Sign in

Luke Sharp

@luke-sharp.bsky.social
29 followers 63 following 6 posts

Researcher studying the genetics of haemochromatosis at the University of Exeter.

PostsRepliesMedia
Reposted by Luke Sharp
ADA Professional Publications @adapubs.bsky.social · 26/08/2026
Incorporating a type 1 diabetes genetic risk score into routine maturity-onset diabetes of the young (MODY) gene panel testing is feasible and clinically valuable. Read here ➡️ doi.org/10.2337/dc26-1081
This image is an infographic titled "T1DGRS Shows Clinical Utility in MODY Genetic Testing Pathways." It explains the integration of T1DGRS (type 1 diabetes genetic risk score) in testing pathways for MODY (maturity‑onset diabetes of the young). The infographic details that out of 1,129 MODY referrals using a 10‑SNP T1DGRS, 1 in 5 referred patients have atypical T1D. A bar chart signifies excess genetic risk in 1 referred patient. It also highlights outcomes of genetic testing, mentioning 228 typical (20%) and 901 atypical (80%) results for T1D. A pie chart shows that 16% of unsolved MODY cases were identified as likely T1D, using age‑specific T1DGRS. It lists age‑dependent T1DGRS utility for different groups: children (AUC 0.81), adolescents (AUC 0.87), and adults (AUC 0.55).
032
Reposted by Luke Sharp
Jacques Murray Leech @jacquesml.bsky.social · 19/08/2026
Happy to see our recent work out in Diabetes Care. Adding a T1D genetic risk score to testing for monogenic diabetes identified atypical T1D in around 1/5 people with a negative test, demonstrating potential for clinical translation. #MODY #T1D #Diabetes doi.org/10.2337/dc26...
doi.org
Clinical Utility of a Type 1 Diabetes Genetic Risk Score Measured as Part of MODY Genetic Testing
OBJECTIVE. To evaluate the clinical utility of incorporating a type 1 diabetes genetic risk score (T1DGRS) into monogenic diabetes gene panel testing for i
012
Reposted by Luke Sharp
The Lancet Diabetes & Endocrinology @thelancetendo.bsky.social · 05/06/2026
Genetics of pancreatic agenesis: a 21-year international cohort study thelancet.com/journals/lan... #FREE to read #MedSky #EndoSky #GeneticsSky
thelancet.com
Genetics of pancreatic agenesis: a 21-year international cohort study
Pancreatic agenesis results from failure of the pancreas to develop, causing neonatal diabetes and exocrine pancreatic insufficiency.1 Typically, patients are initially diagnosed with insulin-dependen...
022
Reposted by Luke Sharp
Lipodystrophy United @lipodystrophyunite.bsky.social · 27/05/2026
A new study suggests monogenic lipodystrophy may be more common than previously believed, and often missed. This highlights the need to look beyond body size and recognize the signs earlier, so patients can receive better care, monitoring, and support. Read here: www.thelancet.com/journals/ebi...
Graphic from Lipodystrophy United announcing a new article titled “Genotype-first approach reveals monogenic lipodystrophy is underdiagnosed, with health and mortality risks.” Text below says a new study reveals lipodystrophy may be more common than previously thought and is being missed. A red DNA icon appears in the lower right corner.Graphic from Lipodystrophy United explaining that researchers analyzed genetic data from nearly 500,000 people in the UK Biobank and found monogenic lipodystrophy may affect about 1 in 15,000 people. The text notes that none of the people identified in the study had a recorded diagnosis of lipodystrophy, showing that lipodystrophy is not always obvious.
Graphic from Lipodystrophy United explaining that a person may have a “normal” BMI and still have lipodystrophy, with health risks including diabetes, high triglycerides, low HDL cholesterol, heart disease, or heart failure. The text says doctors should look beyond weight, appearance, and common symptoms, and consider specialist referral and genetic testing when lipodystrophy is suspected.Graphic from Lipodystrophy United explaining that earlier diagnosis can lead to better care, monitoring, and treatment. The text also says earlier diagnosis can bring more recognition, research, resources, and support for the lipodystrophy community, ending with the statement: “Lipodystrophy is rare — but it may not be as rare as we once believed.”
