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Evidence of a Causal Relationship Between Adiponectin Levels and Insulin Sensitivity: A Mendelian Randomization Study
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden .ORCID iD: 0000-0003-2071-5866
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2013 (English)In: Diabetes, ISSN 0012-1797, E-ISSN 1939-327X, Vol. 62, no 4, 1338-1344 p.Article in journal (Refereed) Published
Abstract [en]

The adipocyte-secreted protein adiponectin is associated with insulin sensitivity in observational studies. We aimed to evaluate whether this relationship is causal using a Mendelian randomization approach. In a sample of Swedish men aged 71 years (n = 942) from the Uppsala Longitudinal Study of Adult Men (ULSAM), insulin sensitivity (M/I ratio) was measured by the euglycemic insulin clamp. We used three genetic variants in the ADIPOQ locus as instrumental variables (IVs) to estimate the potential causal effect of adiponectin on insulin sensitivity and compared these with results from conventional linear regression. The three ADIPOQ variants, rs17300539, rs3774261, and rs6444175, were strongly associated with serum adiponectin levels (all P ≤ 5.3 × 10−9) and were also significantly associated with M/I ratio in the expected direction (all P ≤ 0.022). IV analysis confirmed that genetically determined adiponectin increased insulin sensitivity (β = 0.47–0.81, all P ≤ 0.014) comparable with observational estimates (β = 0.50, all Pdifference ≥ 0.136). Adjustment for BMI and waist circumference partly explained the association of both genetically determined and observed adiponectin levels with insulin sensitivity. The observed association between higher adiponectin levels and increased insulin sensitivity is likely to represent a causal relationship partly mediated by reduced adiposity.

Place, publisher, year, edition, pages
2013. Vol. 62, no 4, 1338-1344 p.
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Endocrinology and Diabetes
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URN: urn:nbn:se:uu:diva-189285DOI: 10.2337/db12-0935ISI: 000316526000044PubMedID: 23274890OAI: oai:DiVA.org:uu-189285DiVA: diva2:609430
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De två sista författarna delar sistaförfattarskapet.

Available from: 2013-03-05 Created: 2013-01-01 Last updated: 2017-12-06Bibliographically approved

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Fall, ToveZethelius, BjörnIngelsson, ErikHägg, Sara

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