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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Acta Naturae</journal-id><journal-title-group><journal-title xml:lang="en">Acta Naturae</journal-title><trans-title-group xml:lang="ru"><trans-title>Acta Naturae</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-8251</issn><publisher><publisher-name xml:lang="en">Acta Naturae Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">27855</article-id><article-id pub-id-type="doi">10.32607/actanaturae.27855</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Research Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Экспериментальные статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Genetic determinants of cellular homeostasis contributing to the risk of type 2 diabetes</article-title><trans-title-group xml:lang="ru"><trans-title>Генетические детерминанты клеточного гомеостаза и риск сахарного диабета 2 типа</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Timasheva</surname><given-names>Y. R.</given-names></name><name xml:lang="ru"><surname>Тимашева</surname><given-names>Я. Р.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kochetova</surname><given-names>O. V.</given-names></name><name xml:lang="ru"><surname>Кочетова</surname><given-names>О. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nasibullin</surname><given-names>T. R.</given-names></name><name xml:lang="ru"><surname>Насибуллин</surname><given-names>T. Р.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kochetova</surname><given-names>T. M.</given-names></name><name xml:lang="ru"><surname>Кочетова</surname><given-names>Т. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Balkhiyarova</surname><given-names>Z. R.</given-names></name><name xml:lang="ru"><surname>Балхиярова</surname><given-names>Ж. Р.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Section of Statistical Multi-Omics, Department of Clinical &amp; Experimental Medicine, School of Biosciences &amp; Medicine</p></bio><bio xml:lang="ru"><p>Секция статистической мультиомики, кафедра клинической и экспериментальной медицины, Школа биологических наук и медицины</p></bio><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Korytina</surname><given-names>G. F.</given-names></name><name xml:lang="ru"><surname>Корытина</surname><given-names>Г. Ф.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nouwen</surname><given-names>A.</given-names></name><name xml:lang="ru"><surname>Ноуэн</surname><given-names>А.</given-names></name></name-alternatives><address><country country="GB">United Kingdom</country></address><bio xml:lang="en"><p>Department of Psychology</p></bio><bio xml:lang="ru"><p>кафедра психологии</p></bio><email>yartimasheva@bashgmu.ru</email><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Institute of Biochemistry and Genetics, Ufa Federal Research Centre, Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">Институт биохимии и генетики – обособленное структурное подразделение ФГБНУ «Уфимский федеральный исследовательский центр Российской академии наук»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Bashkir State Medical University</institution></aff><aff><institution xml:lang="ru">Башкирский государственный медицинский университет</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">University of Surrey</institution></aff><aff><institution xml:lang="ru">Университет Суррея</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Middlesex University</institution></aff><aff><institution xml:lang="ru">Университет Мидлсекса</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2026-07-23" publication-format="electronic"><day>23</day><month>07</month><year>2026</year></pub-date><volume>18</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>108</fpage><lpage>115</lpage><history><date date-type="received" iso-8601-date="2025-10-17"><day>17</day><month>10</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2026-02-05"><day>05</day><month>02</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2026, Timasheva Y.R., Kochetova O.V., Nasibullin T.R., Kochetova T.M., Balkhiyarova Z.R., Korytina G.F., Nouwen A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2026, Тимашева Я.Р., Кочетова О.В., Насибуллин T.Р., Кочетова Т.М., Балхиярова Ж.Р., Корытина Г.Ф., Ноуэн А.</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="en">Timasheva Y.R., Kochetova O.V., Nasibullin T.R., Kochetova T.M., Balkhiyarova Z.R., Korytina G.F., Nouwen A.</copyright-holder><copyright-holder xml:lang="ru">Тимашева Я.