021
Reposted by Luke Sharp
Endocrine Society Journals @endosocjournals.bsky.social · 21/05/2026
Population Prevalence, Penetrance, and Mortality for Genetically Confirmed MODY. Read more in #JCEM: bit.ly/4wmhf1Z #MODY #diabetes #genetics @endocrinesociety.bsky.social
bit.ly
Population Prevalence, Penetrance, and Mortality for Genetically Confirmed MODY
AbstractContext. Diagnosing maturity-onset diabetes of the young (MODY) is clinically important for treatment and prognosis. However, phenotype-based studi
033
Luke Sharp @luke-sharp.bsky.social · 21/05/2026
Thank you to #JCEM for selecting our paper “Population Prevalence, Penetrance, and Mortality for Genetically Confirmed MODY” as your featured article !!! #MODY
031
Luke Sharp @luke-sharp.bsky.social · 20/04/2026
Now out in @ebiomedicine.bsky.social !!! Excited to share our work using a genotype-first approach to assess monogenic lipodystrophy in a large population cohort highlighting the disease’s underdiagnosis and health impacts. www.thelancet.com/journals/ebi...
thelancet.com
Genotype-first approach reveals monogenic lipodystrophy is underdiagnosed, with health and mortality risks
Monogenic lipodystrophy is more common than currently recognised and most cases remain undiagnosed despite significant cardiometabolic and mortality risks. These findings highlight the value of genoty...
041
Reposted by Luke Sharp
Diabetologia @diabetologiajnl.bsky.social · 26/03/2026
In GCK-MODY, polygenic background modifies clinical presentation despite high penetrance. Polygenic risk influences who crosses key diagnostic HbA1c thresholds. Monogenic + polygenic risk both matter. #Diabetes #Genetics #MODY #PrecisionMedicine link.springer.com/article/10.1... 🔓
link.springer.com
Polygenic background contributes to GCK-MODY clinical presentation and glycaemic variability - Diabetologia
Aims/hypothesis GCK-MODY (glucokinase MODY) causes lifelong, mild hyperglycaemia with high penetrance. Variation in glycaemic phenotype among carriers remains unexplained. We hypothesised that polygen...
162
Reposted by Luke Sharp
Caroline Wright @carolinefwright.bsky.social · 25/03/2026
Really pleased to be working with @lcpilling.bsky.social and others investigating haemochromatosis, a surprisingly common rare disease with high penetrance in older adults! Recent publication highlights the effect of polygenic score on penetrance of HFE p.C282Y homozygotes. doi.org/10.1016/j.jh...
062
Reposted by Luke Sharp
Diabetologia @diabetologiajnl.bsky.social · 12/03/2026
Systematic analysis of loss-of-function variants across MODY genes demonstrates gene-specific effects and expands the spectrum of INS variants causing MODY #MODY #Insulin #Genetics #DiabetesResearch link.springer.com/article/10.1... 🔓
link.springer.com
Systematic analysis of loss-of-function variants across MODY genes demonstrates gene-specific effects and expands the spectrum of INS variants causing MODY - Diabetologia
Aims/hypothesis Accurate interpretation of loss-of-function (LOF) variants in MODY genes is essential for diagnosis but remains challenging, particularly for variants that are predicted to escape nons...
053
Reposted by Luke Sharp
Harry Wright @hiwwright.bsky.social · 06/02/2026
Excited to share my first preprint on federated conditional analysis of rare single variant and aggregate association tests across six genetically-inferred ancestry groups in All of Us and UK Biobank doi.org/10.64898/202...
