Type 1 diabetes

The shared genetic architecture underlying the autoimmune and cardiovascular disease: a multivariate genome-wide analysis

Cardiovasc DiabetolPublished Cross-trait multivariate genome-wide association study

Authors' conclusion

Our study unveils the shared genetic architecture between autoimmune and cardiovascular diseases, providing insights for therapeutic development and risk stratification.

Study context

Population
3 autoimmune diseases (T1D, systemic lupus erythematosus, rheumatoid arthritis) and 4 cardiovascular disease (CVDs) (coronary artery disease, HF, stroke, peripheral artery disease); Polygenic risk score (PRS) explored in UK Biobank
Comparison
Highest PRS decile vs 2nd-9th deciles
Outcome
Genome-wide significant association signals in multivariate genome-wide association study (GWAS)
Methodological detailsfine-mapping, functional annotation, enrichment analyses, transcriptome-wide association studies (TWAS), proteome-wide and drug-repurposing Mendelian randomization, polygenic risk score in UK Biobank
  • Fine-mapping
  • Functional annotation
  • Enrichment analyses
  • TWAS
  • Proteome-wide and drug-repurposing Mendelian randomization
  • Polygenic risk score in UK Biobank

Performance

As reported in the abstract

Genome-wide significant association signals, enriched primarily in arterial tissues and lipid metabolism pathways

259

Prioritized therapeutic targets (incl. TGFB1 and IL6R) by TWAS and Mendelian randomization (MR); histone deacetylase inhibitors identified as candidate drugs

15

Further findings

OutcomeHR (95% CI)
CVD risk by PRS among autoimmune patientsHighest PRS decilevs 2nd-9th decilesT1D1.60 (1.19–2.15)
CVD risk by PRS among autoimmune patientsHighest PRS decilevs 2nd-9th decilesSystemic lupus erythematosus2.28 (1.14–4.56)
CVD risk by PRS among autoimmune patientsHighest PRS decilevs 2nd-9th decilesRheumatoid arthritis2.33 (1.94–2.80)

Pleiotropic associations of PRS

PRS associated with risk of various conditions incl. polyneuropathy, chronic renal failure and depressive episodes

Original publication

The shared genetic architecture underlying the autoimmune and cardiovascular disease: a multivariate genome-wide analysis. Cardiovasc Diabetol. Published 11 February 2026. doi:10.1186/s12933-025-03041-8

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