Gestational diabetes & diabetes in pregnancy

The causal relationship between 91 inflammatory cytokines and Gestational Diabetes Mmellitus: A bidirectional two-sample Mendelian randomization study

Diabetes Res Clin PractPublished Bidirectional two-sample Mendelian randomization study

Authors' conclusion

This study has clarified the causal link between inflammatory cytokines and GDM, thereby enhancing our comprehension of the potential mechanisms involved in GDM pathogenesis. These findings offer new insights into the etiology, diagnosis, and therapeutic strategies for GDM.

Study context

Population
Publicly accessible genetic data on 91 inflammatory cytokines and Gestational Diabetes Mellitus (GDM)
Comparison
91 inflammatory cytokines and GDM
Outcome
Causal association between 91 inflammatory cytokines and GDM
Methodological detailspublicly accessible genetic data, sensitivity analyses
  • Publicly accessible genetic data
  • Sensitivity analyses

Main finding

As reported in the abstract

Cytokines → GDM risk
Elevated IL7, associated with increased GDM risk: OR
1.104 (95% CI 1.003-1.216, p = 0.042)
Elevated NRTN, associated with increased GDM risk: OR
1.102 (95% CI 1.023-1.187, p = 0.010)
Decreased GDNF levels associated with increased GDM risk: OR
0.911 (95% CI 0.849-0.979, p = 0.010)
Decreased IL12β levels associated with increased GDM risk: OR
0.955 (95% CI 0.916-0.996, p = 0.033)
Decreased IL20 levels associated with increased GDM risk: OR
0.892 (95% CI 0.819-0.971, p = 0.008)

Further findings

GDM → cytokine levels (reverse direction)

GDM correlates with increased MMP-10: OR
1.042 (95% CI 1.002-1.084, p = 0.038)
GDM correlates with decreased IL-20Rα: OR
0.949 (95% CI 0.909-0.992, p = 0.021)

Sensitivity analyses

No significant heterogeneity or pleiotropy

Original publication

The causal relationship between 91 inflammatory cytokines and Gestational Diabetes Mmellitus: A bidirectional two-sample Mendelian randomization study. Diabetes Res Clin Pract. Published 22 August 2024. doi:10.1016/j.diabres.2024.111838

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