Type 2 & other diabetes

Causal relationship between epigenetic markers and type 2 diabetes in West African populations: a Mendelian randomisation analysis

DiabetologiaPublished Mendelian randomisation study

Authors' conclusion

Our study identified two epigenetic markers as likely to be causal for type 2 diabetes in West African populations.

Study context

Population
Ghanaian (RODAM study) and Nigerian (AADM study) individuals not on glucose-lowering medication
Outcome
CpGs causally associated with T2D among West Africans
Methodological detailstwo-sample Mendelian randomisation (MR), epigenome-wide association studies, longitudinal follow-up analyses
  • Two-sample MR
  • Epigenome-wide association studies
  • Longitudinal follow-up analyses

Main finding

As reported in the abstract

CpGs causally associated with T2D (MR)
CpGs associated with T2D
28
CpGs associated with HbA1c
26
CpGs associated with HOMA-S
3
Total CpGs
57
CpGs with meQTLs in blood (AADM study data)
49
CpGs with meQTLs in primary hepatocytes from African American individuals
4

Observational data: associations, not effects.

Further findings

Longitudinal: baseline methylation of causal CpGs and HbA1c at follow-up

Association between baseline methylation of these CpGs and HbA1c at follow-up

RNA-seq: cis correlation of cg00036588 in skeletal muscle

FAM83C, FDR
3.3 × 10-4
EIF6, FDR
0.13

Original publication

Causal relationship between epigenetic markers and type 2 diabetes in West African populations: a Mendelian randomisation analysis. Diabetologia. Published 24 April 2026. doi:10.1007/s00125-026-06716-3

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