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Investigating the association between glycaemic traits and colorectal cancer in the Japanese population using Mendelian randomisation.


ABSTRACT: Observational studies suggest that abnormal glucose metabolism and insulin resistance contribute to colorectal cancer; however, the causal association remains unknown, particularly in Asian populations. A two-sample Mendelian randomisation analysis was performed to determine the causal association between genetic variants associated with elevated fasting glucose, haemoglobin A1c (HbA1c), and fasting C-peptide and colorectal cancer risk. In the single nucleotide polymorphism (SNP)-exposure analysis, we meta-analysed study-level genome-wide associations of fasting glucose (~ 17,289 individuals), HbA1c (~ 52,802 individuals), and fasting C-peptide (1,666 individuals) levels from the Japanese Consortium of Genetic Epidemiology studies. The odds ratios of colorectal cancer were 1.01 (95% confidence interval [CI], 0.99-1.04, P = 0.34) for fasting glucose (per 1 mg/dL increment), 1.02 (95% CI, 0.60-1.73, P = 0.95) for HbA1c (per 1% increment), and 1.47 (95% CI, 0.97-2.24, P = 0.06) for fasting C-peptide (per 1 log increment). Sensitivity analyses, including Mendelian randomisation-Egger and weighted-median approaches, revealed no significant association between glycaemic characteristics and colorectal cancer (P > 0.20). In this study, genetically predicted glycaemic characteristics were not significantly related to colorectal cancer risk. The potential association between insulin resistance and colorectal cancer should be validated in further studies.

SUBMITTER: Hanyuda A 

PROVIDER: S-EPMC10148817 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Investigating the association between glycaemic traits and colorectal cancer in the Japanese population using Mendelian randomisation.

Hanyuda Akiko A   Goto Atsushi A   Katagiri Ryoko R   Koyanagi Yuriko N YN   Nakatochi Masahiro M   Sutoh Yoichi Y   Nakano Shiori S   Oze Isao I   Ito Hidemi H   Yamaji Taiki T   Sawada Norie N   Iwagami Masao M   Kadota Aya A   Koyama Teruhide T   Katsuura-Kamano Sakurako S   Ikezaki Hiroaki H   Tanaka Keitaro K   Takezaki Toshiro T   Imoto Issei I   Suzuki Midori M   Momozawa Yukihide Y   Takeuchi Kenji K   Narita Akira A   Hozawa Atsushi A   Kinoshita Kengo K   Shimizu Atsushi A   Tanno Kozo K   Matsuo Keitaro K   Tsugane Shoichiro S   Wakai Kenji K   Sasaki Makoto M   Yamamoto Masayuki M   Iwasaki Motoki M  

Scientific reports 20230429 1


Observational studies suggest that abnormal glucose metabolism and insulin resistance contribute to colorectal cancer; however, the causal association remains unknown, particularly in Asian populations. A two-sample Mendelian randomisation analysis was performed to determine the causal association between genetic variants associated with elevated fasting glucose, haemoglobin A1c (HbA1c), and fasting C-peptide and colorectal cancer risk. In the single nucleotide polymorphism (SNP)-exposure analys  ...[more]

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