Type 2 & other diabetes

VEGFA ‐centric angiogenic genetic variants drive hypertension and dyslipidaemia susceptibility in type 2 diabetes mellitus: A multilocus synergistic cohort study

Diabet MedPublished Cohort study

Main finding · VEGFA rs3025020-TT genotype frequencyResult — go to the resultFold comorbidity risk 3.49 95% CI 1.10–11.14

Authors' conclusion

These findings underscored VEGFA rs3025020 as a genetic hub coordinating multilocus angiogenic dysregulation, driving HTN and DYS pathogenesis in T2DM. Our results highlight the potential for genotype-guided anti-angiogenic therapies to mitigate metabolic-vascular deterioration in high-risk diabetic populations.

Study context

Population
Individuals with T2D, stratified by hypertension (HTN) and dyslipidaemia comorbidity
Participants
440 individuals
Exposure
T2DM with HTN and dyslipidaemia (DYS) vs T2DM with HTN vs T2DM only
  • T2DM-onlyn = 258reference
  • T2DM+HTN (T2MH)n = 130
  • T2DM+HTN+DYS (T2MH-DYS)n = 52
Outcome
VEGFA rs3025020-TT genotype frequency
Methodological detailsgenetic association, multilocus, Genotyping of VEGFA rs3025020, ANGPT2 rs11137037/rs2442598, TGFB1 rs1800469 and AGTR1 rs5182 by ligase-mediated hybridization and multiplex PCR
  • Genetic association
  • Multilocus
  • Genotyping of VEGFA rs3025020, ANGPT2 rs11137037/rs2442598, TGFB1 rs1800469 and AGTR1 rs5182 by ligase-mediated hybridization and multiplex PCR

Main finding

As reported in the abstract

Fold comorbidity risk

3.49

95% CI 1.10–11.14

P = 0.034

By group

Observational data: associations, not effects.

Further findings

OutcomeT2MH-DYSP value
Fasting glucoseT2MH-DYS vs T2DM-only · elevated in T2MH-DYS; comparator 7.93 mmol/L12.60 ± 7.62 mmol/LP = 0.017
TriglyceridesT2MH-DYS vs T2DM-only · elevated in T2MH-DYS; comparator median 1.68 mmol/Lmedian 2.48 mmol/LP < 0.001
CRPT2MH-DYS vs T2DM-only · elevated in T2MH-DYS; comparator 1.79 mg/L2.65 mg/LP = 0.016

ANGPT2 rs2442598-CC genotype

Borderline protective effect, OR
0.46 (p = 0.057)

AGTR1 rs5182-TT and HTN grade

rs5182-TT correlated with milder HTN: Grade I vs Grade III
72.2% vs 46.6% (p = 0.008)

Haplotype (AGTR1-ANGPT2-VEGFA) and T2MH-DYS susceptibility

C-C-T increased susceptibility, fold
3.58 (p = 0.0019)
C-T-C protective, OR
0.333 (p = 0.013)

Original publication

VEGFA ‐centric angiogenic genetic variants drive hypertension and dyslipidaemia susceptibility in type 2 diabetes mellitus: A multilocus synergistic cohort study. Diabet Med. Published 12 November 2025. doi:10.1111/dme.70169

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