A

Sugar-Sweetened Beverage Consumption May Modify Associations Between Genetic Variants in the CHREBP (Carbohydrate Responsive Element Binding Protein) Locus and HDL-C (High-Density Lipoprotein Cholesterol) and Triglyceride Concentrations

Circulation Genomic and Precision Medicine, vol. 14, pp. e003288

Abstract

Background: ChREBP (carbohydrate responsive element binding protein) is a transcription factor that responds to sugar consumption. Sugar-sweetened beverage (SSB) consumption and genetic variants in the CHREBP locus have separately been linked to HDL-C (high-density lipoprotein cholesterol) and triglyceride concentrations. We hypothesized that SSB consumption would modify the association between genetic variants in the CHREBP locus and dyslipidemia. Methods: Data from 11 cohorts from the Cohorts for Heart and Aging Research in Genomic Epidemiology consortium (N=63 599) and the UK Biobank (N=59 220) were used to quantify associations of SSB consumption, genetic variants, and their interaction on HDL-C and triglyceride concentrations using linear regression models. A total of 1606 single nucleotide polymorphisms within or near CHREBP were considered. SSB consumption was estimated from validated questionnaires, and participants were grouped by their estimated intake. Results: In a meta-analysis, rs71556729 was significantly associated with higher HDL-C concentrations only among the highest SSB consumers (β, 2.12 [95% CI, 1.16–3.07] mg/dL per allele; P <0.0001), but not significantly among the lowest SSB consumers ( P =0.81; P Diff <0.0001). Similar results were observed for 2 additional variants (rs35709627 and rs71556736). For triglyceride, rs55673514 was positively associated with triglyceride concentrations only among the highest SSB consumers (β, 0.06 [95% CI, 0.02–0.09] ln-mg/dL per allele, P =0.001) but not the lowest SSB consumers ( P =0.84; P Diff =0.0005). Conclusions: Our results identified genetic variants in the CHREBP locus that may protect against SSB-associated reductions in HDL-C and other variants that may exacerbate SSB-associated increases in triglyceride concentrations. Registration: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT00005133, NCT00005121, NCT00005487, and NCT00000479.

Authors 56

  1. Tufts University · Brigham and Women's Hospital · Harvard University

    Affiliation as printed

    Channing Division of Network Medicine (D.E.H., J.E.M.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Department of Nutrition (D.E.H.), Harvard T.H. Chan School of Public Health, Boston, MA

    Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA

    Danielle E. Haslam https://orcid.org/0000-0003-0144-3287 Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA. Channing Division of Network Medicine (D.E.H., J.E.M.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA. Department of Nutrition (D.E.H.), Harvard T.H. Chan School of Public Health, Boston, MA

  2. Boston University

    Affiliation as printed

    Department of Biostatistics, Boston University School of Public Health, MA (G.M.P., A.N.P., J.D.)

    Gina M. Peloso Department of Biostatistics, Boston University School of Public Health, MA (G.M.P., A.N.P., J.D.)

  3. Tufts University

    Affiliation as printed

    Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA

    Melanie Guirette https://orcid.org/0000-0002-8878-2224 Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA

  4. University of Cambridge · MRC Epidemiology Unit · Medical Research Council

    Affiliation as printed

    Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

    Fumiaki Imamura https://orcid.org/0000-0002-6841-8396 Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

  5. University of Washington

    Affiliation as printed

    Cardiovascular Health Research Unit, Departments of Biostatistics (T.M.B.), University of Washington, Seattle

    Department of Medicine (T.M.B., R.N.L., B.M.P.), University of Washington, Seattle

    Traci M. Bartz Cardiovascular Health Research Unit, Departments of Biostatistics (T.M.B.), University of Washington, Seattle. Department of Medicine (T.M.B., R.N.L., B.M.P.), University of Washington, Seattle

  6. Boston University

    Affiliation as printed

    Department of Biostatistics, Boston University School of Public Health, MA (G.M.P., A.N.P., J.D.)

    Achilleas N. Pitsillides https://orcid.org/0000-0002-2658-1566 Department of Biostatistics, Boston University School of Public Health, MA (G.M.P., A.N.P., J.D.)

