Mendelian randomization study supports the causal association between serum cystatin C and risk of diabetic

Baiyu Feng1, Yu Lu2, Lin Ye1

  • 1Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, Institute of Nephrology, The Second Xiangya Hospital at Central South University, Changsha, China.

Insights

Cystatin C is a risk factor for diabetic nephropathy, independent of BMI and SBP. Targeting cystatin C may offer a potential therapy for diabetic kidney disease.

Area of Science:

  • Biochemistry
  • Genetics
  • Nephrology

Background:

  • Cystatin C, a cysteine protease inhibitor, is used to estimate glomerular filtration rate.
  • The causal link between cystatin C and diabetic nephropathy is not fully understood.

Purpose of the Study:

  • To investigate the causal effect of cystatin C on diabetic nephropathy using Mendelian randomization.
  • To assess the mediation effects of BMI and SBP on this relationship.

Main Methods:

  • Mendelian randomization (MR) analysis was employed.
  • 234 genetic variants served as instrumental variables for cystatin C.
  • Multivariable MR (MVMR) and two-step MR were used to assess stability and mediation.

Main Results:

  • Cystatin C showed a causal association with diabetic nephropathy (IVW OR: 1.36).
  • This causal effect persisted after adjusting for BMI and SBP (OR: 1.17).
  • BMI was identified as a potential mediator.

Conclusions:

  • Cystatin C is an independent risk factor for diabetic nephropathy in diabetic patients.
  • Further research is needed to elucidate mechanisms and explore cystatin C-targeted therapies.
Abstract

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