tsirigos, Konstantinos D., Vangipurapu, Jagadish, Vestergaard, Henrik, Brunak, Søren, Franks, Paul W., Frost, Gary, Grallert, Harald, Jablonka, Bernd, McCarthy, Mark I., Pavo, Imre, Pedersen, Oluf, Ruetten, Hartmut, Walker, Mark, Adamski, Jerzy, Schwenk, Jochen M., Pearson, Ewan R., Dermitzakis, Emmanouil T., and Viñuela, Ana

Published
2023
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2. Discovery of drug–omics associations in type 2 diabetes with generative deep-learning models

Author

Allesøe, Rosa Lundbye, Lundgaard, Agnete Troen, Hernández Medina, Ricardo, Aguayo-Orozco, Alejandro, Johansen, Joachim, Nissen, Jakob Nybo, Brorsson, Caroline, Mazzoni, Gianluca, Niu, Lili, Biel, Jorge Hernansanz, Leal Rodríguez, Cristina, Brasas, Valentas, Webel, Henry, Benros, Michael Eriksen, Pedersen, Anders Gorm, Chmura, Piotr Jaroslaw, Jacobsen, Ulrik Plesner, Mari, Andrea, Koivula, Robert, Mahajan, Anubha, Vinuela, Ana, Tajes, Juan Fernandez, Sharma, Sapna, Haid, Mark, Hong, Mun-Gwan, Musholt, Petra B., De Masi, Federico, Vogt, Josef, Pedersen, Helle Krogh, Gudmundsdottir, Valborg, Jones, Angus, Kennedy, Gwen, Bell, Jimmy, Thomas, E. Louise, Frost, Gary, Thomsen, Henrik, Hansen, Elizaveta, Hansen, Tue Haldor, Vestergaard, Henrik, Muilwijk, Mirthe, Blom, Marieke T., ‘t Hart, Leen M., Pattou, Francois, Raverdy, Violeta, Brage, Soren, Kokkola, Tarja, Heggie, Alison, McEvoy, Donna, Mourby, Miranda, Kaye, Jane, Hattersley, Andrew, McDonald, Timothy, Ridderstråle, Martin, Walker, Mark, Forgie, Ian, Giordano, Giuseppe N., Pavo, Imre, Ruetten, Hartmut, Pedersen, Oluf, Hansen, Torben, Dermitzakis, Emmanouil, Franks, Paul W., Schwenk, Jochen M., Adamski, Jerzy, McCarthy, Mark I., Pearson, Ewan, Banasik, Karina, Rasmussen, Simon, and Brunak, Søren

Published
2023
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3. Author Correction: Discovery of drug–omics associations in type 2 diabetes with generative deep-learning models

Author

Allesøe, Rosa Lundbye, Lundgaard, Agnete Troen, Hernández Medina, Ricardo, Aguayo-Orozco, Alejandro, Johansen, Joachim, Nissen, Jakob Nybo, Brorsson, Caroline, Mazzoni, Gianluca, Niu, Lili, Biel, Jorge Hernansanz, Leal Rodríguez, Cristina, Brasas, Valentas, Webel, Henry, Benros, Michael Eriksen, Pedersen, Anders Gorm, Chmura, Piotr Jaroslaw, Jacobsen, Ulrik Plesner, Mari, Andrea, Koivula, Robert, Mahajan, Anubha, Vinuela, Ana, Tajes, Juan Fernandez, Sharma, Sapna, Haid, Mark, Hong, Mun-Gwan, Musholt, Petra B., De Masi, Federico, Vogt, Josef, Pedersen, Helle Krogh, Gudmundsdottir, Valborg, Jones, Angus, Kennedy, Gwen, Bell, Jimmy, Thomas, E. Louise, Frost, Gary, Thomsen, Henrik, Hansen, Elizaveta, Hansen, Tue Haldor, Vestergaard, Henrik, Muilwijk, Mirthe, Blom, Marieke T., ‘t Hart, Leen M., Pattou, Francois, Raverdy, Violeta, Brage, Soren, Kokkola, Tarja, Heggie, Alison, McEvoy, Donna, Mourby, Miranda, Kaye, Jane, Hattersley, Andrew, McDonald, Timothy, Ridderstråle, Martin, Walker, Mark, Forgie, Ian, Giordano, Giuseppe N., Pavo, Imre, Ruetten, Hartmut, Pedersen, Oluf, Hansen, Torben, Dermitzakis, Emmanouil, Franks, Paul W., Schwenk, Jochen M., Adamski, Jerzy, McCarthy, Mark I., Pearson, Ewan, Banasik, Karina, Rasmussen, Simon, and Brunak, Søren

Published
2023
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4. Genetic studies of abdominal MRI data identify genes regulating hepcidin as major determinants of liver iron concentration