  7. University of Newcastle Australia

    Affiliation as printed

    School of Medicine and Public Health, Faculty of Medicine and Health, The University of Newcastle, NSW, Australia (C.A.W., C.E.P.)

    Carol A. Wang https://orcid.org/0000-0002-4301-3974 School of Medicine and Public Health, Faculty of Medicine and Health, The University of Newcastle, NSW, Australia (C.A.W., C.E.P.)

  8. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands

    Ruifang Li-Gao Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands

  9. Dordt University

    Affiliation as printed

    Dordt University, Sioux Center, IA (J.M.W., N.T.)

    Jason M. Westra https://orcid.org/0000-0002-4754-1395 Dordt University, Sioux Center, IA (J.M.W., N.T.)

  10. University of Turku

    Affiliation as printed

    Auria Biobank (N.P.), University of Turku, Finland

    Research Centre of Applied and Preventive Cardiovascular Medicine (N.P., O.T.R.), University of Turku, Finland

  11. University of North Carolina at Chapel Hill

    Affiliation as printed

    Department of Epidemiology, Gillings School of Global Public Health (K.L.Y., M. Graff, K.N.), University of North Carolina, Chapel Hill

    Kristin L. Young https://orcid.org/0000-0003-0070-6145 Department of Epidemiology, Gillings School of Global Public Health (K.L.Y., M. Graff, K.N.), University of North Carolina, Chapel Hill

  12. University of North Carolina at Chapel Hill

    Affiliation as printed

    Department of Epidemiology, Gillings School of Global Public Health (K.L.Y., M. Graff, K.N.), University of North Carolina, Chapel Hill

    Mariaelisa Graff https://orcid.org/0000-0001-6380-1735 Department of Epidemiology, Gillings School of Global Public Health (K.L.Y., M. Graff, K.N.), University of North Carolina, Chapel Hill

  13. Baylor College of Medicine · Children's Nutrition Research Center at Baylor College of Medicine

    Affiliation as printed

    USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX (A.C.W.)

    Alexis C. Wood USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX (A.C.W.)

  14. Erasmus MC

    Affiliation as printed

    Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

    Kim V.E. Braun Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

  15. University of Cambridge · MRC Epidemiology Unit · Medical Research Council

    Affiliation as printed

    Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

    Jian'an Luan https://orcid.org/0000-0003-3137-6337 Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

  16. Tampere University · Tampere University Hospital · University of Tampere

    Affiliation as printed

    Department of Clinical Physiology (M.K.), Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Life Sciences, University of Tampere, Finland

    Department of Clinical Physiology (M.K.), Tampere University Hospital, Finland

  17. Leiden University Medical Center · Erasmus MC

    Affiliation as printed

    Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

    Department of Public Health and Primary Care (J.C.L.d.J., D.O.M.-K.), Leiden University Medical Center, the Netherlands

    Jessica C. Kiefte-de Jong https://orcid.org/0000-0002-8136-0918 Department of Public Health and Primary Care (J.C.L.d.J., D.O.M.-K.), Leiden University Medical Center, the Netherlands. Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

  18. Erasmus MC

    Affiliation as printed

    Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

    Mohsen Ghanbari Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

  19. Dordt University

    Affiliation as printed

    Dordt University, Sioux Center, IA (J.M.W., N.T.)

    Nathan Tintle https://orcid.org/0000-0003-1447-9107 Dordt University, Sioux Center, IA (J.M.W., N.T.)

  20. University of Washington

    Affiliation as printed

    Department of Medicine (T.M.B., R.N.L., B.M.P.), University of Washington, Seattle

    Rozenn N. Lemaitre https://orcid.org/0000-0002-7038-1844 Department of Medicine (T.M.B., R.N.L., B.M.P.), University of Washington, Seattle

  21. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands

    Department of Public Health and Primary Care (J.C.L.d.J., D.O.M.-K.), Leiden University Medical Center, the Netherlands

    Dennis O. Mook-Kanamori Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands. Department of Public Health and Primary Care (J.C.L.d.J., D.O.M.-K.), Leiden University Medical Center, the Netherlands

  22. University of North Carolina at Chapel Hill

    Affiliation as printed

    Carolina Center for Genome Science (K.N.), University of North Carolina, Chapel Hill

    Department of Epidemiology, Gillings School of Global Public Health (K.L.Y., M. Graff, K.N.), University of North Carolina, Chapel Hill

    Kari North Department of Epidemiology, Gillings School of Global Public Health (K.L.Y., M. Graff, K.N.), University of North Carolina, Chapel Hill. Carolina Center for Genome Science (K.N.), University of North Carolina, Chapel Hill

  23. Tampere University · Tampere University Hospital · University of Tampere

    Affiliation as printed

    Faculty of Social Sciences, Health Sciences, Tampere University, Finland (M.H.)

