Type 2 & other diabetes

Network Mendelian randomisation analysis deciphers protein pathways linking type 2 diabetes and gastrointestinal disease

Diabetes Obes MetabPublished Two-stage network Mendelian randomisation study

Authors' conclusion

The study identified some proteins mediating T2D-GI disease associations, which provided biological insights into the underlying pathways.

Study context

Population
Summary-level genetic data: T2D genome-wide meta-analysis; plasma protein GWAS (deCODE, UKB-PPP, Fenland); 10 gastrointestinal (GI) diseases from UK Biobank and FinnGen
Outcome
Proteins mediating T2D–GI disease associations
Methodological detailscolocalisation analyses, discovery (deCODE) and replication (UKB-PPP, Fenland) protein datasets, druggability assessments across four databases
  • Colocalisation analyses
  • Discovery (deCODE) and replication (UKB-PPP, Fenland) protein datasets
  • Druggability assessments across four databases

Main finding

As reported in the abstract

Proteins associated with genetic liability to T2D (discovery, after multiple testing corrections); all replicated at nominal significance
69
T2D-associated proteins whose genetically predicted levels were associated with ≥1 GI disease
9
SULT2A1 and cholelithiasis, OR
1.98 (95% CI 1.80-2.18)
ADH1B and cirrhosis, OR
2.05 (95% CI 1.43-2.94)
SULT2A1–cholelithiasis colocalisation PH4
0.996
ADH1B–cirrhosis colocalisation PH4
0.931
Mediation proportion, SULT2A1 (T2D→cholelithiasis)
72.8% (95% CI 45.7-99.9)
Mediation proportion, ADH1B (T2D→cirrhosis)
42.9% (95% CI 15.5-70.4)

Original publication

Network Mendelian randomisation analysis deciphers protein pathways linking type 2 diabetes and gastrointestinal disease. Diabetes Obes Metab. Published 26 November 2024. doi:10.1111/dom.16087

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