Type 1 diabetes

Effects of gut microbiome on type 1 diabetes susceptibility and complications: A large‐scale bidirectional Mendelian randomization and external validation study

Diabetes Obes MetabPublished Bidirectional Mendelian randomization study with external validation

Authors' conclusion

Our findings supported the potential causal effect of gut microbiota on the susceptibility and complications of T1D.

Study context

Population
Patients with T1D; external validation with gutMEGA datasets and the National Clinical Research Center for Metabolic Diseases
Participants
60 vs 30
Comparison
Gut microbiome taxa vs T1D susceptibility and complications
  • T1Dn = 60
  • Controlsn = 30reference
Outcome
Effect of gut microbiome on T1D susceptibility (MR)
Methodological detailstwo-sample Mendelian randomization (MR), reverse MR, mediation and multivariable MR
  • Two-sample MR
  • Reverse MR
  • Mediation and multivariable MR

Performance

As reported in the abstract

  • Veillonellaceae can potentially reduce T1D susceptibility (discovery and validation MR phases)
  • E. coprostanoligenes group significantly associated with lower risk of renal, neurological and ophthalmic complications in T1D

Further findings

OutcomeT1DControls
Average relative abundance of Veillonellaceae, gutMEGA dataset0.66%1.09%
Median relative abundance of Veillonellaceae, external validationmedian 1.10% (CI 0.50%–1.80%)— not stated in the abstract

— not stated in the abstract

Median relative abundance of Veillonellaceae, external validation

Lower in T1D than controls

HDL cholesterol measures and T1D complications

High cholesterol in small HDL and cholesteryl esters in HDL associated with reduced risk of T1D renal and ophthalmic complications
Mediation and multivariable MR: E. coprostanoligenes group is the most dominant factor influencing T1D complications

Original publication

Effects of gut microbiome on type 1 diabetes susceptibility and complications: A large‐scale bidirectional Mendelian randomization and external validation study. Diabetes Obes Metab. Published 16 May 2024. doi:10.1111/dom.15658

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