Author

Jennison, Christopher, Ehrhardt, Beate, Baum, Patrick, Schoelsch, Corinna, Freijer, Jan, Grempler, Rolf, Graefe-Mody, Ulrike, Hennige, Anita, Dings, Christiane, Lehr, Thorsten, Scherer, Nina, Sihinecich, Iryna, Pattou, Francois, Raverdi, Violeta, Caiazzo, Robert, Torres, Fanelly, Verkindt, Helene, Mari, Andrea, Tura, Andrea, Giorgino, Toni, Bizzotto, Roberto, Froguel, Philippe, Bonneford, Amelie, Canouil, Mickael, Dhennin, Veronique, Brorsson, Caroline, Brunak, Soren, De Masi, Federico, Gudmundsdóttir, Valborg, Pedersen, Helle, Banasik, Karina, Thomas, Cecilia, Sackett, Peter, Staerfeldt, Hans-Henrik, Lundgaard, Agnete, Nilsson, Birgitte, Nielsen, Agnes, Mazzoni, Gianluca, Karaderi, Tugce, Rasmussen, Simon, Johansen, Joachim, Allesøe, Rosa, Fritsche, Andreas, Thorand, Barbara, Adamski, Jurek, Grallert, Harald, Haid, Mark, Sharma, Sapna, Troll, Martina, Adam, Jonathan, Ferrer, Jorge, Eriksen, Heather, Frost, Gary, Haussler, Ragna, Hong, Mun-gwan, Schwenk, Jochen, Uhlen, Mathias, Nicolay, Claudia, Pavo, Imre, Steckel-Hamann, Birgit, Thomas, Melissa, Adragni, Kofi, Wu, Han, Hart, Leen't, Roderick, Slieker, van Leeuwen, Nienke, Dekkers, Koen, Frau, Francesca, Gassenhuber, Johann, Jablonka, Bernd, Musholt, Petra, Ruetten, Hartmut, Tillner, Joachim, Baltauss, Tania, Bernard Poenaru, Oana, de Preville, Nathalie, Rodriquez, Marianne, Arumugam, Manimozhiyan, Allin, Kristine, Engelbrechtsen, Line, Hansen, Torben, Hansen, Tue, Forman, Annemette, Jonsson, Anna, Pedersen, Oluf, Dutta, Avirup, Vogt, Josef, Vestergaard, Henrik, Laakso, Markku, Kokkola, Tarja, Kuulasmaa, Teemu, Franks, Paul, Giordano, Nick, Pomares-Millan, Hugo, Fitipaldi, Hugo, Mutie, Pascal, Klintenberg, Maria, Bergstrom, Margit, Groop, Leif, Ridderstrale, Martin, Atabaki Pasdar, Naeimeh, Deshmukh, Harshal, Heggie, Alison, Wake, Dianne, McEvoy, Donna, McVittie, Ian, Walker, Mark, Hattersley, Andrew, Hill, Anita, Jones, Angus, McDonald, Timothy, Perry, Mandy, Nice, Rachel, Hudson, Michelle, Thorne, Claire, Dermitzakis, Emmanouil, Viñuela, Ana, Cabrelli, Louise, Loftus, Heather, Dawed, Adem, Donnelly, Louise, Forgie, Ian, Pearson, Ewan, Palmer, Colin, Brown, Andrew, Koivula, Robert, Wesolowska-Andersen, Agata, Abdalla, Moustafa, McRobert, Nicky, Fernandez, Juan, Jiao, Yunlong, Robertson, Neil, Gough, Stephen, Kaye, Jane, Mourby, Miranda, Mahajan, Anubha, McCarthy, Mark, Shah, Nisha, Teare, Harriet, Holl, Reinhard, Koopman, Anitra, Rutters, Femke, Beulens, Joline, Groeneveld, Lenka, Bell, Jimmy, Thomas, Louise, Whitcher, Brandon, Wilman, Henry R., Parisinos, Constantinos A., Atabaki-Pasdar, Naeimeh, Kelly, Matt, Thomas, E. Louise, Neubauer, Stefan, Hingorani, Aroon D., Patel, Riyaz S., Hemingway, Harry, Franks, Paul W., Bell, Jimmy D., Banerjee, Rajarshi, and Yaghootkar, Hanieh

Published
2019
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5. Whole blood co-expression modules associate with metabolic traits and type 2 diabetes: an IMI-DIRECT study

Author

Gudmundsdottir, Valborg, Pedersen, Helle Krogh, Mazzoni, Gianluca, Allin, Kristine H., Artati, Anna, Beulens, Joline W., Banasik, Karina, Brorsson, Caroline, Cederberg, Henna, Chabanova, Elizaveta, De Masi, Federico, Elders, Petra J., Forgie, Ian, Giordano, Giuseppe N., Grallert, Harald, Gupta, Ramneek, Haid, Mark, Hansen, Torben, Hansen, Tue H., Hattersley, Andrew T., Heggie, Alison, Hong, Mun-Gwan, Jones, Angus G., Koivula, Robert, Kokkola, Tarja, Laakso, Markku, Løngreen, Peter, Mahajan, Anubha, Mari, Andrea, McDonald, Timothy J., McEvoy, Donna, Musholt, Petra B., Pavo, Imre, Prehn, Cornelia, Ruetten, Hartmut, Ridderstråle, Martin, Rutters, Femke, Sharma, Sapna, Slieker, Roderick C., Syed, Ali, Tajes, Juan Fernandez, Thomas, Cecilia Engel, Thomsen, Henrik S., Vangipurapu, Jagadish, Vestergaard, Henrik, Viñuela, Ana, Wesolowska-Andersen, Agata, Walker, Mark, Adamski, Jerzy, Schwenk, Jochen M., McCarthy, Mark I., Pearson, Ewan, Dermitzakis, Emmanouil, Franks, Paul W., Pedersen, Oluf, and Brunak, Søren

Published
2020
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6. Four groups of type 2 diabetes contribute to the etiological and clinical heterogeneity in newly diagnosed individuals: An IMI DIRECT study

Author

Wesolowska-Andersen, Agata, primary, Brorsson, Caroline A., additional, Bizzotto, Roberto, additional, Mari, Andrea, additional, Tura, Andrea, additional, Koivula, Robert, additional, Mahajan, Anubha, additional, Vinuela, Ana, additional, Tajes, Juan Fernandez, additional, Sharma, Sapna, additional, Haid, Mark, additional, Prehn, Cornelia, additional, Artati, Anna, additional, Hong, Mun-Gwan, additional, Musholt, Petra B., additional, Kurbasic, Azra, additional, De Masi, Federico, additional, Tsirigos, Kostas, additional, Pedersen, Helle Krogh, additional, Gudmundsdottir, Valborg, additional, Thomas, Cecilia Engel, additional, Banasik, Karina, additional, Jennison, Chrisopher, additional, Jones, Angus, additional, Kennedy, Gwen, additional, Bell, Jimmy, additional, Thomas, Louise, additional, Frost, Gary, additional, Thomsen, Henrik, additional, Allin, Kristine, additional, Hansen, Tue Haldor, additional, Vestergaard, Henrik, additional, Hansen, Torben, additional, Rutters, Femke, additional, Elders, Petra, additional, t’Hart, Leen, additional, Bonnefond, Amelie, additional, Canouil, Mickaël, additional, Brage, Soren, additional, Kokkola, Tarja, additional, Heggie, Alison, additional, McEvoy, Donna, additional, Hattersley, Andrew, additional, McDonald, Timothy, additional, Teare, Harriet, additional, Ridderstrale, Martin, additional, Walker, Mark, additional, Forgie, Ian, additional, Giordano, Giuseppe N., additional, Froguel, Philippe, additional, Pavo, Imre, additional, Ruetten, Hartmut, additional, Pedersen, Oluf, additional, Dermitzakis, Emmanouil, additional, Franks, Paul W., additional, Schwenk, Jochen M., additional, Adamski, Jerzy, additional, Pearson, Ewan, additional, McCarthy, Mark I., additional, and Brunak, Søren, additional

Published
2022
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7. Inferring causal pathways between metabolic processes and liver fat accumulation: an IMI DIRECT study

