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Multi ancestry genome wide association meta analysis of urinary aMT6s levels

Żebrowska M, Zhang Z, Chuang GT, Evans DS, Valliere J, Maher M, Hu J, Richmond R et al.

Scientific reports, 2026

11,744 participants

Abstract

Melatonin regulates circadian rhythms, metabolism, and immunity. Its primary metabolite, 6-sulfatoxymelatonin (aMT6s), is a biomarker linked to cancer risk and metabolic disorders. However, genetic determinants of aMT6s remain poorly understood, with only one prior GWAS limited to an East Asian cohort. We conducted the first multi-ancestry genome-wide association meta-analysis of urinary aMT6s, integrating 11,744 participants from five cohorts: East Asians (Taiwan Biobank), European women (Nurses' Health Studies), European men (MrOS), and multiethnic participants (MEC). aMT6s was measured from overnight or first-morning urine samples. Association analyses were conducted using both ancestry-aware meta-regression (MR-MEGA) and fixed-effects meta-analysis (METAL). Polygenic risk scores (PRS) were constructed with PRS-CSx and evaluated in phenome-wide analyses in the Mass General Brigham Biobank and UK Biobank. No genome-wide significant loci were identified, and previously reported East Asian signals were not replicated. At suggestive significance, 23 loci emerged, with eight supported by both MR-MEGA and METAL. Several loci showed ancestry-specific heterogeneity, suggesting that genetic associations with urinary aMT6s may vary by population context, although limited power and cohort heterogeneity may also contribute. PRS analyses identified associations with sleep duration and metabolic traits, including type 2 diabetes, but these findings require cautious interpretation.…

How strong is the evidence?

Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 11,744 participants or records.

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