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  • Plasma Vitamin C and Type 2...
    Zheng, Ju-Sheng; Luan, Jian'an; Sofianopoulou, Eleni; Imamura, Fumiaki; Stewart, Isobel D; Day, Felix R; Pietzner, Maik; Wheeler, Eleanor; Lotta, Luca A; Gundersen, Thomas E; Amiano, Pilar; Ardanaz, Eva; Chirlaque, María-Dolores; Fagherazzi, Guy; Franks, Paul W; Kaaks, Rudolf; Laouali, Nasser; Mancini, Francesca Romana; Nilsson, Peter M; Onland-Moret, N Charlotte; Olsen, Anja; Overvad, Kim; Panico, Salvatore; Palli, Domenico; Ricceri, Fulvio; Rolandsson, Olov; Spijkerman, Annemieke M W; Sánchez, María-José; Schulze, Matthias B; Sala, Núria; Sieri, Sabina; Tjønneland, Anne; Tumino, Rosario; van der Schouw, Yvonne T; Weiderpass, Elisabete; Riboli, Elio; Danesh, John; Butterworth, Adam S; Sharp, Stephen J; Langenberg, Claudia; Forouhi, Nita G; Wareham, Nicholas J

    Diabetes care, 01/2021, Letnik: 44, Številka: 1
    Journal Article

    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. 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. We identified 11 genomic regions associated with plasma vitamin C ( < 5 × 10 ), with the strongest signal at , and 10 novel genetic loci including , , , , , , , , , and . 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 variant due to its apparent pleiotropic effect) and type 2 diabetes (1.03; 95% CI 0.96, 1.10). 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.