    Research Development and Innovation Centre (M.H.), Tampere University Hospital, Finland

    Mika Helminen https://orcid.org/0000-0001-5695-2084 Research Development and Innovation Centre (M.H.), Tampere University Hospital, Finland. Faculty of Social Sciences, Health Sciences, Tampere University, Finland (M.H.)

  24. Albert Einstein College of Medicine

    Affiliation as printed

    Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (Y.M.-R.)

    Yasmin Mossavar-Rahmani https://orcid.org/0000-0002-9214-6124 Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY (Y.M.-R.)

  25. University of Iowa

    Affiliation as printed

    Department of Epidemiology, University of Iowa, Iowa City (L.S.)

    Linda Snetselaar https://orcid.org/0000-0002-6615-0779 Department of Epidemiology, University of Iowa, Iowa City (L.S.)

  26. George Washington University

    Affiliation as printed

    George Washington University School of Medicine and Health Sciences, Washington, D.C. (L.W.M.)

    Lisa W. Martin https://orcid.org/0000-0003-4352-0914 George Washington University School of Medicine and Health Sciences, Washington, D.C. (L.W.M.)

  27. University of Turku · Turku University Hospital

    Affiliation as printed

    Department of Medicine (J.S.V.), University of Turku, Finland

    Division of Medicine (J.S.V.), Turku University Hospital, Finland

    Jorma S. Viikari https://orcid.org/0000-0001-6452-010X Department of Medicine (J.S.V.), University of Turku, Finland. Division of Medicine (J.S.V.), Turku University Hospital, Finland

  28. University of Tasmania · Menzies Institute for Medical Research

    Affiliation as printed

    Menzies Institute for Medical Research, University of Tasmania, HOB, Australia (W.H.O.)

    Wendy H. Oddy Menzies Institute for Medical Research, University of Tasmania, HOB, Australia (W.H.O.)

  29. Tufts University · University of Newcastle Australia

    Affiliation as printed

    Nutrition and Genomics Laboratory (C.E.S.), Tufts University, Boston, MA

    School of Medicine and Public Health, Faculty of Medicine and Health, The University of Newcastle, NSW, Australia (C.A.W., C.E.P.)

    Craig E. Pennell https://orcid.org/0000-0002-0937-6165 Nutrition and Genomics Laboratory (C.E.S.), Tufts University, Boston, MA. School of Medicine and Public Health, Faculty of Medicine and Health, The University of Newcastle, NSW, Australia (C.A.W., C.E.P.)

  30. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands

    Frits R. Rosendall https://orcid.org/0000-0003-2558-7496 Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands

  31. Erasmus MC

    Affiliation as printed

    Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

    M. Arfan Ikram Department of Epidemiology (K.V.E.B., J.C.K.-d.J., M. Ghanbari, M.A.I.), Erasmus MC University Medical Center Rotterdam, the Netherlands

  32. Erasmus MC

    Affiliation as printed

    Department of Internal Medicine (A.G.U.), Erasmus MC University Medical Center Rotterdam, the Netherlands

    Andre G Uitterlinden Department of Internal Medicine (A.G.U.), Erasmus MC University Medical Center Rotterdam, the Netherlands

  33. Kaiser Permanente Washington Health Research Institute · University of Washington

    Affiliation as printed

    Department of Medicine (T.M.B., R.N.L., B.M.P.), University of Washington, Seattle

    Departments of Epidemiology and Health Services (B.M.P.), University of Washington, Seattle

    Kaiser Permanente Washington Health Research Institute, Seattle, WA (B.M.P.)

    Bruce M. Psaty Department of Medicine (T.M.B., R.N.L., B.M.P.), University of Washington, Seattle. Departments of Epidemiology and Health Services (B.M.P.), University of Washington, Seattle. Kaiser Permanente Washington Health Research Institute, Seattle, WA (B.M.P.)

