A causal relationship between cigarette smoking and type 2 diabetes mellitus: A Mendelian randomization study

Sci Rep. 2019 Dec 18;9(1):19342. doi: 10.1038/s41598-019-56014-9.

Abstract

The causality between smoking and type 2 diabetes is unclear. We conducted a two-sample Mendelian randomization study to explore the causal relationship between smoking initiation and type 2 diabetes. Summary-level data for type 2 diabetes were obtained from a meta-analysis of 32 genome-wide association studies (DIAbetes Genetics Replication And Meta-analysis consortium), which included 898 130 individuals of European ancestry. Totally, 377 single-nucleotide polymorphisms associated with smoking initiation at genome wide significance threshold (p < 5 × 10-8) were identified from the hitherto largest genome-wide association study on smoking. The inverse-variance weighted, weighted median, MR-Egger regression, and MR-PRESSO approaches were used to analyze the data. Genetically predicted smoking initiation was associated with type 2 diabetes with an odds ratio of 1.28 (95% confidence interval, 1.20, 1.37; p = 2.35 × 10-12). Results were consistent across sensitivity analyses and there was no evidence of horizontal pleiotropy. This study provides genetic evidence supporting a causal association between the smoking initiation and type 2 diabetes. Reducing cigarette smoking initiation can now be even more strongly recommended for type 2 diabetes prevention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cigarette Smoking / adverse effects*
  • Diabetes Mellitus, Type 2 / etiology*
  • Diabetes Mellitus, Type 2 / genetics*
  • Genetic Predisposition to Disease
  • Humans
  • Mendelian Randomization Analysis*
  • Odds Ratio
  • Polymorphism, Single Nucleotide / genetics