PMID- 31024619 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 10 DP - 2019 TI - A Positive Causal Influence of IL-18 Levels on the Risk of T2DM: A Mendelian Randomization Study. PG - 295 LID - 10.3389/fgene.2019.00295 [doi] LID - 295 AB - A large number of clinical studies have shown that interleukin-18 (IL-18) plasma levels are positively correlated with the pathogenesis and development of type 2 diabetes mellitus (T2DM), but it remains unclear whether IL-18 causes T2DM, primarily due to the influence of reverse causality and residual confounding factors. Genome-wide association studies have led to the discovery of numerous common variants associated with IL-18 and T2DM and opened unprecedented opportunities for investigating possible associations between genetic traits and diseases. In this study, we employed a two-sample Mendelian randomization (MR) method to analyze the causal relationships between IL-18 plasma levels and T2DM using IL18-related SNPs as genetic instrumental variables (IVs). We first selected eight SNPs that were significantly associated with IL-18 but independent of T2DM. We then used these SNPs as IVs to evaluate their effects on T2DM using the inverse-variance weighted (IVW) method. Finally, we conducted sensitivity analysis and MR-Egger regression analysis to evaluate the heterogeneity and pleiotropic effects of each variant. The results based on the IVW method demonstrate that high IL-18 plasma levels significantly increase the risk of T2DM, and no heterogeneity or pleiotropic effects appeared after the sensitivity and MR-Egger analyses. FAU - Zhuang, He AU - Zhuang H AD - Systemomics Center, College of Pharmacy, and Genomics Research Center (State-Province Key Laboratories of Biomedicine-Pharmaceutics of China), Harbin Medical University, Harbin, China. FAU - Han, Junwei AU - Han J AD - College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, China. FAU - Cheng, Liang AU - Cheng L AD - College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, China. FAU - Liu, Shu-Lin AU - Liu SL AD - Systemomics Center, College of Pharmacy, and Genomics Research Center (State-Province Key Laboratories of Biomedicine-Pharmaceutics of China), Harbin Medical University, Harbin, China. AD - Department of Microbiology, Immunology and Infectious Diseases, University of Calgary, Calgary, AB, Canada. LA - eng PT - Journal Article DEP - 20190405 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC6459887 OTO - NOTNLM OT - Mendelian randomization OT - casual effect OT - genome-wide association studies OT - interleukin-18 levels OT - type 2 diabetes mellitus EDAT- 2019/04/27 06:00 MHDA- 2019/04/27 06:01 PMCR- 2019/04/05 CRDT- 2019/04/27 06:00 PHST- 2019/01/10 00:00 [received] PHST- 2019/03/19 00:00 [accepted] PHST- 2019/04/27 06:00 [entrez] PHST- 2019/04/27 06:00 [pubmed] PHST- 2019/04/27 06:01 [medline] PHST- 2019/04/05 00:00 [pmc-release] AID - 10.3389/fgene.2019.00295 [doi] PST - epublish SO - Front Genet. 2019 Apr 5;10:295. doi: 10.3389/fgene.2019.00295. eCollection 2019.