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024 7 _ |a 1939-327X
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037 _ _ |a DKFZ-2018-01981
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Kröger, Janine
|0 0000-0002-7496-3665
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245 _ _ |a Circulating Fetuin-A and Risk of Type 2 Diabetes: A Mendelian Randomization Analysis.
260 _ _ |a Alexandria, Va
|c 2018
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336 7 _ |a article
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520 _ _ |a Fetuin-A, a hepatic-origin protein, is strongly positively associated with risk of type 2 diabetes in human observational studies, but it is unknown whether this association is causal. We aimed to study the potential causal relation of circulating fetuin-A to risk of type 2 diabetes in a Mendelian randomization study with single nucleotide polymorphisms located in the fetuin-A-encoding AHSG gene. We used data from eight European countries of the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct case-cohort study including 10,020 incident cases. Plasma fetuin-A concentration was measured in a subset of 965 subcohort participants and 654 case subjects. A genetic score of the AHSG single nucleotide polymorphisms was strongly associated with fetuin-A (28% explained variation). Using the genetic score as instrumental variable of fetuin-A, we observed no significant association of a 50 µg/mL higher fetuin-A concentration with diabetes risk (hazard ratio 1.02 [95% CI 0.97, 1.07]). Combining our results with those from the DIAbetes Genetics Replication And Meta-analysis (DIAGRAM) consortium (12,171 case subjects) also did not suggest a clear significant relation of fetuin-A with diabetes risk. In conclusion, although there is mechanistic evidence for an effect of fetuin-A on insulin sensitivity and secretion, this study does not support a strong, relevant relationship between circulating fetuin-A and diabetes risk in the general population.
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650 _ 7 |a AHSG protein, human
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650 _ 7 |a Biomarkers
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650 _ 7 |a alpha-2-HS-Glycoprotein
|2 NLM Chemicals
700 1 _ |a Meidtner, Karina
|b 1
700 1 _ |a Stefan, Norbert
|0 0000-0002-2186-9595
|b 2
700 1 _ |a Guevara, Marcela
|b 3
700 1 _ |a Kerrison, Nicola D
|b 4
700 1 _ |a Ardanaz, Eva
|b 5
700 1 _ |a Aune, Dagfinn
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700 1 _ |a Boeing, Heiner
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700 1 _ |a Dorronsoro, Miren
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700 1 _ |a Dow, Courtney
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700 1 _ |a Fagherazzi, Guy
|0 0000-0001-5033-5966
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700 1 _ |a Franks, Paul W
|0 0000-0002-0520-7604
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700 1 _ |a Freisling, Heinz
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700 1 _ |a Gunter, Marc J
|b 13
700 1 _ |a Huerta, José María
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700 1 _ |a Kaaks, Rudolf
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700 1 _ |a Key, Timothy J
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700 1 _ |a Khaw, Kay Tee
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700 1 _ |a Krogh, Vittorio
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700 1 _ |a Kühn, Tilman
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700 1 _ |a Mancini, Francesca Romana
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700 1 _ |a Mattiello, Amalia
|b 21
700 1 _ |a Nilsson, Peter M
|b 22
700 1 _ |a Olsen, Anja
|b 23
700 1 _ |a Overvad, Kim
|b 24
700 1 _ |a Palli, Domenico
|b 25
700 1 _ |a Quirós, J Ramón
|b 26
700 1 _ |a Rolandsson, Olov
|b 27
700 1 _ |a Sacerdote, Carlotta
|b 28
700 1 _ |a Sala, Núria
|b 29
700 1 _ |a Salamanca-Fernández, Elena
|b 30
700 1 _ |a Sluijs, Ivonne
|b 31
700 1 _ |a Spijkerman, Annemieke M W
|b 32
700 1 _ |a Tjonneland, Anne
|b 33
700 1 _ |a Tsilidis, Konstantinos K
|b 34
700 1 _ |a Tumino, Rosario
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700 1 _ |a van der Schouw, Yvonne T
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700 1 _ |a Forouhi, Nita G
|0 0000-0002-5041-248X
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700 1 _ |a Sharp, Stephen J
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700 1 _ |a Langenberg, Claudia
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700 1 _ |a Riboli, Elio
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700 1 _ |a Schulze, Matthias B
|0 0000-0002-0830-5277
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700 1 _ |a Wareham, Nicholas J
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773 _ _ |a 10.2337/db17-1268
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