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Search: (WFRF:(Young J Hunter)) pers:(Wareham Nicholas J) > PCSK9 genetic varia...

  • Schmidt, Amand F.UCL, Inst Cardiovasc Sci, London NW1 2DA, England.;UCL, UCL Inst Hlth Informat, Farr Inst Hlth Informat Res, London, England. (author)

PCSK9 genetic variants and risk of type 2 diabetes : a mendelian randomisation study

  • Article/chapterEnglish2017

Publisher, publication year, extent ...

  • ELSEVIER SCIENCE INC,2017
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-319119
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-319119URI
  • https://doi.org/10.1016/S2213-8587(16)30396-5DOI

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  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background Statin treatment and variants in the gene encoding HMG-CoA reductase are associated with reductions in both the concentration of LDL cholesterol and the risk of coronary heart disease, but also with modest hyperglycaemia, increased bodyweight, and modestly increased risk of type 2 diabetes, which in no way off sets their substantial benefi ts. We sought to investigate the associations of LDL cholesterol-lowering PCSK9 variants with type 2 diabetes and related biomarkers to gauge the likely eff ects of PCSK9 inhibitors on diabetes risk. Methods In this mendelian randomisation study, we used data from cohort studies, randomised controlled trials, case control studies, and genetic consortia to estimate associations of PCSK9 genetic variants with LDL cholesterol, fasting blood glucose, HbA 1c, fasting insulin, bodyweight, waist-to-hip ratio, BMI, and risk of type 2 diabetes, using a standardised analysis plan, meta-analyses, and weighted gene-centric scores. Findings Data were available for more than 550 000 individuals and 51 623 cases of type 2 diabetes. Combined analyses of four independent PCSK9 variants (rs11583680, rs11591147, rs2479409, and rs11206510) scaled to 1 mmol/L lower LDL cholesterol showed associations with increased fasting glucose (0.09 mmol/L, 95% CI 0.02 to 0.15), bodyweight (1.03 kg, 0.24 to 1.82), waist-to-hip ratio (0.006, 0.003 to 0.010), and an odds ratio for type diabetes of 1.29 (1.11 to 1.50). Based on the collected data, we did not identify associations with HbA 1c (0.03%, -0.01 to 0.08), fasting insulin (0.00%, -0.06 to 0.07), and BMI (0.11 kg/m(2), -0.09 to 0.30). Interpretation PCSK9 variants associated with lower LDL cholesterol were also associated with circulating higher fasting glucose concentration, bodyweight, and waist-to-hip ratio, and an increased risk of type 2 diabetes. In trials of PCSK9 inhibitor drugs, investigators should carefully assess these safety outcomes and quantify the risks and benefi ts of PCSK9 inhibitor treatment, as was previously done for statins.

