Coronary Artery Disease Risk Elevated With Genetic Hyperglycemia
Elevated coronary artery disease risk is independent of type 2 diabetes and other CAD risk factors.
HealthDay News — Genetic predisposition to hyperglycemia raises the odds of coronary artery disease (CAD), independent of type 2 diabetes and other CAD risk factors, according to research published online March 15 in Diabetes Care.
Jordi Merino, PhD, from Massachusetts General Hospital in Boston, and colleagues conducted a discovery and validation genetic instrumental analysis to test the hypothesis that of all the potential metabolic contributors to type 2 diabetes and its metabolic consequences, genetically driven hyperglycemia alone has an effect on CAD risk. Analysis relied upon summary-level statistics from the largest published meta-analyses of genome-wide association studies for fasting glucose (FG; 133,010 participants free of diabetes) and CAD (63,746 case subjects and 130,681 control subjects).
The researchers found that using an instrumental variable analysis of 12 FG-raising variants, a 1 mmol/L increase in FG revealed an effect-size estimate of 1.43 CAD odds (95% CI, 1.14-1.79). After excluding variants for heterogeneity and pleiotropic effects on other CAD risk factors, the association remained (odds ratio [OR]: 1.33; 95% CI, 1.02-1.73). The 12 FG-increasing variants did not significantly increase type 2 diabetes risk (OR: 1.05; 95% CI, 0.91-1.23), and its prevalence was constant across FG genetic risk score quintiles (P =.72).
"These findings suggest that modulating glycemia may provide cardiovascular benefit," the authors write.
Merino J, Leong A, Posner DC, et al. Genetically driven hyperglycemia increases risk of coronary artery disease separately from type 2 diabetes [published online March 15, 2016]. Diabetes Care. doi: 10.2337/dc16-2625