Journal of Peking University(Health Sciences) >
Association between insomnia and type 2 diabetes: A two-sample Mendelian rando-mization study
Received date: 2021-01-21
Online published: 2024-02-06
Supported by
the National Natural Science Foundation of China(81872692);the National Natural Science Foundation of China(82073642)
Objective: To explore the robust relationship between insomnia and type 2 diabetes mellitus by two-sample Mendelian randomization analysis to overcome confounding factors and reverse causality in observational studies. Methods: We identified strong, independent single nucleotide polymorphisms (SNPs) of insomnia from the most up to date genome wide association studies (GWAS) within European ancestors and applied them as instrumental variable to GWAS of type 2 diabetes mellitus. After excluding SNPs that were significantly associated with smoking, physical activity, alcohol consumption, educational attainment, obesity, or type 2 diabetes mellitus, we assessed the impact of insomnia on type 2 diabetes mellitus using inverse variance weighting (IVW) method. Weighted median and MR-Egger regression analysis were also conducted to test the robustness of the association. We calculated the F statistic of the selected SNPs to test the applicability of instrumental variable and F statistic over than ten indicated that there was little possibility of bias of weak instrumental variables. We further examined the existence of pleiotropy by testing whether the intercept term in MR-Egger regression was significantly different from zero. In addition, the leave-one-out method was used for sensitivity analysis to verify the stability and reliability of the results. Results: We selected 248 SNPs independently associated with insomnia at the genome-wide level (P<5×10-8) as a preliminary candidate set of instrumental variables. After clumping based on the reference panel from 1000 Genome Project and removing the potential pleiotropic SNPs, a total of 167 SNPs associated with insomnia were included as final instrumental variables. The F statistic of this study was 39. 74, which was in line with the relevance assumption of Mendelian randomization. IVW method showed insomnia was associated with higher risk of type 2 diabetes mellitus that po-pulation with insomnia were 1. 14 times more likely to develop type 2 diabetes mellitus than those without insomnia (95% CI: 1.09-1.21, P<0.001). The weighted median estimator (WME) method and MR-Egger regression showed similar causal effect of insomnia on type 2 diabetes mellitus. And MR-Egger regression also showed that the effect was less likely to be triggered by pleiotropy. Sensitivity analyses produced directionally similar estimates. Conclusion: Insomnia is a risk factor of type 2 diabetes mellitus, which has positively effects on type 2 diabetes mellitus. Our study provides further rationale for indivi-duals at risk for diabetes to keep healthy lifestyle.
Yujia MA , Ranli LU , Zechen ZHOU , Xiaoyi LI , Zeyu YAN , Yiqun WU , Dafang CHEN . Association between insomnia and type 2 diabetes: A two-sample Mendelian rando-mization study[J]. Journal of Peking University(Health Sciences), 2024 , 56(1) : 174 -178 . DOI: 10.19723/j.issn.1671-167X.2024.01.027
| 1 | Ford ES , Cunningham TJ , Giles WH , et al. Trends in insomnia and excessive daytime sleepiness among U.S. adults from 2002 to 2012[J]. Sleep Med, 2015, 16 (3): 372- 378. |
| 2 | Ogilvie RP , Patel SR . The Epidemiology of sleep and diabetes[J]. Curr Diab Rep, 2018, 18 (10): 82. |
| 3 | Gore M , Brandenburg NA , Dukes E , et al. Pain severity in diabetic peripheral neuropathy is associated with patient functioning, symptom levels of anxiety and depression, and sleep[J]. J Pain Symptom Manage, 2005, 30 (4): 374- 385. |
| 4 | 王玉琢, 沈洪兵. 孟德尔随机化研究应用于因果推断的影响因素及其结果解读面临的挑战[J]. 中华流行病学杂志, 2020, 41 (8): 1231- 1236. |