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  • Swerdlow, Daniel I.UCL, Inst Cardiovasc Sci, London NW1 2DA, England.;Imperial Coll London, Dept Med, Fac Med, London, England. (author)
  • Holmes, Michael V.Univ Oxford, Clin Trial Serv Unit, Nuffield Dept Populat Hlth, Oxford, England.;Univ Oxford, Epidemiol Studies Unit CTSU, Nuffield Dept Populat Hlth, Oxford, England.;Univ Oxford, Med Res Council, Populat Hlth Res Unit, Oxford, England. (author)
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  • Fairhurst-Hunter, ZammyUniv Oxford, Wellcome Trust Ctr Human Genet, Oxford, England. (author)
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  • Power, ChristineUCL Great Ormond St Inst Child Hlth, Populat Policy & Practice, London, England. (author)
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  • van Iperen, ErikNetherlands Heart Inst, Durrer Ctr Cardiovasc Res, Utrecht, Netherlands.;Acad Med Ctr, Dept Clin Epidemiol Biostat & Bioinformat, Amsterdam, Netherlands. (author)
  • Hovingh, G. KeesAcad Med Ctr, Dept Vasc Med, Amsterdam, Netherlands. (author)
  • Demuth, IljaCharite Univ Med Berlin, Charite Res Grp Geriatr, Berlin, Germany.;Charite Univ Med Berlin, Inst Med & Human Genet, Berlin, Germany. (author)
  • Norman, KristinaCharite Univ Med Berlin, Charite Res Grp Geriatr, Berlin, Germany. (author)
  • Steinhagen-Thiessen, ElisabethCharite Univ Med Berlin, Charite Res Grp Geriatr, Berlin, Germany. (author)
  • Demuth, JuriE CA Econ GmbH, Berlin, Germany. (author)
  • Bertram, LarsImperial Coll London, Neuroepidemiol & Ageing Res Unit, Fac Med, London, England.;Univ Lubeck, Lubeck Interdisciplinary Platform Genome Analyt L, Inst Neurogenet, Lubeck, Germany.;Univ Lubeck, Lubeck Interdisciplinary Platform Genome Analyt L, Inst Integrat & Expt Genom, Lubeck, Germany. (author)
  • Liu, TianMax Planck Inst Human Dev, Berlin, Germany.;Max Planck Inst Mol Genet, Berlin, Germany. (author)
  • Coassin, StefanMed Univ Innsbruck, Dept Med Genet Mol & Clin Pharmacol, Div Genet Epidemiol Innsbruck, Innsbruck, Austria. (author)
  • Willeit, JohannMed Univ Innsbruck, Dept Neurol, Innsbruck, Austria. (author)
  • Kiechl, StefanMed Univ Innsbruck, Dept Neurol, Innsbruck, Austria. (author)
  • Willeit, KarinMed Univ Innsbruck, Dept Neurol, Innsbruck, Austria. (author)
  • Mason, DanBradford Royal Infirm, Bradford Inst Hlth Res, Bradford, W Yorkshire, England. (author)
  • Wright, JohnBradford Royal Infirm, Bradford Inst Hlth Res, Bradford, W Yorkshire, England. (author)
  • Morris, RichardUniv Bristol, Sch Social & Community Med, Bristol, Avon, England. (author)
  • Wanamethee, GoyaUCL, Dept Primary Care & Populat Hlth, London, England. (author)
  • Whincup, PeterSt Georges Univ London, Populat Hlth Res Inst, London, England. (author)
  • Ben-Shlomo, YoavUniv Bristol, Sch Social & Community Med, Bristol, Avon, England. (author)
  • McLachlan, StelaUniv Edinburgh, Ctr Populat Hlth Sci, Usher Inst Populat Hlth Sci & Informat, Edinburgh, Midlothian, Scotland. (author)
  • Price, Jackie F.Univ Edinburgh, Ctr Populat Hlth Sci, Usher Inst Populat Hlth Sci & Informat, Edinburgh, Midlothian, Scotland. (author)
  • Kivimaki, MikaUCL, UCL Inst Epidemiol & Hlth Care, Dept Epidemiol & Publ Hlth, London, England. (author)
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  • Nicolaides, AndrewImperial Coll London, Dept Vasc Surg, Fac Med, London, England.;Univ Nicosia, Nicosia Med Sch, Dept Surg, Nicosia, Cyprus. (author)
  • Panayiotou, Andrie G.Cyprus Univ Technol, Cyprus Int Inst Environm & Publ Hlth, Limassol, Cyprus. (author)
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  • Matullo, GiuseppeHuman Genet Fdn, Turin, Italy.;Univ Turin, Dept Med Sci, Turin, Italy. (author)
  • Fiorito, GiovanniHuman Genet Fdn, Turin, Italy.;Univ Turin, Dept Med Sci, Turin, Italy. (author)
  • Guarrera, SimonettaHuman Genet Fdn, Turin, Italy.;Univ Turin, Dept Med Sci, Turin, Italy. (author)
  • Sacerdote, CarlottaSan Giovanni Battista Hosp, Canc Epidemiol Unit, Turin, Italy.;CPO Piemonte, Ctr Oncol Prevent, Turin, Italy. (author)
  • Wareham, Nicholas J.Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Inst Metab Sci, Cambridge, England. (author)
  • Langenberg, ClaudiaUniv Cambridge, Sch Clin Med, MRC Epidemiol Unit, Inst Metab Sci, Cambridge, England. (author)
  • Scott, RobertUniv Cambridge, Sch Clin Med, MRC Epidemiol Unit, Inst Metab Sci, Cambridge, England. (author)
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  • Bobak, MartinUCL, UCL Inst Epidemiol & Hlth Care, Dept Epidemiol & Publ Hlth, London, England. (author)
  • Malyutina, Sofi A.Novosibirsk State Med Univ, Novosibirsk, Russia.;Russian Acad Med Sci, Inst Internal & Prevent Med, Siberian Branch, Novosibirsk, Russia. (author)
  • Pajak, AndrzejJagiellonian Univ, Coll Med, Krakow, Poland. (author)
  • Kubinova, RuzenaNatl Inst Publ Hlth, Prague, Czech Republic. (author)
  • Tamosiunas, AbdonasLithuanian Univ Hlth Sci, Kaunas, Lithuania. (author)
  • Pikhart, HynekUCL, UCL Inst Epidemiol & Hlth Care, Dept Epidemiol & Publ Hlth, London, England. (author)
  • Husemoen, Lise Lotte NystrupCapital Reg Denmark, Res Ctr Prevent & Hlth, Copenhagen, Denmark. (author)