Author

Atabaki-Pasdar, Naeimeh, primary, Pomares-Millan, Hugo, additional, Koivula, Robert W, additional, Tura, Andrea, additional, Brown, Andrew, additional, Viñuela, Ana, additional, Agudelo, Leandro, additional, Coral, Daniel, additional, van Oort, Sabine, additional, Allin, Kristine, additional, Chabanova, Elizaveta, additional, Cederberg, Henna, additional, De Masi, Federico, additional, Elders, Petra, additional, Tajes, Juan Fernandez, additional, Forgie, Ian M, additional, Hansen, Tue H, additional, Heggie, Alison, additional, Jones, Angus, additional, Kokkola, Tarja, additional, Mahajan, Anubha, additional, McDonald, Timothy J, additional, McEvoy, Donna, additional, Tsirigos, Konstantinos, additional, Teare, Harriet, additional, Vangipurapu, Jagadish, additional, Vestergaard, Henrik, additional, Adamski, Jerzy, additional, Beulens, Joline WJ, additional, Brunak, Søren, additional, Dermitzakis, Emmanouil, additional, Hansen, Torben, additional, Hattersley, Andrew T, additional, Laakso, Markku, additional, Pedersen, Oluf, additional, Ridderstråle, Martin, additional, Ruetten, Hartmut, additional, Rutters, Femke, additional, Schwenk, Jochen M, additional, Walker, Mark, additional, Giordano, Giuseppe N, additional, Ohlsson, Mattias, additional, Gupta, Ramneek, additional, Mari, Andrea, additional, McCarthy, Mark I, additional, Thomas, E Louise, additional, Bell, Jimmy D, additional, Pavo, Imre, additional, Pearson, Ewan R, additional, and Franks, Paul W, additional

Published
2021
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8. Processes Underlying Glycemic Deterioration in Type 2 Diabetes:An IMI DIRECT Study

Author

Bizzotto, Roberto, Jennison, Christopher, Jones, Angus G., Kurbasic, Azra, Tura, Andrea, Kennedy, Gwen, Bell, Jimmy D., Thomas, E. Louise, Frost, Gary, Eriksen, Rebeca, Koivula, Robert W., Brage, Soren, Kaye, Jane, Hattersley, Andrew T., Heggie, Alison, McEvoy, Donna, 't Hart, Leen M., Beulens, Joline W., Elders, Petra, Musholt, Petra B., Ridderstrale, Martin, Hansen, Tue H., Allin, Kristine H., Hansen, Torben, Vestergaard, Henrik, Lundgaard, Agnete T., Thomsen, Henrik S., De Masi, Federico, Tsirigos, Konstantinos D., Brunak, Søren, Vinuela, Ana, Mahajan, Anubha, McDonald, Timothy J., Kokkola, Tarja, Forgie, Ian M., Giordano, Giuseppe N., Pavo, Imre, Ruetten, Hartmut, Dermitzakis, Emmanouil, McCarthy, Mark I., Pedersen, Oluf, Schwenk, Jochen M., Adamski, Jerzy, Franks, Paul W., Walker, Mark, Pearson, Ewan R., Mari, Andrea, Bizzotto, Roberto, Jennison, Christopher, Jones, Angus G., Kurbasic, Azra, Tura, Andrea, Kennedy, Gwen, Bell, Jimmy D., Thomas, E. Louise, Frost, Gary, Eriksen, Rebeca, Koivula, Robert W., Brage, Soren, Kaye, Jane, Hattersley, Andrew T., Heggie, Alison, McEvoy, Donna, 't Hart, Leen M., Beulens, Joline W., Elders, Petra, Musholt, Petra B., Ridderstrale, Martin, Hansen, Tue H., Allin, Kristine H., Hansen, Torben, Vestergaard, Henrik, Lundgaard, Agnete T., Thomsen, Henrik S., De Masi, Federico, Tsirigos, Konstantinos D., Brunak, Søren, Vinuela, Ana, Mahajan, Anubha, McDonald, Timothy J., Kokkola, Tarja, Forgie, Ian M., Giordano, Giuseppe N., Pavo, Imre, Ruetten, Hartmut, Dermitzakis, Emmanouil, McCarthy, Mark I., Pedersen, Oluf, Schwenk, Jochen M., Adamski, Jerzy, Franks, Paul W., Walker, Mark, Pearson, Ewan R., and Mari, Andrea

Abstract

OBJECTIVEWe investigated the processes underlying glycemic deterioration in type 2 diabetes (T2D).RESEARCH DESIGN AND METHODSA total of 732 recently diagnosed patients with T2D from the Innovative Medicines Initiative Diabetes Research on Patient Stratification (IMI DIRECT) study were extensively phenotyped over 3 years, including measures of insulin sensitivity (OGIS), beta-cell glucose sensitivity (GS), and insulin clearance (CLIm) from mixed meal tests, liver enzymes, lipid profiles, and baseline regional fat from MRI. The associations between the longitudinal metabolic patterns and HbA(1c) deterioration, adjusted for changes in BMI and in diabetes medications, were assessed via stepwise multivariable linear and logistic regression.RESULTSFaster HbA(1c) progression was independently associated with faster deterioration of OGIS and GS and increasing CLIm; visceral or liver fat, HDL-cholesterol, and triglycerides had further independent, though weaker, roles (R-2 = 0.38). A subgroup of patients with a markedly higher progression rate (fast progressors) was clearly distinguishable considering these variables only (discrimination capacity from area under the receiver operating characteristic = 0.94). The proportion of fast progressors was reduced from 56% to 8-10% in subgroups in which only one trait among OGIS, GS, and CLIm was relatively stable (odds ratios 0.07-0.09). T2D polygenic risk score and baseline pancreatic fat, glucagon-like peptide 1, glucagon, diet, and physical activity did not show an independent role.CONCLUSIONSDeteriorating insulin sensitivity and beta-cell function, increasing insulin clearance, high visceral or liver fat, and worsening of the lipid profile are the crucial factors mediating glycemic deterioration of patients with T2D in the initial phase of the disease. Stabilization of a single trait among insulin sensitivity, beta-cell function, and insulin clearance may be relevant to prevent

Published
2021

9. Predicting and elucidating the etiology of fatty liver disease:A machine learning modeling and validation study in the IMI DIRECT cohorts