Р., Кочетова О.В., Насибуллин T.Р., Кочетова Т.М., Балхиярова Ж.Р., Корытина Г.Ф., Ноуэн А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://actanaturae.ru/2075-8251/article/view/27855">https://actanaturae.ru/2075-8251/article/view/27855</self-uri><abstract xml:lang="en"><p>Genetic variation in the genes involved in the maintenance of cellular homeostasis may influence susceptibility to type 2 diabetes (T2D). However, the nature of the interplay among these loci and their prognostic value remains unclear. In this study, we analyzed variants in the <italic>FOXO3A</italic>, <italic>FOXO3, FOXO1, HMOX1</italic>, and <italic>SIRT1 </italic>genes. The <italic>HMOX1</italic> rs2071746*T/T genotype was associated with an increased risk of T2D (<italic>OR</italic> = 1.36, <italic>P</italic><sub>FDR </sub>= 0.030), whereas the <italic>FOXO1</italic> rs9549240 (<italic>OR</italic> = 0.52, <italic>P</italic><sub>FDR </sub>= 0.002) and <italic>SIRT1</italic> rs3758391 (<italic>OR</italic> = 0.80, <italic>P</italic><sub>FDR </sub>= 0.015) genotypes exhibited a protective effect. We detected nonlinear interactions, including <italic>FOXO1</italic> rs9549240*G + <italic>SIRT1</italic> rs3758391*T + <italic>SIRT1</italic> rs7895833*A and <italic>HMOX1</italic> rs2071746*A + <italic>SIRT1</italic> rs3758391*T + <italic>SIRT1</italic> rs7895833*A, with significant synergistic effects (<italic>SF</italic> = 3.19 and 2.56, <italic>P</italic> &lt; 0.03). Models incorporating these interactions achieved an AUC of 69.8%, which increased to 86.2% when combined with age, sex, and the body mass index. These findings suggest that interactions between the pathways regulating oxidative stress and metabolism may contribute to the genetic predisposition to T2D.</p></abstract><trans-abstract xml:lang="ru"><p>Генетическая вариабельность в генах, участвующих в поддержании клеточного гомеостаза, может влиять на восприимчивость к сахарному диабету 2 типа (СД2), однако характер взаимодействий между такими локусами и их прогностическая значимость остаются недостаточно изученными. В представленной работе проанализированы варианты генов <italic>FOXO3A, FOXO3, FOXO1, HMOX1</italic> и <italic>SIRT1</italic>. Установлено, что генотип <italic>HMOX1</italic> rs2071746*T/T ассоциирован с повышенным риском СД2 (<italic>OR</italic> = 1.36, <italic>P</italic><sub>FDR</sub> = 0.030), тогда как <italic>FOXO1</italic> rs9549240 (<italic>OR</italic> = 0.52, <italic>P</italic><sub>FDR</sub> = 0.002) и <italic>SIRT1</italic> rs3758391 (<italic>OR</italic> = 0.80,<italic> P</italic><sub>FDR</sub> = 0.015) связаны с защитным эффектом. Обнаружены нелинейные взаимодействия, включая комбинации <italic>FOXO1</italic> rs9549240G + <italic>SIRT1</italic> rs3758391T + <italic>SIRT1</italic> rs7895833*A и <italic>HMOX1</italic> rs2071746A + <italic>SIRT1</italic> rs3758391T + <italic>SIRT1</italic> rs7895833*A, обладающие значимым синергическим эффектом (<italic>SF</italic> = 3.19 и 2.56, <italic>P</italic> &lt; 0.03). Модели, основанные на этих взаимодействиях, обеспечивали AUC 69.8%, а добавление возраста, пола и индекса массы тела повышало точность до 86.2%. Полученные данные свидетельствуют о возможном участии взаимодействий между путями регуляции окислительного стресса и метаболизма в формировании генетической предрасположенности к СД2.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Type 2 diabetes</kwd><kwd>polygenic risk score</kwd><kwd>oxidative stress</kwd><kwd>insulin signaling</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>сахарный диабет 2 типа</kwd><kwd>полигенные оценки риска</kwd><kwd>окислительный стресс</kwd><kwd>инсулин</kwd><kwd>сигнальные пути</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="en">Ministry of Science and Higher Education of the Russian Federation</institution></institution-wrap><institution-wrap><institution xml:lang="ru">Министерство науки и высшего образования Российской Федерации</institution></institution-wrap></funding-source></award-group><funding-statement xml:lang="en">This work was supported by the Bashkir State Medical University Strategic Academic Leadership Program (PRIORITY-2030).</funding-statement><funding-statement xml:lang="ru">Работа выполнена при поддержке Программы стратегического академического лидерства Башкирского государственного медицинского университета (ПРИОРИТЕТ-2030)</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Lu X, Xie Q, Pan X, et al. 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