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Karger Publishers, Lifestyle Genomics, 5(13), p. 146-153, 2020

DOI: 10.1159/000509663

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Investigation of the Causal Association between Long-Chain n-6 Polyunsaturated Fatty Acid Synthesis and the Risk of Type 2 Diabetes: A Mendelian Randomization Analysis

Journal article published in 2020 by Michael A. Zulyniak ORCID, Harriett Fuller, Mark M. Iles
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

<b><i>Background:</i></b> Globally, 1 in 11 adults has diabetes mellitus, and most of these cases are type 2 diabetes (T2D). The risk of T2D is influenced by many factors, including diet. The synthesis of long-chain n-6 polyunsaturated fatty acids (LC n-6 PUFA) has been posited as a risk factor for T2D; however, its causal role is uncertain. <b><i>Aim:</i></b> To test the causal effect of LC n-6 PUFA synthesis on insulin resistance and transgenerational T2D risk in a large cohort of men and women. <b><i>Methods:</i></b> Two-sample mendelian randomization (MR) was conducted to evaluate the effect of low or high levels of LC n-6 PUFA synthesis on glycemia and development of T2D in the UK Biobank (<i>n</i> = 463,010) and Meta-Analysis of Glucose- and Insulin-Related Traits Consortium (MAGIC; <i>n</i> = 5,130) cohorts. The increased likelihood of a predisposition to low or high LC n-6 PUFA synthesis and the risk of T2D was also investigated using the participants’ siblings and parents. In MR-Base, 4 genetic variants associated with LC n-6 PUFA synthesis were found (<i>p</i> &#x3c; 10<sup>–8</sup>). After pruning, 1 variant (rs174547) on the FADS1 gene was retained. <b><i>Results:</i></b> Lower LC n-6 PUFA synthesis and abundance (per % unit decrease) are associated with small reductions in the insulin disposition index (–0.038 ± 0.012 mM<sup>–1</sup>; <i>p</i> = 0.002) within MAGIC. In the UK Biobank, we report negligible effects of low n-6 PUFA synthesis on the odds of T2D (OR &#x3c;1%; <i>p</i> &#x3c; 0.05). Additionally, reduced LC n-6 PUFA synthesis does not appear to be a contributor to familial T2D risk. No significant association was observed between LC n-6 PUFA synthesis and BMI. <b><i>Conclusion:</i></b> In a primarily white European population, LC n-6 PUFA synthesis is not a major contributor to T2D risk.