Author

Atabaki-Pasdar, Naeimeh, Ohlsson, Mattias, Viñuela, Ana, Frau, Francesca, Pomares-Millan, Hugo, Haid, Mark, Jones, Angus G, Thomas, E Louise, Koivula, Robert W, Kurbasic, Azra, Mutie, Pascal M, Fitipaldi, Hugo, Fernandez, Juan, Dawed, Adem Y, Giordano, Giuseppe N, Forgie, Ian M, McDonald, Timothy J, Rutters, Femke, Cederberg, Henna, Chabanova, Elizaveta, Dale, Matilda, Masi, Federico De, Thomas, Cecilia Engel, Allin, Kristine H., Hansen, Tue H, Heggie, Alison, Hong, Mun-Gwan, Elders, Petra J M, Kennedy, Gwen, Kokkola, Tarja, Pedersen, Helle Krogh, Mahajan, Anubha, McEvoy, Donna, Pattou, Francois, Raverdy, Violeta, Häussler, Ragna S, Sharma, Sapna, Thomsen, Henrik S, Vangipurapu, Jagadish, Vestergaard, Henrik, Adamski, Jerzy, Musholt, Petra B, Brage, Søren, Brunak, Søren, Dermitzakis, Emmanouil, Frost, Gary, Hansen, Torben, Laakso, Markku, and Pedersen, Oluf

Abstract

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is highly prevalent and causes serious health complications in individuals with and without type 2 diabetes (T2D). Early diagnosis of NAFLD is important, as this can help prevent irreversible damage to the liver and, ultimately, hepatocellular carcinomas. We sought to expand etiological understanding and develop a diagnostic tool for NAFLD using machine learning.METHODS AND FINDINGS: We utilized the baseline data from IMI DIRECT, a multicenter prospective cohort study of 3,029 European-ancestry adults recently diagnosed with T2D (n = 795) or at high risk of developing the disease (n = 2,234). Multi-omics (genetic, transcriptomic, proteomic, and metabolomic) and clinical (liver enzymes and other serological biomarkers, anthropometry, measures of beta-cell function, insulin sensitivity, and lifestyle) data comprised the key input variables. The models were trained on MRI-image-derived liver fat content (CONCLUSIONS: In this study, we developed several models with different combinations of clinical and omics data and identified biological features that appear to be associated with liver fat accumulation. In general, the clinical variables showed better prediction ability than the complex omics variables. However, the combination of omics and clinical variables yielded the highest accuracy. We have incorporated the developed clinical models into a web interface (see: https://www.predictliverfat.org/) and made it available to the community.TRIAL REGISTRATION: ClinicalTrials.gov NCT03814915.

Published
2020
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10. Additional file 1 of Whole blood co-expression modules associate with metabolic traits and type 2 diabetes: an IMI-DIRECT study

Author

Gudmundsdottir, Valborg, Pedersen, Helle Krogh, Mazzoni, Gianluca, Allin, Kristine H., Artati, Anna, Beulens, Joline W., Banasik, Karina, Brorsson, Caroline, Cederberg, Henna, Chabanova, Elizaveta, Masi, Federico De, Elders, Petra J., Forgie, Ian, Giordano, Giuseppe N., Grallert, Harald, Ramneek Gupta, Haid, Mark, Hansen, Torben, Hansen, Tue H., Hattersley, Andrew T., Heggie, Alison, Mun-Gwan Hong, Jones, Angus G., Koivula, Robert, Kokkola, Tarja, Laakso, Markku, Løngreen, Peter, Anubha Mahajan, Mari, Andrea, McDonald, Timothy J., McEvoy, Donna, Musholt, Petra B., Pavo, Imre, Prehn, Cornelia, Ruetten, Hartmut, Ridderstråle, Martin, Rutters, Femke, Sharma, Sapna, Slieker, Roderick C., Syed, Ali, Tajes, Juan Fernandez, Thomas, Cecilia Engel, Thomsen, Henrik S., Jagadish Vangipurapu, Vestergaard, Henrik, Viñuela, Ana, Wesolowska-Andersen, Agata, Walker, Mark, Adamski, Jerzy, Schwenk, Jochen M., McCarthy, Mark I., Pearson, Ewan, Dermitzakis, Emmanouil, Franks, Paul W., Pedersen, Oluf, and Brunak, Søren

Abstract

Additional file 1. Supplementary Figures. This file contains Fig. S1 – S13.

Published
2020
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11. Additional file 2 of Whole blood co-expression modules associate with metabolic traits and type 2 diabetes: an IMI-DIRECT study

Author

Gudmundsdottir, Valborg, Pedersen, Helle Krogh, Mazzoni, Gianluca, Allin, Kristine H., Artati, Anna, Beulens, Joline W., Banasik, Karina, Brorsson, Caroline, Cederberg, Henna, Chabanova, Elizaveta, Masi, Federico De, Elders, Petra J., Forgie, Ian, Giordano, Giuseppe N., Grallert, Harald, Ramneek Gupta, Haid, Mark, Hansen, Torben, Hansen, Tue H., Hattersley, Andrew T., Heggie, Alison, Mun-Gwan Hong, Jones, Angus G., Koivula, Robert, Kokkola, Tarja, Laakso, Markku, Løngreen, Peter, Anubha Mahajan, Mari, Andrea, McDonald, Timothy J., McEvoy, Donna, Musholt, Petra B., Pavo, Imre, Prehn, Cornelia, Ruetten, Hartmut, Ridderstråle, Martin, Rutters, Femke, Sharma, Sapna, Slieker, Roderick C., Syed, Ali, Tajes, Juan Fernandez, Thomas, Cecilia Engel, Thomsen, Henrik S., Jagadish Vangipurapu, Vestergaard, Henrik, Viñuela, Ana, Wesolowska-Andersen, Agata, Walker, Mark, Adamski, Jerzy, Schwenk, Jochen M., McCarthy, Mark I., Pearson, Ewan, Dermitzakis, Emmanouil, Franks, Paul W., Pedersen, Oluf, and Brunak, Søren

Subjects
Data_FILES
Abstract

Additional file 2. Supplementary Methods. This file contains methods descriptions for omics data generation and preprocessing.