  • Grarup, NielsUniv Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn, Ctr Basic Metab Res, Copenhagen, Denmark. (author)
  • Pedersen, OlufUniv Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn, Ctr Basic Metab Res, Copenhagen, Denmark. (author)
  • Hansen, TorbenUniv Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn, Ctr Basic Metab Res, Copenhagen, Denmark. (author)
  • Linneberg, AllanCapital Reg Denmark, Res Ctr Prevent & Hlth, Copenhagen, Denmark.;Rigshosp, Dept Clin Expt Res, Copenhagen, Denmark.;Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark. (author)
  • Simonsen, Kenneth StarupCapital Reg Denmark, Res Ctr Prevent & Hlth, Copenhagen, Denmark. (author)
  • Cooper, JackieUCL, Ctr Cardiovasc Genet, London, England. (author)
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  • Brilliant, MurrayMarshfield Clin Res Fdn, Ctr Human Genet, Marshfield, WI USA. (author)
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  • Carrell, David S.Grp Hlth Res Inst, Seattle, WA USA. (author)
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  • Carty, CaraGeorge Washington Univ, Washington, DC USA. (author)
  • Hancock, StephenUniv Newcastle, Newcastle, NSW, Australia. (author)
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  • Holliday, ElizabethUniv Newcastle, Newcastle, NSW, Australia. (author)
  • Donnell, Martin O'Populat Hlth Res Inst, Hamilton, ON, Canada. (author)
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  • Said, M. AbdullahUniv Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands. (author)
  • Eppinga, Ruben N.Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands. (author)
  • Verweij, NiekUniv Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands. (author)
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  • Christen, TimLeiden Univ, Med Ctr, Dept Clin Epidemiol, Leiden, Netherlands. (author)
  • Mook-Kanamori, Dennis O.Leiden Univ, Med Ctr, Dept Clin Epidemiol, Leiden, Netherlands. (author)
  • Gustafsson, StefanUppsala universitet,Molekylär epidemiologi(Swepub:uu)stegu732 (author)
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  • Ingelsson, ErikUppsala universitet,Molekylär epidemiologi,Science for Life Laboratory, SciLifeLab,Stanford Univ, Dept Med, Sch Med, Div Cardiovasc Med, Stanford, CA 94305 USA.(Swepub:uu)ering425 (author)
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  • Franco, OscarErasmus Univ, Med Ctr, Dept Epidemiol, Rotterdam, Netherlands. (author)
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  • Dehghan, AbbasImperial Coll London, Sch Publ Hlth, MRC PHE Ctr Environm & Hlth, Dept Biostat & Epidemiol, London, England.;Erasmus Univ, Med Ctr, Dept Epidemiol, Rotterdam, Netherlands. (author)
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  • Baumeister, SebastianUniv Med Greifswald, Inst Community Med, Greifswald, Germany.;Univ Regensburg, Dept Epidemiol & Prevent Med, Regensburg, Germany. (author)
  • Doerr, MarcusUniv Med Greifswald, Dept Internal Med B, Greifswald, Germany.;German Ctr Cardiovasc Res DZHK, Greifswald, Germany. (author)
  • Lerch, Markus M.Univ Med Greifswald, Dept Med A, Greifswald, Germany. (author)
  • Voelker, UweUniv Med Greifswald, Interfac Inst Genet & Funct Genom, Greifswald, Germany.;German Ctr Cardiovasc Res DZHK, Greifswald, Germany. (author)
  • Voelzke, HenryUniv Med Greifswald, Inst Community Med, Greifswald, Germany.;German Ctr Cardiovasc Res DZHK, Greifswald, Germany. (author)
  • Ward, JoeyUniv Glasgow, Inst Hlth & Wellbeing, Glasgow, Lanark, Scotland. (author)
  • Pell, Jill P.Univ Glasgow, Inst Hlth & Wellbeing, Glasgow, Lanark, Scotland. (author)
  • Smith, Daniel J.Univ Glasgow, Inst Hlth & Wellbeing, Glasgow, Lanark, Scotland. (author)
  • Meade, TomLondon Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, London, England. (author)
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  • Bots, Michiel L.Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands. (author)
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  • Thuillier, DorotheeUniv Lille, Inst Pasteur Lille, EGID, CNRS,UMR 8199, Lille, France. (author)
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  • Bao, YanchunUniv Essex, Inst Social & Econ Res, Colchester, Essex, England. (author)
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  • Preiss, DavidUniv Oxford, Clin Trial Serv Unit, Nuffield Dept Populat Hlth, Oxford, England.;Univ Oxford, Epidemiol Studies Unit CTSU, Nuffield Dept Populat Hlth, Oxford, England.;Univ Oxford, Med Res Council, Populat Hlth Res Unit, Oxford, England. (author)
  • Hingorani, Aroon D.UCL, Inst Cardiovasc Sci, London NW1 2DA, England.;UCL, UCL Inst Hlth Informat, Farr Inst Hlth Informat Res, London, England. (author)
  • Sattar, NaveedUniv Glasgow, Cardiovasc & Med Sci, Glasgow, Lanark, Scotland. (author)
  • UCL, Inst Cardiovasc Sci, London NW1 2DA, England.;UCL, UCL Inst Hlth Informat, Farr Inst Hlth Informat Res, London, England.UCL, Inst Cardiovasc Sci, London NW1 2DA, England.;Imperial Coll London, Dept Med, Fac Med, London, England. (creator_code:org_t)

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  • In:The Lancet Diabetes and Endocrinology: ELSEVIER SCIENCE INC5:2, s. 97-1052213-85872213-8595

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