Type 2 & other diabetes

Polygenic Risk Score Predicts Prostate Cancer Risk Independent of Type 2 Diabetes

Diabetes Obes MetabPublished Cohort study

Authors' conclusion

PrCa PRS effectively stratifies risk among men with and without T2DM, highlighting the independent contribution of genetic susceptibility. Lower IGF-1 levels in T2DM patients may partly mediate the reduced PrCa risk, suggesting a possible biological mechanism underlying these observations.

Study context

Population
Men in the UK Biobank and Penn Medicine Biobankover 140,000 men
Exposure
Prostate cancer (PrCa) polygenic risk score categories, by T2D status
Outcome
Whether a PrCa PRS predicts incident PrCa independently of T2D status
Methodological detailsUK Biobank and Penn Medicine Biobank, Cox proportional hazards models, interaction testing by T2D status
  • UK Biobank and Penn Medicine Biobank
  • Cox proportional hazards models
  • Interaction testing by T2D status

Main finding

As reported in the abstract

Association of PrCa PRS with incident PrCa
PrCa polygenic risk score (PRS) significantly associated with PrCa risk regardless of T2D status
p < 0.001

Observational data: associations, not effects.

Secondary outcomes

Potential mediators: IGF-1 and sex hormones

IGF-1 levels positively associated with PrCa risk in both diabetic and non-diabetic men
Sex hormone levels showed no significant association in men with T2D
Adjusting for testosterone and IGF-1 did not attenuate the PRS–PrCa association

Original publication

Polygenic Risk Score Predicts Prostate Cancer Risk Independent of Type 2 Diabetes. Diabetes Obes Metab. Published 26 March 2026. doi:10.1111/dom.70690

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