CEBPB binding at rs2643219 modulates insulin sensitivity via RASGRP1–GLUT4 axis

Yongqiang Ning (Co-first Author), Linbu Liao (Co-first Author), Lijun Zhang (Co-first Author), Xiao Yang, Jie Wang, Qianwen Xie, Yihui Zhang, Rui Li, Qian Liu, Xiling Zhao, Nan Wu, Shancheng Zhao, Jiguang He, Erfei Chen, Ping Gao, Gonghong Wei, Ke Dong, Wenju Sun, Jing Ye*, Jian Yan*

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

Abstract

Genome-wide association studies (GWAS) face critical limitations in resolving noncoding variants with functional impacts. Here, we introduce a function-first prioritization strategy that integrates SNP-SELEX-derived transcription factor binding profiles with genetic epidemiology. Applied to type 2 diabetes in the UK Biobank (n = 480,000), this approach identified 305 risk SNPs—162 novel—with significantly enhanced heritability contribution, with 91 risk SNPs co-localizing at islet enhancers. CEBPB emerged as a master regulator. Focusing on a previously uncharacterized locus (rs2643219), we demonstrated allele-specific CEBPB binding at an intestinal enhancer regulating RASGRP1—a key effector for insulin-stimulated glucose uptake. CRISPR-mediated knockout of RASGRP1 in intestinal cells ablated GLUT4 translocation and impaired glucose homeostasis in mice. Trans-ethnic validation in a Chinese cohort (n = 1718) confirmed rs2643219's clinical relevance (OR = 1.30; P = 0.023). Our strategy bridges functional genomics with pathophysiological mechanisms, establishing a blueprint for complex disease variant prioritization. © 2026 Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd.
Original languageEnglish
Article number102042
JournalGenes & Diseases
Online published17 Jan 2026
DOIs
Publication statusOnline published - 17 Jan 2026

Funding

This work was supported by Shenzhen Medical Research Fund (China) (No. B2302027), the National Natural Science Foundation of China (No. 32070596, 32100468, 32270634, 82003115), Shaanxi Academy of Fundamental Sciences (Chemistry and Biology) (China) (No. 22JHZ009, 22JHQ084), Guangdong Natural Science Fund (China) (No. 2024A1515012685), China Postdoctoral Science Foundation (No. 2020M673632XB), Research Grants Council of Hong Kong, China (No. 11101022), Innovation and Technology Commission of Hong Kong, China (No. ITS/087/22), and City University of Hong Kong, China (No. 9610618, 7006043).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Research Keywords

  • CEBPB
  • Enhancer
  • RASGRP1
  • rs2643219
  • Single-nucleotide polymorphism
  • Type 2 diabetes

RGC Funding Information

  • RGC-funded

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