| 5 | Lawlor DA , Harbord RM , Sterne JC , et al. Mendelian randomization: Using genes as instruments for making causal inferences in epidemiology[J]. Stat Med, 2008, 27 (8): 1133- 1163. |
| 6 | Katan MB . Apolipoprotein E isoforms, serum cholesterol, and cancer. 1986[J]. Int J Epidemiol, 2004, 33 (1): 9. |
| 7 | Greenland S . An introduction to instrumental variables for epidemiologists[J]. Int J Epidemiol, 2000, 29 (4): 722- 729. |
| 8 | Bowden J , Davey Smith G , Burgess S . Mendelian randomization with invalid instruments: Effect estimation and bias detection through Egger regression[J]. Int J Epidemiol, 2015, 44 (2): 512- 525. |
| 9 | 高雪, 王慧, 王彤. 孟德尔随机化中多效性偏倚校正方法简介[J]. 中华流行病学杂志, 2019, 40 (3): 360- 365. |
| 10 | Burgess S , Scott RA , Timpson NJ , et al. Using published data in Mendelian randomization: A blueprint for efficient identification of causal risk factors[J]. Eur J Epidemiol, 2015, 30 (7): 543- 552. |
| 11 | Hammerschlag AR , Stringer S , De Leeuw CA , et al. Genome-wide association analysis of insomnia complaints identifies risk genes and genetic overlap with psychiatric and metabolic traits[J]. Nature Genet, 2017, 49 (11): 1584- 1592. |
| 12 | Mahajan A , Taliun D , Thurner M , et al. Fine-mapping type 2 diabetes loci to single-variant resolution using high-density imputation and islet-specific epigenome maps[J]. Nature Genet, 2018, 50 (11): 1505- 1513. |
| 13 | Burgess S , Butterworth A , Thompson SG . Mendelian randomization analysis with multiple genetic variants using summarized data[J]. Genet Epidemiol, 2013, 37 (7): 658- 665. |
| 14 | Jansen PR , Watanabe K , Stringer S , et al. Genome-wide analysis of insomnia in 1 331 010 individuals identifies new risk loci and functional pathways[J]. Nat Genet, 2019, 51 (3): 394- 403. |
| 15 | Stock J , Yogo M , Wright J . A survey of weak instruments and weak identification in generalized method of moments[J]. J Bus Econ Stat, 2002, 20 (4): 518- 529. |
| 16 | Yuan S , Larsson SC . An atlas on risk factors for type 2 diabetes: A wide-angled Mendelian randomisation study[J]. Diabetologia, 2020, 63 (11): 2359- 2371. |
| 17 | Cespedes EM , Dudley KA , Sotres-Alvarez D , et al. Joint associations of insomnia and sleep duration with prevalent diabetes: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL)[J]. J Diabetes, 2016, 8 (3): 387- 397. |
| 18 | Buxton OM , Pavlova M , Reid EW , et al. Sleep restriction for 1 week reduces insulin sensitivity in healthy men[J]. Diabetes, 2010, 59 (9): 2126- 2133. |
| 19 | Leproult R , Deliens G , Gilson M , et al. Beneficial impact of sleep extension on fasting insulin sensitivity in adults with habitual sleep restriction[J]. Sleep, 2015, 38 (5): 707- 715. |
| 20 | Irwin MR , Olmstead R , Carroll JE . Sleep disturbance, sleep duration, and inflammation: A systematic review and meta-analysis of cohort studies and experimental sleep deprivation[J]. Biol Psychiatry, 2016, 80 (1): 40- 52. |
| 21 | Donath MY , Dinarello CA , Mandrup-Poulsen T . Targeting innate immune mediators in type 1 and type 2 diabetes[J]. Nat Rev Immunol, 2019, 19 (12): 734- 746. |
| 22 | Mcmullan CJ , Schernhammer ES , Rimm EB , et al. Melatonin secretion and the incidence of type 2 diabetes[J]. JAMA, 2013, 309 (13): 1388- 1396. |
| 23 | Bouatia-Naji N , Bonnefond A , Cavalcanti-Proen?a C , et al. A variant near MTNR1B is associated with increased fasting plasma glucose levels and type 2 diabetes risk[J]. Nat Genet, 2009, 41 (1): 89- 94. |
| 24 | Garaulet M , Gómez-Abellán P , Rubio-Sastre P , et al. Common type 2 diabetes risk variant in MTNR1B worsens the deleterious effect of melatonin on glucose tolerance in humans[J]. Metabolism, 2015, 64 (12): 1650- 1657. |
| 25 | Burgess S , Bowden J , Fall T , et al. Sensitivity analyses for robust causal inference from Mendelian randomization analyses with multiple genetic variants[J]. Epidemiology, 2017, 28 (1): 30- 42. |
/
| 〈 |
|
〉 |