  34. Tufts University · Jean Mayer Human Nutrition Research Center on Aging

    Affiliation as printed

    Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging, and Friedman School of Nutrition Science and Policy (D.M.), Tufts University, Boston, MA

    Dariush Mozaffarian https://orcid.org/0000-0001-7958-9492 Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging, and Friedman School of Nutrition Science and Policy (D.M.), Tufts University, Boston, MA

  35. University of California, Los Angeles · The Lundquist Institute · Harbor–UCLA Medical Center

    Affiliation as printed

    The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA (J.I.R., K.D.T.)

    Jerome I. Rotter The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA (J.I.R., K.D.T.)

  36. University of California, Los Angeles · The Lundquist Institute · Harbor–UCLA Medical Center

    Affiliation as printed

    The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA (J.I.R., K.D.T.)

    Kent D. Taylor The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA (J.I.R., K.D.T.)

  37. Tampere University · Fimlab (Finland) · University of Tampere

    Affiliation as printed

    Department of Clinical Chemistry (T.L.), Finnish Cardiovascular Research Center-Tampere, Faculty of Medicine and Life Sciences, University of Tampere, Finland

    Department of Clinical Chemistry, Fimlab Laboratories, Tampere, Finland (T.L.)

  38. University of Turku · Turku University Hospital

    Affiliation as printed

    Centre for Population Health Research (O.T.R.), University of Turku, Finland

    Department of Clinical Physiology and Nuclear Medicine (O.T.R.), Turku University Hospital, Finland

    Research Centre of Applied and Preventive Cardiovascular Medicine (N.P., O.T.R.), University of Turku, Finland

    Olli T. Raitakari Research Centre of Applied and Preventive Cardiovascular Medicine (N.P., O.T.R.), University of Turku, Finland. Centre for Population Health Research (O.T.R.), University of Turku, Finland. Department of Clinical Physiology and Nuclear Medicine (O.T.R.), Turku University Hospital, Finland

  39. Tufts University

    Affiliation as printed

    Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA

    Kara A. Livingston Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA

  40. Affiliation as printed

    Trudy Voortman

  41. University of Cambridge · MRC Epidemiology Unit · Medical Research Council

    Affiliation as printed

    Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

    Nita G. Forouhi Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

  42. University of Cambridge · MRC Epidemiology Unit · Medical Research Council

    Affiliation as printed

    Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

    Nick J. Wareham Medical Research Council Epidemiology Unit, University of Cambridge, United Kingdom (F.I., J.L., N.G.F., N.J.W.)

  43. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Epidemiology (R.L.G., D.O.M.-K., F.R.R., R.dM.), Leiden University Medical Center, the Netherlands

  44. University of Virginia

    Affiliation as printed

    Center for Public Health Genomics and Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville (S.S.R.)

    Steven S. Rich Center for Public Health Genomics and Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville (S.S.R.)

  45. Brigham and Women's Hospital · Harvard University

    Affiliation as printed

    Channing Division of Network Medicine (D.E.H., J.E.M.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Department of Epidemiology (J.E.M.), Harvard T.H. Chan School of Public Health, Boston, MA

    Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    JoAnn E. Manson Channing Division of Network Medicine (D.E.H., J.E.M.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA. Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA. Department of Epidemiology (J.E.M.), Harvard T.H. Chan School of Public Health, Boston, MA

  46. Brigham and Women's Hospital · Harvard University

    Affiliation as printed

    Cardiovascular Division of Medicine and Center for Lipid Metabolomics (S.M., P.M.R.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Samia Mora https://orcid.org/0000-0001-6283-0980 Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA. Cardiovascular Division of Medicine and Center for Lipid Metabolomics (S.M., P.M.R.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

  47. Brigham and Women's Hospital · Harvard University

    Affiliation as printed

    Cardiovascular Division of Medicine and Center for Lipid Metabolomics (S.M., P.M.R.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Paul M. Ridker https://orcid.org/0000-0003-1249-4522 Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA. Cardiovascular Division of Medicine and Center for Lipid Metabolomics (S.M., P.M.R.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

  48. Broad Institute · Harvard University · Massachusetts General Hospital · Institut de Recerca Biomèdica Catalunya Sud · Universitat Rovira i Virgili

    Affiliation as printed

    Department of Medicine, Harvard Medical School, Boston, MA (J.M., J.B.M.)

