Type 2 & other diabetes

A Comprehensive Mendelian Randomization Study Investigating Multiple Exposures and Outcomes: Focusing on Nontoxic Goitre and Type 2 Diabetes Mellitus

Clin Endocrinol (Oxf)Published Two-sample Mendelian randomization study

Authors' conclusion

Our findings indicate a potential causal relationship between nontoxic goitre traits and T2DM. Specifically, our study addresses that NMG and T2DM may have a significant causal effect on each other in both directions.

Study context

Population
GWAS summary data: nontoxic goitre traits and T2D from FinnGen; fasting glucose, fasting insulin and HbA1c from the MRC Integrated Epidemiology Unit (IEU) open GWAS database
Comparison
Nontoxic goitre traits and T2D, in both directions
Outcome
T2D (goitre traits as exposure)
Methodological detailsmultiple exposures and outcomes, bidirectional (two stages), inverse-variance weighted, sensitivity analyses
  • Multiple exposures and outcomes
  • Bidirectional (two stages)
  • Inverse-variance weighted
  • Sensitivity analyses

Main finding

As reported in the abstract

Odds ratio (95% CI)P value
NDG
0.978(0.957–0.998)
P = 0.034
NMG
0.941(0.902–0.982)
P = 0.008
OUNGdecreased odds of T2D by 4.4%
0.966(0.938–0.995)
P = 0.023

Further findings

Goitre traits (T2D as exposure; reverse direction)

OR (95% CI)P value
NDGT2D as exposure1.239 (1.020–1.504)P = 0.031
NMGT2D as exposure0.669 (0.566–0.792)P < 0.001
OUNGT2D as exposure0.694 (0.545–0.883)P = 0.004

Fasting glucose (NDG as exposure)

OR (95% CI)P value
NDG0.995 (0.990–0.999)P = 0.011

HbA1c (NMG as exposure)

OR (95% CI)P value
NMG0.992 (0.986–0.998)P = 0.015

Glycemic traits and nontoxic goitre traits

No evidence of a positive association between glycemic traits and nontoxic goitre traits
P > 0.05

Original publication

A Comprehensive Mendelian Randomization Study Investigating Multiple Exposures and Outcomes: Focusing on Nontoxic Goitre and Type 2 Diabetes Mellitus. Clin Endocrinol (Oxf). Published 11 November 2024. doi:10.1111/cen.15161

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