Published
2020
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12. Whole blood co-expression modules associate with metabolic traits and type 2 diabetes:an IMI-DIRECT study

Author

Gudmundsdottir, Valborg, Pedersen, Helle Krogh, Mazzoni, Gianluca, Allin, Kristine H., Artati, Anna, Beulens, Joline W., Banasik, Karina, Brorsson, Caroline, Cederberg, Henna, Chabanova, Elizaveta, De Masi, Federico, Elders, Petra J., Forgie, Ian, Giordano, Giuseppe N., Grallert, Harald, Gupta, Ramneek, Haid, Mark, Hansen, Torben, Hansen, Tue H., Hattersley, Andrew T., Heggie, Alison, Hong, Mun Gwan, Jones, Angus G., Koivula, Robert, Kokkola, Tarja, Laakso, Markku, Løngreen, Peter, Mahajan, Anubha, Mari, Andrea, McDonald, Timothy J., McEvoy, Donna, Musholt, Petra B., Pavo, Imre, Prehn, Cornelia, Ruetten, Hartmut, Ridderstråle, Martin, Rutters, Femke, Sharma, Sapna, Slieker, Roderick C., Syed, Ali, Tajes, Juan Fernandez, Thomas, Cecilia Engel, Thomsen, Henrik S., Vangipurapu, Jagadish, Vestergaard, Henrik, Viñuela, Ana, Wesolowska-Andersen, Agata, Walker, Mark, Adamski, Jerzy, Schwenk, Jochen M., McCarthy, Mark I., Pearson, Ewan, Dermitzakis, Emmanouil, Franks, Paul W., Pedersen, Oluf, Brunak, Søren, Gudmundsdottir, Valborg, Pedersen, Helle Krogh, Mazzoni, Gianluca, Allin, Kristine H., Artati, Anna, Beulens, Joline W., Banasik, Karina, Brorsson, Caroline, Cederberg, Henna, Chabanova, Elizaveta, De Masi, Federico, Elders, Petra J., Forgie, Ian, Giordano, Giuseppe N., Grallert, Harald, Gupta, Ramneek, Haid, Mark, Hansen, Torben, Hansen, Tue H., Hattersley, Andrew T., Heggie, Alison, Hong, Mun Gwan, Jones, Angus G., Koivula, Robert, Kokkola, Tarja, Laakso, Markku, Løngreen, Peter, Mahajan, Anubha, Mari, Andrea, McDonald, Timothy J., McEvoy, Donna, Musholt, Petra B., Pavo, Imre, Prehn, Cornelia, Ruetten, Hartmut, Ridderstråle, Martin, Rutters, Femke, Sharma, Sapna, Slieker, Roderick C., Syed, Ali, Tajes, Juan Fernandez, Thomas, Cecilia Engel, Thomsen, Henrik S., Vangipurapu, Jagadish, Vestergaard, Henrik, Viñuela, Ana, Wesolowska-Andersen, Agata, Walker, Mark, Adamski, Jerzy, Schwenk, Jochen M., McCarthy, Mark I., Pearson, Ewan, Dermitzakis, Emmanouil, Franks, Paul W., Pedersen, Oluf, and Brunak, Søren

Abstract

Background: The rising prevalence of type 2 diabetes (T2D) poses a major global challenge. It remains unresolved to what extent transcriptomic signatures of metabolic dysregulation and T2D can be observed in easily accessible tissues such as blood. Additionally, large-scale human studies are required to further our understanding of the putative inflammatory component of insulin resistance and T2D. Here we used transcriptomics data from individuals with (n = 789) and without (n = 2127) T2D from the IMI-DIRECT cohorts to describe the co-expression structure of whole blood that mainly reflects processes and cell types of the immune system, and how it relates to metabolically relevant clinical traits and T2D. Methods: Clusters of co-expressed genes were identified in the non-diabetic IMI-DIRECT cohort and evaluated with regard to stability, as well as preservation and rewiring in the cohort of individuals with T2D. We performed functional and immune cell signature enrichment analyses, and a genome-wide association study to describe the genetic regulation of the modules. Phenotypic and trans-omics associations of the transcriptomic modules were investigated across both IMI-DIRECT cohorts. Results: We identified 55 whole blood co-expression modules, some of which clustered in larger super-modules. We identified a large number of associations between these transcriptomic modules and measures of insulin action and glucose tolerance. Some of the metabolically linked modules reflect neutrophil-lymphocyte ratio in blood while others are independent of white blood cell estimates, including a module of genes encoding neutrophil granule proteins with antibacterial properties for which the strongest associations with clinical traits and T2D status were observed. Through the integration of genetic and multi-omics data, we provide a holistic view of the regulation and molecular context of whole blood transcriptomic modules. We furthermore identified an overlap between genetic sig

Published
2020

13. Processes Underlying Glycemic Deterioration in Type 2 Diabetes: An IMI DIRECT Study

Author

Bizzotto, Roberto, primary, Jennison, Christopher, primary, Jones, Angus G, primary, Kurbasic, Azra, primary, Tura, Andrea, primary, Kennedy, Gwen, primary, Bell, Jimmy D, primary, Thomas, Elizabeth L, primary, Frost, Gary, primary, Eriksen, Rebeca, primary, Koivula, Robert W, primary, Brage, Soren, primary, Kaye, Jane, primary, Hattersley, Andrew T, primary, Heggie, Alison, primary, McEvoy, Donna, primary, Hart, Leen M ’t, primary, Beulens, Joline W, primary, Elders, Petra, primary, Musholt, Petra B, primary, Ridderstråle, Martin, primary, Hansen, Tue H, primary, Allin, Kristine H, primary, Hansen, Torben, primary, Vestergaard, Henrik, primary, Lundgaard, Agnete T, primary, Thomsen, Henrik S, primary, Masi, Federico De, primary, Tsirigos, Konstantinos D, primary, Brunak, Søren, primary, Viñuela, Ana, primary, Mahajan, Anubha, primary, McDonald, Timothy J, primary, Kokkola, Tarja, primary, Forgie, Ian M, primary, Giordano, Giuseppe N, primary, Pavo, Imre, primary, Ruetten, Hartmut, primary, Dermitzakis, Emmanouil, primary, McCarthy, Mark I, primary, Pedersen, Oluf, primary, Schwenk, Jochen M, primary, Adamski, Jerzy, primary, Franks, Paul W, primary, Walker, Mark, primary, Pearson, Ewan R, primary, Mari, Andrea, primary, and consortium, the IMI DIRECT, primary

Published
2020
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14. Predicting and elucidating the etiology of fatty liver disease: A machine learning modeling and validation study in the IMI DIRECT cohorts

