Type 1 diabetes

Type 1 diabetes, its complications, and non-ischemic cardiomyopathy: a mendelian randomization study of European ancestry

Cardiovasc DiabetolPublished Mendelian randomization study

Authors' conclusion

The study demonstrates a causal relationship between T1D, its complications, and NICM. Additionally, monokine induced by gamma interferon may act as a potential mediator in the pathogenesis of T1D-NICM.

Study context

Population
Genome-wide association study summary data for T1D (two datasets); T1D with complications and non-ischemic cardiomyopathy (NICM) from the Finnish database
Comparison
Genetically predicted T1D and T1D with complications vs NICM risk
Outcome
Non-ischemic cardiomyopathy (NICM)
Methodological detailstwo-sample Mendelian randomization (MR), multivariable MR, mediation MR, European ancestry
  • Two-sample MR
  • Multivariable MR
  • Mediation MR
  • European ancestry

Main finding

As reported in the abstract

NICM
Odds ratio (95% CI)P value
T1D
1.02(1.01–1.04)
P = 1.17e-04
T1D with complications
1.03(1.01–1.05)
P = 3.15e-3

Further findings

NICM, T1D adjusted for BMI and hypertension (multivariable MR)

OR (95% CI)P value
T1D1.02 (1.01–1.04)P = 1.35e-4

Mediation by monokine induced by gamma interferon in T1D-NICM

OR (95% CI)P value
Mediation effect (monokine induced by gamma interferon)1.005 (1.001–1.01)P = 4.9e-2

Original publication

Type 1 diabetes, its complications, and non-ischemic cardiomyopathy: a mendelian randomization study of European ancestry. Cardiovasc Diabetol. Published 13 January 2024. doi:10.1186/s12933-023-02117-7

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