血清 25-羟维生素 D 水平、维生素 D 结合蛋白水平与糖尿病的关联:两样本 Mendelian 随机化研究。

Association of serum 25-hydroxyvitamin D levels, vitamin D-binding protein levels, and diabetes mellitus: Two-sample Mendelian randomization.

机构信息

Emergency and Critical Care Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.

Department of Endocrinology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian, China.

出版信息

Medicine (Baltimore). 2024 May 17;103(20):e38219. doi: 10.1097/MD.0000000000038219.

Abstract

Studies have suggested that Vitamin D deficiency is associated with the occurrence of both type 1 and type 2 diabetes, and that vitamin D-binding proteins (VDBP) are necessary for metabolic stress in pancreatic α-cells. However, the causal relationship between serum 25-hydroxyvitamin D [25(OH)D] levels, VDBP, and the risk of diabetes mellitus (DM) remains unclear. Mendelian randomization (MR) was used to investigate the causal relationship between 25(OH)D, VDBP, and DM. Relevant recent data were downloaded from the NHGRI-EBI Catalog of published genome-wide association studies (GWAS) and filtered for single nucleotide polymorphisms (SNPs). We used multiple MR methods, including inverse variance weighting (IVW), and performed sensitivity analyses to detect whether pleiotropy or heterogeneity biased the results. There was a causal relationship between genetically predicted VDBP levels and serum 25(OH)D levels, and serum 25(OH)D levels increased with increasing VDBP levels (IVW: β = 0.111, OR = 1.117, 95% CI:1.076-1.162, P = 1.41 × 10-8). There was no causal relationship between the genetically predicted VDBP levels, serum 25(OH)D levels, and DM (VDBP: IVW β:0.001, OR:1.001, 95% CI:0.998-1.003, P > .05; 25(OH)D: IVW β: -0.009, OR:0.991, 95% CI:0.982-1.001, P = .068). Sensitivity analysis indicated that horizontal pleiotropy was unlikely to bias causality in this study. MR analysis results demonstrated a positive causal relationship between VDBP levels and serum 25(OH)D levels in the European population. The 25(OH)D and VDBP levels were not causally related to an increased risk of diabetes.

摘要

研究表明,维生素 D 缺乏与 1 型和 2 型糖尿病的发生有关,维生素 D 结合蛋白 (VDBP) 是胰腺 α 细胞代谢应激所必需的。然而,血清 25-羟维生素 D [25(OH)D] 水平、VDBP 与糖尿病 (DM) 风险之间的因果关系尚不清楚。孟德尔随机化 (MR) 用于研究 25(OH)D、VDBP 与 DM 之间的因果关系。从 NHGRI-EBI 已发表全基因组关联研究 (GWAS) 目录中下载了相关的最新数据,并对单核苷酸多态性 (SNP) 进行了筛选。我们使用了多种 MR 方法,包括逆方差加权 (IVW),并进行了敏感性分析,以检测是否存在偏倚或异质性影响结果。遗传预测的 VDBP 水平与血清 25(OH)D 水平之间存在因果关系,且血清 25(OH)D 水平随 VDBP 水平升高而升高 (IVW:β=0.111,OR=1.117,95%CI:1.076-1.162,P=1.41×10-8)。遗传预测的 VDBP 水平、血清 25(OH)D 水平与 DM 之间无因果关系 (VDBP:IVWβ:0.001,OR:1.001,95%CI:0.998-1.003,P>.05;25(OH)D:IVWβ:-0.009,OR:0.991,95%CI:0.982-1.001,P=.068)。敏感性分析表明,水平性偏倚不太可能影响本研究的因果关系。MR 分析结果表明,在欧洲人群中,VDBP 水平与血清 25(OH)D 水平之间存在正因果关系。25(OH)D 和 VDBP 水平与糖尿病风险增加无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f70/11098181/856470fcd304/medi-103-e38219-g001.jpg

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