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Genetically determined plasma lipid levels and risk of diabetic retinopathy: A mendelian randomization study


Sobrin, L and Chong, YH and Fan, Q and Gan, A and Stanwyck, LK and Kaidonis, G and Craig, JE and Kim, J and Liao, W-L and Huang, Y-C and Lee, W-J and Hung, Y-J and Guo, X and Hai, Y and Ipp, E and Pollack, S and Hancock, H and Price, A and Penman, A and Mitchell, P and Liew, G and Smith, AV and Gudnason, V and Tan, G and Klein, BEK and Kuo, J and Li, X and Christiansen, MW and Psaty, BM and Sandow, K and Jensen, RA and Klein, R and Cotch, MF and Wang, JJ and Jia, Y and Chen, CJ and Chen, Y-DI and Rotter, JL and Tsai, F-J and Hanis, CL and Burdon, KP and Wong, TY and Cheng, C-Y, Asian Genetic Epidemiology Network Consortium, Genetically determined plasma lipid levels and risk of diabetic retinopathy: A mendelian randomization study, Diabetes, 66, (12) pp. 3130-3141. ISSN 0012-1797 (2017) [Refereed Article]

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Copyright Statement

Copyright 2017 The American Diabetes Association

DOI: doi:10.2337/db17-0398


Results from observational studies examining dyslipidemia as a risk factor for diabetic retinopathy (DR) have been inconsistent. We evaluated the causal relationship between plasma lipids and DR using a Mendelian randomization (MR) approach. We pooled genome-wide association studies summary statistics from 18 studies for 2 DR phenotypes: any DR (N = 2,969 case; 4,096 controls) and severe DR, (N = 1,277 cases; 3,980 controls). Previously identified lipid-associated single nucleotide polymorphisms (SNPs) served as instrumental variables. Meta-analysis to combine the MR estimates from different cohorts was conducted. There was no statistically significant change in odds ratios (OR) of having any DR or severe DR for any of lipid fractions in the primary analysis which used SNPs that did not have a pleiotropic effect on another lipid fraction. Similarly, there was no significant association in the Caucasian and Chinese subgroup analyses. This study did not show evidence of a causal role of the four lipid fractions on DR. However, the study had limited power to detect OR less than 1.23 per standard deviation (SD) in genetically-induced increase in plasma lipid levels, thus we cannot exclude that causal relationships with more modest effect sizes exist.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Ophthalmology and optometry
Research Field:Ophthalmology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Burdon, KP (Professor Kathryn Burdon)
ID Code:122154
Year Published:2017
Web of Science® Times Cited:11
Deposited By:Menzies Institute for Medical Research
Deposited On:2017-11-02
Last Modified:2022-08-29
Downloads:159 View Download Statistics

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