Author

Atabaki-Pasdar, Naeimeh, primary, Ohlsson, Mattias, additional, Viñuela, Ana, additional, Frau, Francesca, additional, Pomares-Millan, Hugo, additional, Haid, Mark, additional, Jones, Angus G., additional, Thomas, E. Louise, additional, Koivula, Robert W., additional, Kurbasic, Azra, additional, Mutie, Pascal M., additional, Fitipaldi, Hugo, additional, Fernandez, Juan, additional, Dawed, Adem Y., additional, Giordano, Giuseppe N., additional, Forgie, Ian M., additional, McDonald, Timothy J., additional, Rutters, Femke, additional, Cederberg, Henna, additional, Chabanova, Elizaveta, additional, Dale, Matilda, additional, Masi, Federico De, additional, Thomas, Cecilia Engel, additional, Allin, Kristine H., additional, Hansen, Tue H., additional, Heggie, Alison, additional, Hong, Mun-Gwan, additional, Elders, Petra J. M., additional, Kennedy, Gwen, additional, Kokkola, Tarja, additional, Pedersen, Helle Krogh, additional, Mahajan, Anubha, additional, McEvoy, Donna, additional, Pattou, Francois, additional, Raverdy, Violeta, additional, Häussler, Ragna S., additional, Sharma, Sapna, additional, Thomsen, Henrik S., additional, Vangipurapu, Jagadish, additional, Vestergaard, Henrik, additional, ‘t Hart, Leen M., additional, Adamski, Jerzy, additional, Musholt, Petra B., additional, Brage, Soren, additional, Brunak, Søren, additional, Dermitzakis, Emmanouil, additional, Frost, Gary, additional, Hansen, Torben, additional, Laakso, Markku, additional, Pedersen, Oluf, additional, Ridderstråle, Martin, additional, Ruetten, Hartmut, additional, Hattersley, Andrew T., additional, Walker, Mark, additional, Beulens, Joline W. J., additional, Mari, Andrea, additional, Schwenk, Jochen M., additional, Gupta, Ramneek, additional, McCarthy, Mark I., additional, Pearson, Ewan R., additional, Bell, Jimmy D., additional, Pavo, Imre, additional, and Franks, Paul W., additional

Published
2020
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15. Predicting and elucidating the etiology of fatty liver disease using a machine learning-based approach: an IMI DIRECT study

Author

Atabaki-Pasdar, Naeimeh, primary, Ohlsson, Mattias, additional, Viñuela, Ana, additional, Frau, Francesca, additional, Pomares-Millan, Hugo, additional, Haid, Mark, additional, Jones, Angus G, additional, Thomas, E Louise, additional, Koivula, Robert W, additional, Kurbasic, Azra, additional, Mutie, Pascal M, additional, Fitipaldi, Hugo, additional, Fernandez, Juan, additional, Dawed, Adem Y, additional, Giordano, Giuseppe N, additional, Forgie, Ian M, additional, McDonald, Timothy J, additional, Rutters, Femke, additional, Cederberg, Henna, additional, Chabanova, Elizaveta, additional, Dale, Matilda, additional, De Masi, Federico, additional, Thomas, Cecilia Engel, additional, Allin, Kristine H, additional, Hansen, Tue H, additional, Heggie, Alison, additional, Hong, Mun-Gwan, additional, Elders, Petra JM, additional, Kennedy, Gwen, additional, Kokkola, Tarja, additional, Pedersen, Helle Krogh, additional, Mahajan, Anubha, additional, McEvoy, Donna, additional, Pattou, Francois, additional, Raverdy, Violeta, additional, Häussler, Ragna S, additional, Sharma, Sapna, additional, Thomsen, Henrik S, additional, Vangipurapu, Jagadish, additional, Vestergaard, Henrik, additional, ‘t Hart, Leen M, additional, Adamski, Jerzy, additional, Musholt, Petra B, additional, Brage, Soren, additional, Brunak, Søren, additional, Dermitzakis, Emmanouil, additional, Frost, Gary, additional, Hansen, Torben, additional, Laakso, Markku, additional, Pedersen, Oluf, additional, Ridderstråle, Martin, additional, Ruetten, Hartmut, additional, Hattersley, Andrew T, additional, Walker, Mark, additional, Beulens, Joline WJ, additional, Mari, Andrea, additional, Schwenk, Jochen M, additional, Gupta, Ramneek, additional, McCarthy, Mark I, additional, Pearson, Ewan R, additional, Bell, Jimmy D, additional, Pavo, Imre, additional, and Franks, Paul W, additional

Published
2020
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16. Genetic studies of abdominal MRI data identify genes regulating hepcidin as major determinants of liver iron concentration