12211
Reposted by Luke Sharp
ADA Professional Publications @adapubs.bsky.social · 07/01/2026
MODY Is Prevalent in Later-Onset Diabetes and Has Potential for Targeted Therapy but Is Challenging to Identify Read more ➡️ doi.org/10.2337/db25-0545
A list of highlights from the linked article
011
Reposted by Luke Sharp
Daniel Drucker @danieljdrucker.bsky.social · 25/11/2025
A reminder that MODY (and type 1 diabetes) can present in older individuals and must remain in the differential diagnosis for new onset #diabetes across the lifespan diabetesjournals.org/diabetes/art...
diabetesjournals.org
MODY Is Prevalent in Later-Onset Diabetes and Has Potential for Targeted Therapy but Is Challenging to Identify
Maturity onset diabetes of the young (MODY) can present after the age of 40 years, but its prevalence and clinical characteristics, and the utility of simp
062
Luke Sharp @luke-sharp.bsky.social · 26/11/2025
Our new paper “MODY is prevalent in later-onset diabetes and has potential for targeted therapy but is challenging to identify” is out now in Diabetes !!! #diabetes #MODY doi.org/10.2337/db25...
doi.org
MODY Is Prevalent in Later-Onset Diabetes and Has Potential for Targeted Therapy but Is Challenging to Identify
Maturity onset diabetes of the young (MODY) can present after the age of 40 years, but its prevalence and clinical characteristics, and the utility of simp
042
Reposted by Luke Sharp
Kartik Chundru @chundru.bsky.social · 08/11/2025
New paper on everyone’s favourite topic, QC! We show why you should do genotype-level QC on your WGS data www.biorxiv.org/content/10.1... Very real quotes about this paper - “The most exciting, mind-blowing paper of the year!” “On a par with Fisher 1918” “I read it every night. Just so beautiful”
biorxiv.org
Genotype-level quality control substantially reduces error rates in population-scale whole-genome sequencing
Population-scale whole-genome sequencing data will contain many individual-level genotype errors, even after allele-level quality control (QC). We establish the need for genotype-level QC using UK Bio...
24619
Luke Sharp @luke-sharp.bsky.social · 03/11/2025
Excited to announce the acceptance and publication of our paper titled “Population prevalence, penetrants, and mortality for genetically confirmed MODY” in JCEM: doi.org/10.1210/clin... #MODY #monogenicdiabetes
doi.org
Population prevalence, penetrance, and mortality for genetically confirmed MODY
AbstractContext. Diagnosing Maturity-Onset Diabetes of the Young (MODY) is clinically important for treatment and prognosis. However, phenotype-based studi
094
Reposted by Luke Sharp
Caroline Wright @carolinefwright.bsky.social · 29/10/2025
Excellent autumnal away-day by the seaside with the Exeter genomics teams, organised by @drghawkes.bsky.social, discussing improvements to our whole genome sequence annotation and burden-testing pipelines - lots more exciting science to come! @exeter.ac.uk @nihrexeterbrc.bsky.social
052
Reposted by Luke Sharp
Kash Patel @kash-a-patel.bsky.social · 16/09/2025
Congratulations @luke-sharp.bsky.social for receiving the best abstract prize for early career researcher in EASD 2025 for his work on MODY in population.
121
Reposted by Luke Sharp
James Russ-Silsby @jamesr-s.bsky.social · 15/09/2025
I’m excited to share the 2 newest Neonatal diabetes genes: RNU4ATAC and RNU6ATAC. These genes encode snRNA components of the minor spliceosome and biallelic variants in them cause monogenic autoimmune diabetes. If you are at #EASD, come to Matt Johnson’s talk Tuesday @4pm in Milan hall to hear more.
medrxiv.org
The minor spliceosome is a master immune regulator
Pathogenic variants in non-coding genes are emerging as critical contributors to human rare diseases. We identified 19 individuals with early-onset diabetes (diagnosed <5 years) and additional clinica...
067
Reposted by Luke Sharp
Nature Metabolism @natmetabolism.nature.com · 09/09/2025
bit.ly
Polygenic determinants of monogenic diabetes
Nature Metabolism, Published online: 09 September 2025; doi:10.1038/s42255-025-01380-0In a new study, the polygenic background of type 2 diabetes (T2D) is found to determine the risk of diabetes associated with so-called monogenic forms of β-cell diabetes, as well as the age at onset and severity of diabetes.
