Cited by 28Genetic Associations and EpidemiologyDiabetes, Cardiovascular Risks, and LipoproteinsPancreatic function and diabetes

Leveraging human genetic data to investigate the cardiometabolic effects of glucose-dependent insulinotropic polypeptide signalling

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Karhunen, Ville, Daghlas, Iyas, Zuber, Verena, Vujkovic, Marijana, Olsen, Anette K., Knudsen, Lotte Bjerre, Haynes, William G., Howson, Joanna M. M. +1 more·2021·Diabetologia

Abstract

Aims/hypothesis: The aim of this study was to leverage human genetic data to investigate the cardiometabolic effects of glucose-dependent insulinotropic polypeptide (GIP) signalling. Methods: Data were obtained from summary statistics of large-scale genome-wide association studies. We examined whether genetic associations for type 2 diabetes liability in the GIP and GIPR genes co-localised with genetic associations for 11 cardiometabolic outcomes. For those outcomes that showed evidence of co-localisation (posterior probability >0.8), we performed Mendelian randomisation analyses to estimate the association of genetically proxied GIP signalling with risk of cardiometabolic outcomes, and to test whether this exceeded the estimate observed when considering type 2 diabetes liability variants from other regions of the genome. Results: Evidence of co-localisation with genetic associations of type 2 diabetes liability at both the GIP and GIPR genes was observed for five outcomes. Mendelian randomisation analyses provided evidence for associations of lower genetically proxied type 2 diabetes liability at the GIP and GIPR genes with lower BMI (estimate in SD units −0.16, 95% CI −0.30, −0.02), C-reactive protein (−0.13, 95% CI −0.19, −0.08) and triacylglycerol levels (−0.17, 95% CI −0.22, −0.12), and higher HDL-cholesterol levels (0.19, 95% CI 0.14, 0.25). For all of these outcomes, the estimates were greater in magnitude than those observed when considering type 2 diabetes liability variants from other regions of the genome. Conclusions/interpretation: This study provides genetic evidence to support a beneficial role of sustained GIP signalling on cardiometabolic health greater than that expected from improved glycaemic control alone. Further clinical investigation is warranted. Data availability: All data used in this study are publicly available. The scripts for the analysis are available at: https://github.com/vkarhune/GeneticallyProxiedGIP . Graphical abstract:

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  • Recent data provides human genetic evidence that supports a beneficial role of sustained GIP signaling on cardiometabolic health outcomes, notably a lower BMI.

    “However, recent data provides human genetic evidence that supports a beneficial role of sustained GIP signaling on cardiometabolic health outcomes, notably a lower BMI [69].”

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References 15 · Cited by 28

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Authors
Karhunen, V., Daghlas, I., Zuber, V., Vujkovic, M., Olsen, A. K., Knudsen, L. B., Haynes, W. G., Howson, J. M. M., & Gill, D.
Affiliations
  • Imperial College London (GB)
  • Harvard University (US)
  • University of Cambridge (GB)
  • Novo Nordisk (Denmark) (DK)
  • University of Oxford (GB)
  • University of London (GB)
Corresponding author
  • Karhunen, Ville
  • Gill, Dipender
Venue
Diabetologia
Published
2021-09-09
Volume
64
Issue
12
Pages
2773-2778
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
OpenAlex
W3196975298
Cited by
28
References
15
Citations by year
2026: 5 · 2025: 7 · 2024: 8 · 2023: 2 · 2022: 6
FWCI
2.26
Type
journal article
Language
en
Open access
Locations
  • Diabetologia (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • St George's Online Research Archive (St George's University of London) (submittedVersion)
  • Spiral (Imperial College London) (submittedVersion, other-oa)
Funders
  • National Institute for Health and Care Research (CL-2020-16-001)
  • British Heart Foundation (RE/18/4/34215)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
Keywords
glucose-dependent insulinotropic polypeptide, cardiometabolic outcomes, Mendelian randomization, body mass index, C-reactive protein, triglycerides, HDL cholesterol, glycemic control
MeSH terms
Human Genetics, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Gastric Inhibitory Polypeptide, Glucose, Humans, Receptors, Gastrointestinal Hormone, Genome-Wide Association Study

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