Author

Wilman, Henry R., primary, Parisinos, Constantinos A., additional, Atabaki-Pasdar, Naeimeh, additional, Kelly, Matt, additional, Thomas, E. Louise, additional, Neubauer, Stefan, additional, Mahajan, Anubha, additional, Hingorani, Aroon D., additional, Patel, Riyaz S., additional, Hemingway, Harry, additional, Franks, Paul W., additional, Bell, Jimmy D., additional, Banerjee, Rajarshi, additional, Yaghootkar, Hanieh, additional, Jennison, Christopher, additional, Ehrhardt, Beate, additional, Baum, Patrick, additional, Schoelsch, Corinna, additional, Freijer, Jan, additional, Grempler, Rolf, additional, Graefe-Mody, Ulrike, additional, Hennige, Anita, additional, Dings, Christiane, additional, Lehr, Thorsten, additional, Scherer, Nina, additional, Sihinecich, Iryna, additional, Pattou, Francois, additional, Raverdi, Violeta, additional, Caiazzo, Robert, additional, Torres, Fanelly, additional, Verkindt, Helene, additional, Mari, Andrea, additional, Tura, Andrea, additional, Giorgino, Toni, additional, Bizzotto, Roberto, additional, Froguel, Philippe, additional, Bonneford, Amelie, additional, Canouil, Mickael, additional, Dhennin, Veronique, additional, Brorsson, Caroline, additional, Brunak, Soren, additional, De Masi, Federico, additional, Gudmundsdóttir, Valborg, additional, Pedersen, Helle, additional, Banasik, Karina, additional, Thomas, Cecilia, additional, Sackett, Peter, additional, Staerfeldt, Hans-Henrik, additional, Lundgaard, Agnete, additional, Nilsson, Birgitte, additional, Nielsen, Agnes, additional, Mazzoni, Gianluca, additional, Karaderi, Tugce, additional, Rasmussen, Simon, additional, Johansen, Joachim, additional, Allesøe, Rosa, additional, Fritsche, Andreas, additional, Thorand, Barbara, additional, Adamski, Jurek, additional, Grallert, Harald, additional, Haid, Mark, additional, Sharma, Sapna, additional, Troll, Martina, additional, Adam, Jonathan, additional, Ferrer, Jorge, additional, Eriksen, Heather, additional, Frost, Gary, additional, Haussler, Ragna, additional, Hong, Mun-gwan, additional, Schwenk, Jochen, additional, Uhlen, Mathias, additional, Nicolay, Claudia, additional, Pavo, Imre, additional, Steckel-Hamann, Birgit, additional, Thomas, Melissa, additional, Adragni, Kofi, additional, Wu, Han, additional, Hart, Leen't, additional, Roderick, Slieker, additional, van Leeuwen, Nienke, additional, Dekkers, Koen, additional, Frau, Francesca, additional, Gassenhuber, Johann, additional, Jablonka, Bernd, additional, Musholt, Petra, additional, Ruetten, Hartmut, additional, Tillner, Joachim, additional, Baltauss, Tania, additional, Bernard Poenaru, Oana, additional, de Preville, Nathalie, additional, Rodriquez, Marianne, additional, Arumugam, Manimozhiyan, additional, Allin, Kristine, additional, Engelbrechtsen, Line, additional, Hansen, Torben, additional, Hansen, Tue, additional, Forman, Annemette, additional, Jonsson, Anna, additional, Pedersen, Oluf, additional, Dutta, Avirup, additional, Vogt, Josef, additional, Vestergaard, Henrik, additional, Laakso, Markku, additional, Kokkola, Tarja, additional, Kuulasmaa, Teemu, additional, Franks, Paul, additional, Giordano, Nick, additional, Pomares-Millan, Hugo, additional, Fitipaldi, Hugo, additional, Mutie, Pascal, additional, Klintenberg, Maria, additional, Bergstrom, Margit, additional, Groop, Leif, additional, Ridderstrale, Martin, additional, Atabaki Pasdar, Naeimeh, additional, Deshmukh, Harshal, additional, Heggie, Alison, additional, Wake, Dianne, additional, McEvoy, Donna, additional, McVittie, Ian, additional, Walker, Mark, additional, Hattersley, Andrew, additional, Hill, Anita, additional, Jones, Angus, additional, McDonald, Timothy, additional, Perry, Mandy, additional, Nice, Rachel, additional, Hudson, Michelle, additional, Thorne, Claire, additional, Dermitzakis, Emmanouil, additional, Viñuela, Ana, additional, Cabrelli, Louise, additional, Loftus, Heather, additional, Dawed, Adem, additional, Donnelly, Louise, additional, Forgie, Ian, additional, Pearson, Ewan, additional, Palmer, Colin, additional, Brown, Andrew, additional, Koivula, Robert, additional, Wesolowska-Andersen, Agata, additional, Abdalla, Moustafa, additional, McRobert, Nicky, additional, Fernandez, Juan, additional, Jiao, Yunlong, additional, Robertson, Neil, additional, Gough, Stephen, additional, Kaye, Jane, additional, Mourby, Miranda, additional, McCarthy, Mark, additional, Shah, Nisha, additional, Teare, Harriet, additional, Holl, Reinhard, additional, Koopman, Anitra, additional, Rutters, Femke, additional, Beulens, Joline, additional, Groeneveld, Lenka, additional, Bell, Jimmy, additional, Thomas, Louise, additional, and Whitcher, Brandon, additional

Published
2019
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17. Processes Underlying Glycemic Deterioration in Type 2 Diabetes: An IMI DIRECT Study.

Author

Bizzotto, Roberto, Jennison, Christopher, Jones, Angus G., Kurbasic, Azra, Tura, Andrea, Kennedy, Gwen, Bell, Jimmy D., Thomas, E. Louise, Frost, Gary, Eriksen, Rebeca, Koivula, Robert W., Brage, Soren, Kaye, Jane, Hattersley, Andrew T., Heggie, Alison, McEvoy, Donna, 't Hart, Leen M., Beulens, Joline W., Elders, Petra, and Musholt, Petra B.

Subjects
TYPE 2 diabetes, GLUCAGON-like peptide 1, INSULIN sensitivity, RECEIVER operating characteristic curves, GLUCAGON-like peptides, LIVER enzymes
Abstract

Objective: We investigated the processes underlying glycemic deterioration in type 2 diabetes (T2D).Research Design and Methods: A total of 732 recently diagnosed patients with T2D from the Innovative Medicines Initiative Diabetes Research on Patient Stratification (IMI DIRECT) study were extensively phenotyped over 3 years, including measures of insulin sensitivity (OGIS), β-cell glucose sensitivity (GS), and insulin clearance (CLIm) from mixed meal tests, liver enzymes, lipid profiles, and baseline regional fat from MRI. The associations between the longitudinal metabolic patterns and HbA1c deterioration, adjusted for changes in BMI and in diabetes medications, were assessed via stepwise multivariable linear and logistic regression.Results: Faster HbA1c progression was independently associated with faster deterioration of OGIS and GS and increasing CLIm; visceral or liver fat, HDL-cholesterol, and triglycerides had further independent, though weaker, roles (R2 = 0.38). A subgroup of patients with a markedly higher progression rate (fast progressors) was clearly distinguishable considering these variables only (discrimination capacity from area under the receiver operating characteristic = 0.94). The proportion of fast progressors was reduced from 56% to 8-10% in subgroups in which only one trait among OGIS, GS, and CLIm was relatively stable (odds ratios 0.07-0.09). T2D polygenic risk score and baseline pancreatic fat, glucagon-like peptide 1, glucagon, diet, and physical activity did not show an independent role.Conclusions: Deteriorating insulin sensitivity and β-cell function, increasing insulin clearance, high visceral or liver fat, and worsening of the lipid profile are the crucial factors mediating glycemic deterioration of patients with T2D in the initial phase of the disease. Stabilization of a single trait among insulin sensitivity, β-cell function, and insulin clearance may be relevant to prevent progression. [ABSTRACT FROM AUTHOR]

Published
2021
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20. The Effect of Pulmonary Rehabilitation on Healthcare Utilization in Chronic Obstructive Pulmonary Disease

Author

Raskin, Jonathan, primary, Spiegler, Peter, additional, McCusker, Corliss, additional, ZuWallack, Richard, additional, Bernstein, Mara, additional, Busby, Jim, additional, DiLauro, Pat, additional, Griffiths, Karen, additional, Haggerty, Margaret, additional, Hovey, Lynne, additional, McEvoy, Donna, additional, Reardon, Jane Z., additional, Stavrolakes, Kim, additional, Stockdale-Woolley, Rebecca, additional, Thompson, Peggy, additional, Trimmer, Grace, additional, and Youngson, Louise, additional

