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Plasma Vitamin C and Type 2 Diabetes: Genome-Wide Association Study and Mendelian Randomization Analysis in European Populations.


ABSTRACT:

Objective

Higher plasma vitamin C levels are associated with lower type 2 diabetes risk, but whether this association is causal is uncertain. To investigate this, we studied the association of genetically predicted plasma vitamin C with type 2 diabetes.

Research design and methods

We conducted genome-wide association studies of plasma vitamin C among 52,018 individuals of European ancestry to discover novel genetic variants. We performed Mendelian randomization analyses to estimate the association of genetically predicted differences in plasma vitamin C with type 2 diabetes in up to 80,983 case participants and 842,909 noncase participants. We compared this estimate with the observational association between plasma vitamin C and incident type 2 diabetes, including 8,133 case participants and 11,073 noncase participants.

Results

We identified 11 genomic regions associated with plasma vitamin C (P < 5 × 10-8), with the strongest signal at SLC23A1, and 10 novel genetic loci including SLC23A3, CHPT1, BCAS3, SNRPF, RER1, MAF, GSTA5, RGS14, AKT1, and FADS1. Plasma vitamin C was inversely associated with type 2 diabetes (hazard ratio per SD 0.88; 95% CI 0.82, 0.94), but there was no association between genetically predicted plasma vitamin C (excluding FADS1 variant due to its apparent pleiotropic effect) and type 2 diabetes (1.03; 95% CI 0.96, 1.10).

Conclusions

These findings indicate discordance between biochemically measured and genetically predicted plasma vitamin C levels in the association with type 2 diabetes among European populations. The null Mendelian randomization findings provide no strong evidence to suggest the use of vitamin C supplementation for type 2 diabetes prevention.

SUBMITTER: Zheng JS 

PROVIDER: S-EPMC7783939 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Plasma Vitamin C and Type 2 Diabetes: Genome-Wide Association Study and Mendelian Randomization Analysis in European Populations.

Zheng Ju-Sheng JS   Luan Jian'an J   Sofianopoulou Eleni E   Imamura Fumiaki F   Stewart Isobel D ID   Day Felix R FR   Pietzner Maik M   Wheeler Eleanor E   Lotta Luca A LA   Gundersen Thomas E TE   Amiano Pilar P   Ardanaz Eva E   Chirlaque María-Dolores MD   Fagherazzi Guy G   Franks Paul W PW   Kaaks Rudolf R   Laouali Nasser N   Mancini Francesca Romana FR   Nilsson Peter M PM   Onland-Moret N Charlotte NC   Olsen Anja A   Overvad Kim K   Panico Salvatore S   Palli Domenico D   Ricceri Fulvio F   Rolandsson Olov O   Spijkerman Annemieke M W AMW   Sánchez María-José MJ   Schulze Matthias B MB   Sala Núria N   Sieri Sabina S   Tjønneland Anne A   Tumino Rosario R   van der Schouw Yvonne T YT   Weiderpass Elisabete E   Riboli Elio E   Danesh John J   Butterworth Adam S AS   Sharp Stephen J SJ   Langenberg Claudia C   Forouhi Nita G NG   Wareham Nicholas J NJ  

Diabetes care 20201117 1


<h4>Objective</h4>Higher plasma vitamin C levels are associated with lower type 2 diabetes risk, but whether this association is causal is uncertain. To investigate this, we studied the association of genetically predicted plasma vitamin C with type 2 diabetes.<h4>Research design and methods</h4>We conducted genome-wide association studies of plasma vitamin C among 52,018 individuals of European ancestry to discover novel genetic variants. We performed Mendelian randomization analyses to estimat  ...[more]

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