032
Reposted by Luke Sharp
Jacques Murray Leech @jacquesml.bsky.social · 09/09/2025
Now out in @natmetabolism.nature.com! Excited to share our work showing how common genetic changes shape how diabetes presents in MODY (Maturity-Onset Diabetes of the Young). Our findings highlight the growing overlap between monogenic and polygenic forms of diabetes. www.nature.com/articles/s42...
nature.com
Common genetic variants modify disease risk and clinical presentation in monogenic diabetes - Nature Metabolism
In clinical and population-based cohorts, a strong contribution of polygenic risk for type 2 diabetes (T2D) significantly modifies the onset and phenotypic variability of maturity-onset diabetes of th...
163
Reposted by Luke Sharp
Aparajita Sriram @aparajita-sriram.bsky.social · 27/08/2025
Our paper is now out on Diabetes! diabetesjournals.org/diabetes/art...
diabetesjournals.org
Rare Variants in NEUROD1 and PDX1 Are Low-Penetrance Causes of MODY, Whereas Those in APPL1 and WFS1 Are Not Associated With MODY
An accurate genetic diagnosis of maturity-onset diabetes of the young (MODY) is critical for personalized treatment. To avoid misdiagnosis, only genes with
034
Reposted by Luke Sharp
Jacques Murray Leech @jacquesml.bsky.social · 11/08/2025
New preprint out now! We show polygenic background shapes GCK-MODY clinical presentation. In >1,000 cases, higher polygenic risk increased the chance of exceeding diagnostic diabetes thresholds, highlighting how monogenic & polygenic factors jointly shape disease. #Genetics
196
Reposted by Luke Sharp
Diabetologia @diabetologiajnl.bsky.social · 22/07/2025
Global perspectives on #MonogenicDiabetes: review explores recent advances, global diagnostic challenges and promising future directions—from genomic equity to innovative therapies. #GlobalHealth link.springer.com/article/10.1... 🔓
link.springer.com
Global perspectives on monogenic forms of diabetes - Diabetologia
Monogenic forms of diabetes represent an uncommon but very heterogeneous subset of the disease, with variable associated clinical features and key differences in treatment options. In this review, we ...
094
Reposted by Luke Sharp
medRxivpreprint @medrxivpreprint.bsky.social · 01/07/2025
Population prevalence, penetrance, and mortality for genetically confirmed MODY www.medrxiv.org/content/10.1101/202…
034
Reposted by Luke Sharp
James Russ-Silsby @jamesr-s.bsky.social · 03/07/2025
Really proud of this Exeter–Stanford collaboration identifying bi-allelic variants in PAX4 as a novel cause of transient neonatal diabetes—the first new genetic cause of this subtype described in over a decade. This work expands our understanding of beta cell development. 🔗 doi.org/10.1016/j.mo...
sciencedirect.com
Complete Loss of PAX4 causes Transient Neonatal Diabetes in Humans
Gene discovery studies in individuals with diabetes diagnosed within 6 months of life (neonatal diabetes, NDM) can provide unique insights into the de…
1148
Luke Sharp @luke-sharp.bsky.social · 01/07/2025
Check out our new paper on “Medullary Thyroid Cancer Risk and Mortality in Carriers of Incidentally Identified MEN2A RET Variants” ja.ma/3I0VgsJ
ja.ma
Medullary Thyroid Cancer Risk and Mortality in MEN2A RET Variant Carriers
This cohort study evaluates medullary thyroid cancer risk and mortality in individuals with incidentally identified multiple endocrine neoplasia type 2A (MEN2A) RET variants and these differ from clin...
020
Luke Sharp @luke-sharp.bsky.social · 19/06/2025
MODY is prevalent in later onset diabetes. Really proud to announce the release of a preprint of our paper assessing MODY in people diagnosed with diabetes later in life!! #MonogenicDiabetes
066
Reposted by Luke Sharp
Aparajita Sriram @aparajita-sriram.bsky.social · 04/06/2025
Excited to share the preprint of our paper (my first paper!) looking at limited evidence MODY genes. We use rare variant burden testing and one of the largest MODY cohorts to evaluate the pathogenicity of these genes. This evidence can help inform clinical guidelines in MODY genetic testing!
034