Published
2006
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21. Predicting and elucidating the etiology of fatty liver disease: A machine learning modeling and validation study in the IMI DIRECT cohorts

Author

Atabaki-Pasdar, Naeimeh, Ohlsson, Mattias, Viñuela, Ana, Frau, Francesca, Pomares-Millan, Hugo, Haid, Mark, Jones, Angus G., Thomas, E. Louise, Koivula, Robert W., Kurbasic, Azra, Mutie, Pascal M., Fitipaldi, Hugo, Fernandez, Juan, Dawed, Adem Y., Giordano, Giuseppe N., Forgie, Ian M., McDonald, Timothy J., Rutters, Femke, Cederberg, Henna, Chabanova, Elizaveta, Dale, Matilda, Masi, Federico De, Thomas, Cecilia Engel, Allin, Kristine H., Hansen, Tue H., Heggie, Alison, Hong, Mun-Gwan, Elders, Petra J. M., Kennedy, Gwen, Kokkola, Tarja, Pedersen, Helle Krogh, Mahajan, Anubha, McEvoy, Donna, Pattou, Francois, Raverdy, Violeta, Häussler, Ragna S., Sharma, Sapna, Thomsen, Henrik S., Vangipurapu, Jagadish, Vestergaard, Henrik, ‘T Hart, Leen M., Adamski, Jerzy, Musholt, Petra B., Brage, Soren, Brunak, Søren, Dermitzakis, Emmanouil, Frost, Gary, Hansen, Torben, Laakso, Markku, Pedersen, Oluf, Ridderstråle, Martin, Ruetten, Hartmut, Hattersley, Andrew T., Walker, Mark, Beulens, Joline W. J., Mari, Andrea, Schwenk, Jochen M., Gupta, Ramneek, McCarthy, Mark I., Pearson, Ewan R., Bell, Jimmy D., Pavo, Imre, and Franks, Paul W.

Subjects
Medicine and health sciences, Research and analysis methods, FOS: Computer and information sciences, Computer and information sciences, Biology and life sciences, 3. Good health, Research Article
Abstract

Funder: Henning och Johan Throne-Holsts, Funder: Hans Werthén, Funder: Swedish Foundation for Strategic Research, Funder: NIHR clinical senior lecturer fellowship, Funder: Wellcome Trust Senior Investigator, Funder: NIHR Exeter Clinical Research Facility, Funder: Science for Life Laboratory (Plasma Profiling Facility), Funder: Knut and Alice Wallenberg Foundation (Human Protein Atlas), Funder: Erling-Persson Foundation (KTH Centre for Precision Medicine), Background: Non-alcoholic fatty liver disease (NAFLD) is highly prevalent and causes serious health complications in individuals with and without type 2 diabetes (T2D). Early diagnosis of NAFLD is important, as this can help prevent irreversible damage to the liver and, ultimately, hepatocellular carcinomas. We sought to expand etiological understanding and develop a diagnostic tool for NAFLD using machine learning. Methods and findings: We utilized the baseline data from IMI DIRECT, a multicenter prospective cohort study of 3,029 European-ancestry adults recently diagnosed with T2D (n = 795) or at high risk of developing the disease (n = 2,234). Multi-omics (genetic, transcriptomic, proteomic, and metabolomic) and clinical (liver enzymes and other serological biomarkers, anthropometry, measures of beta-cell function, insulin sensitivity, and lifestyle) data comprised the key input variables. The models were trained on MRI-image-derived liver fat content (

22. Predicting and elucidating the etiology of fatty liver disease: A machine learning modeling and validation study in the IMI DIRECT cohorts

Author

Atabaki-Pasdar, Naeimeh, Ohlsson, Mattias, Viñuela, Ana, Frau, Francesca, Pomares-Millan, Hugo, Haid, Mark, Jones, Angus G, Thomas, E Louise, Koivula, Robert W, Kurbasic, Azra, Mutie, Pascal M, Fitipaldi, Hugo, Fernandez, Juan, Dawed, Adem Y, Giordano, Giuseppe N, Forgie, Ian M, McDonald, Timothy J, Rutters, Femke, Cederberg, Henna, Chabanova, Elizaveta, Dale, Matilda, Masi, Federico De, Thomas, Cecilia Engel, Allin, Kristine H, Hansen, Tue H, Heggie, Alison, Hong, Mun-Gwan, Elders, Petra JM, Kennedy, Gwen, Kokkola, Tarja, Pedersen, Helle Krogh, Mahajan, Anubha, McEvoy, Donna, Pattou, Francois, Raverdy, Violeta, Häussler, Ragna S, Sharma, Sapna, Thomsen, Henrik S, Vangipurapu, Jagadish, Vestergaard, Henrik, 'T Hart, Leen M, Adamski, Jerzy, Musholt, Petra B, Brage, Soren, Brunak, Søren, Dermitzakis, Emmanouil, Frost, Gary, Hansen, Torben, Laakso, Markku, Pedersen, Oluf, Ridderstråle, Martin, Ruetten, Hartmut, Hattersley, Andrew T, Walker, Mark, Beulens, Joline WJ, Mari, Andrea, Schwenk, Jochen M, Gupta, Ramneek, McCarthy, Mark I, Pearson, Ewan R, Bell, Jimmy D, Pavo, Imre, and Franks, Paul W

Subjects
Diabetes Complications, Fatty Liver, Machine Learning, Male, Models, Statistical, Humans, Reproducibility of Results, Female, Prospective Studies, Middle Aged, Risk Assessment, 3. Good health
Abstract

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is highly prevalent and causes serious health complications in individuals with and without type 2 diabetes (T2D). Early diagnosis of NAFLD is important, as this can help prevent irreversible damage to the liver and, ultimately, hepatocellular carcinomas. We sought to expand etiological understanding and develop a diagnostic tool for NAFLD using machine learning. METHODS AND FINDINGS: We utilized the baseline data from IMI DIRECT, a multicenter prospective cohort study of 3,029 European-ancestry adults recently diagnosed with T2D (n = 795) or at high risk of developing the disease (n = 2,234). Multi-omics (genetic, transcriptomic, proteomic, and metabolomic) and clinical (liver enzymes and other serological biomarkers, anthropometry, measures of beta-cell function, insulin sensitivity, and lifestyle) data comprised the key input variables. The models were trained on MRI-image-derived liver fat content (

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