Type 2 & other diabetes

Association Between Plasma LRG1 and Lower Cognitive Function in Asians With Type 2 Diabetes Mellitus

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Baseline plasma LRG1 was associated with lower cognitive function at follow-up in patients with T2DM, mediated by PWV. MR analysis provided evidence of an association between genetically influenced plasma LRG1 and lower cognitive function at follow-up.

Study context

Population
Asian patients with T2D; age 64.1 ± 6.4 years; follow-up 5.3 ± 1.2 years
Participants
1,039 patients
Exposure
Higher vs lower baseline plasma LRG1
Outcome
Longitudinal association between plasma LRG1 and cognitive function (RBANS total score)
Follow-up
5.3 ± 1.2 years
Methodological detailslongitudinal, one-sample Mendelian randomization, mediation analysis
  • Longitudinal
  • One-sample Mendelian randomization
  • Mediation analysis

Main finding

As reported in the abstract

RBANS total score per Ln-transformed LRG1 (adjusted coefficient)

Baseline Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) total score: adjusted coefficient

−1.38

95% CI −2.55 to −.21P = .021

Follow-up RBANS total score: adjusted coefficient

−1.38

95% CI −2.70 to −.07P = .039

Observational data: associations, not effects.

Further findings

Mendelian randomization (MR): genetically predicted plasma LRG1 (rs4806985) and follow-up RBANS total score, per unit increase in LnLRG1

Coefficient
−7.44 (95% CI −14.14 to −.74; P = .030)

Mediation by pulse wave velocity (PWV) of LnLRG1–follow-up RBANS total score association

Proportion accounted for by higher PWV
27.7%

Original publication

Association Between Plasma LRG1 and Lower Cognitive Function in Asians With Type 2 Diabetes Mellitus. J Clin Endocrinol Metab. Published 3 January 2024. doi:10.1210/clinem/dgad768

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