    Diabetes Unit and Center for Genomic Medicine (J.M., H.S.D.), Massachusetts General Hospital and Harvard Medical School, Boston

    Institut d'Investigació Sanitària Pere Virgili, Universitat Rovira i Virgili, Reus, Spain (J.M.)

    Program in Medical and Population Genetics (J.M., J.B.M., H.S.D.), Broad Institute of MIT and Harvard, Cambridge, MA

    Program in Metabolism (J.M., J.B.M.), Broad Institute of MIT and Harvard, Cambridge, MA

  49. Broad Institute · Harvard University · Massachusetts General Hospital · Massachusetts Institute of Technology

    Affiliation as printed

    Department of Medicine, Harvard Medical School, Boston, MA (J.M., J.B.M.)

    Division of General Internal Medicine (J.B.M.), Massachusetts General Hospital and Harvard Medical School, Boston

    Program in Medical and Population Genetics (J.M., J.B.M., H.S.D.), Broad Institute of MIT and Harvard, Cambridge, MA

    Program in Metabolism (J.M., J.B.M.), Broad Institute of MIT and Harvard, Cambridge, MA

    James B. Meigs https://orcid.org/0000-0002-2439-2657 Program in Medical and Population Genetics (J.M., J.B.M., H.S.D.), Broad Institute of MIT and Harvard, Cambridge, MA. Program in Metabolism (J.M., J.B.M.), Broad Institute of MIT and Harvard, Cambridge, MA. Department of Medicine, Harvard Medical School, Boston, MA (J.M., J.B.M.). Division of General Internal Medicine (J.B.M.), Massachusetts General Hospital and Harvard Medical School, Boston

  50. Broad Institute · Harvard University · Massachusetts General Hospital

    Affiliation as printed

    Department of Anesthesia, Critical Care and Pain Medicine (H.S.D.), Massachusetts General Hospital and Harvard Medical School, Boston

    Diabetes Unit and Center for Genomic Medicine (J.M., H.S.D.), Massachusetts General Hospital and Harvard Medical School, Boston

    Program in Medical and Population Genetics (J.M., J.B.M., H.S.D.), Broad Institute of MIT and Harvard, Cambridge, MA

    Hassan S. Dashti https://orcid.org/0000-0002-1650-679X Program in Medical and Population Genetics (J.M., J.B.M., H.S.D.), Broad Institute of MIT and Harvard, Cambridge, MA. Diabetes Unit and Center for Genomic Medicine (J.M., H.S.D.), Massachusetts General Hospital and Harvard Medical School, Boston. Department of Anesthesia, Critical Care and Pain Medicine (H.S.D.), Massachusetts General Hospital and Harvard Medical School, Boston

  51. Brigham and Women's Hospital · Harvard University

    Affiliation as printed

    Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Daniel I. Chasman https://orcid.org/0000-0003-3357-0862 Division of Preventive Medicine (J.E.M., S.M., P.M.R., D.I.C.), Brigham and Women's Hospital and Harvard Medical School, Boston, MA

  52. Tufts University

    Affiliation as printed

    Cardiovascular Nutrition Laboratory (A.H.L.), Tufts University, Boston, MA

    Alice H. Lichtenstein Cardiovascular Nutrition Laboratory (A.H.L.), Tufts University, Boston, MA

  53. Affiliation as printed

    Caren E. Smith https://orcid.org/0000-0002-9511-1103

  54. Boston University

    Affiliation as printed

    Department of Biostatistics, Boston University School of Public Health, MA (G.M.P., A.N.P., J.D.)

  55. Duke University · Duke Medical Center

    Affiliation as printed

    Division Of Endocrinology, Metabolism, and Nutrition, Department of Medicine and Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC (M.A.H.)

    Mark A. Herman https://orcid.org/0000-0001-6979-103X Division Of Endocrinology, Metabolism, and Nutrition, Department of Medicine and Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, NC (M.A.H.)

  56. Tufts University

    Affiliation as printed

    Nutritional Epidemiology Program (D.E.H., M. Guirette, K.A.L., N.M.M.), Tufts University, Boston, MA

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