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IGF-1 and cardiometabolic diseases: a Mendelian randomisation study
Susanna C Larsson1,2, Karl Michaëlsson3, Stephen Burgess4,5
1Department of Surgical Sciences, Uppsala University, Epihubben, 75185, Uppsala, Sweden. susanna.larsson@surgsci.uu.se.
Diabetologia
|June 18, 2020
Summary
Elevated Insulin-like Growth Factor 1 (IGF-1) levels increase the risk of type 2 diabetes and coronary artery disease. This study suggests a potential causal link between higher IGF-1 and type 2 diabetes risk.
Area of Science:
- Endocrinology
- Cardiovascular Science
- Metabolic Disease Research
Background:
- Abnormal serum Insulin-like Growth Factor 1 (IGF-1) levels are linked to type 2 diabetes and cardiovascular disease.
- The role of IGF-1 within the normal range in cardiometabolic diseases remains unclear.
Purpose of the Study:
- To investigate the causal associations between genetically predicted serum IGF-1 levels and cardiometabolic diseases using Mendelian randomization.
- To clarify the role of IGF-1 in the development of type 2 diabetes and related cardiovascular conditions.
Main Methods:
- Utilized Mendelian randomization with 416 single nucleotide polymorphisms (SNPs) associated with IGF-1 levels in 358,072 UK Biobank participants.
- Obtained genetic association estimates for type 2 diabetes, coronary artery disease, heart failure, atrial fibrillation, and ischemic stroke from large consortia.
Main Results:
- A genetic predisposition to elevated serum IGF-1 was associated with an increased risk of type 2 diabetes (OR 1.14, 95% CI 1.05-1.24) and coronary artery disease (OR 1.09, 95% CI 1.02-1.16).
- The association with coronary artery disease was partially mediated by type 2 diabetes.
- Limited evidence supported associations between IGF-1 and heart failure, atrial fibrillation, or ischemic stroke.
Conclusions:
- Increased serum IGF-1 levels may be causally associated with a higher risk of type 2 diabetes.
- The findings highlight the potential role of IGF-1 in the pathogenesis of type 2 diabetes.
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