Type 2 & other diabetes

Pseudohypoxia caused by germline genetic alterations in the VHL gene is associated with increased diabetes and cardiovascular risk: a UK biobank study

Cardiovasc DiabetolPublished Cohort study

Authors' conclusion

VHL gene variant carriers have an increased risk of diabetes and CVA. Mediation analysis suggests pseudohypoxia as a possible mechanism.

Study context

Population
UK Biobank participants with genomic and clinical data
Participants
460,430 participants
Exposure
VHL gene variant carriers vs non-carriers
  • VHL variant carriersn = 2,516
Outcome
Metabolic and cardiovascular outcomes (diabetes, cerebrovascular accidents (CVA))
Methodological detailsUK Biobank, exome analysis
  • UK Biobank
  • Exome analysis

Main finding

As reported in the abstract

  • Risk increase more pronounced in higher severity variants
  • VHL variant carriers vs Non-carriers: P = 0.04
  • VHL variant carriers vs Non-carriers: P = 0.03

Observational data: associations, not effects.

Further findings

Diabetes risk with 5'UTR variants, multivariable analysis

OR (95% CI)P value
5'UTR variantsMultivariable analysis2.97 (1.78–4.80)P < 0.001
OutcomeP value
Diabetes risk and age at diabetes diagnosis, 5'UTR variants vs other variants5'UTR variants vs Other variants · increased risk with 5'UTRP < 0.001
Diabetes risk and age at diabetes diagnosis, 5'UTR variants vs other variants5'UTR variants vs Other variants · younger with 5'UTRP = 0.003

Reticulocytes and metabolic markers

Increasing reticulocyte levels positively correlated with serum glucose, HbA1c and TG, and mediated the increased diabetes risk of 5'UTR variant carriers

Original publication

Pseudohypoxia caused by germline genetic alterations in the VHL gene is associated with increased diabetes and cardiovascular risk: a UK biobank study. Cardiovasc Diabetol. Published 4 June 2025. doi:10.1186/s12933-025-02799-1

Composed by AI from the published abstract and checked against it. How Briefs are made →

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