Causal associations between insulin and Lp(a) levels in Caucasian population: a Mendelian randomization study

  • 0Department of Pharmacology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland. mateusz.lejawa@sum.edu.pl.

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Summary

This summary is machine-generated.

Genetically predicted high insulin levels are linked to lower lipoprotein(a) [Lp(a)] levels. This finding may help explain why low Lp(a) is associated with increased type 2 diabetes risk.

Area Of Science

  • Cardiovascular Genetics
  • Metabolic Disorders
  • Biochemistry

Background

  • Observational studies suggest an inverse relationship between lipoprotein(a) [Lp(a)] and type 2 diabetes (T2D) risk.
  • Mendelian randomization (MR) studies have yielded inconsistent results regarding this association.
  • In vitro studies indicate that high insulin may suppress Lp(a) via apolipoprotein(a) [apo(a)] synthesis.

Purpose Of The Study

  • To investigate the relationship between genetically predicted insulin concentrations and Lp(a) levels.
  • To explore whether insulin influences Lp(a) levels, potentially explaining the Lp(a)-T2D risk association.

Main Methods

  • Utilized two-sample summary-level Mendelian randomization (MR).
  • Identified genetic variants for fasting insulin from large genome-wide association studies (GWAS) (N=151,013).
  • Acquired Lp(a) data from a GWAS in UK Biobank (N=361,194); applied inverse-variance weighted (IVW) and sensitivity analyses.

Main Results

  • Genetically predicted fasting insulin was negatively associated with Lp(a) levels (β = -0.15, P = 0.003).
  • Weighted median (WME) method supported a causal link (β = -0.26, P = 0.0002).
  • MR-Egger sensitivity analysis did not find significant evidence of causality (P = 0.11).

Conclusions

  • This MR study provides robust evidence for an association between genetically predicted higher insulin and lower Lp(a) concentrations.
  • Hyperinsulinemia, common in T2D, may partially explain the inverse association between low Lp(a) and increased T2D risk.

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