Diabetes complications

Pathway‐Specific Polygenic Risk Scores and Cardiorenal Complications in Asians With Type 2 Diabetes

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

In a multi-ethnic Asian population, pathway-specific genetic susceptibility was differentially associated with cardiorenal outcomes and related circulating proteins. These findings suggest the potential relevance of biologically informed genetic pathways in diverse populations and warrant validation in independent cohorts.

Study context

Population
Multi-ethnic Asian individuals with T2D, prospective SMART2D cohort
Participants
2,057 individuals
Exposure
T2D pathway-specific polygenic risk scores and cardiorenal outcomes
Outcome
Incident end-stage kidney disease (ESKD), heart failure (HF), rapid decline in kidney function (RDKF) and circulating proteins linked to cardiorenal complications
Methodological detailsmulti-ethnic, genetic association study
  • Multi-ethnic
  • Genetic association study

Main finding

As reported in the abstract

Associations of psPRS with cardiorenal outcomes

Beta-cell -PI pathway-specific polygenic risk scores (psPRS) and end-stage kidney disease (ESKD): HR

0.81

95% CI 0.69–0.95

Beta-cell -PI psPRS and rapid decline in kidney function (RDKF): OR

0.81

95% CI 0.69–0.94

Beta-cell -PI psPRS and heart failure (HF): HR

0.86

95% CI 0.74–1.00

Lipodystrophy psPRS and higher odds of RDKF: OR

1.21

95% CI 1.04–1.41

Observational data: associations, not effects.

Original publication

Pathway‐Specific Polygenic Risk Scores and Cardiorenal Complications in Asians With Type 2 Diabetes. Diabetes Obes Metab. Published 8 April 2026. doi:10.1111/dom.70741

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