Table.
Mendelian randomization (MR) estimators for the bidirectional association between type 2 diabetes (T2D) and statin-induced LDL-C response
Number of instruments | F-statistic, median (25th, 75th percentile) | Estimate (IVW method, 95% CI) | Sensitivity analyses | Tests of heterogeneity | |||||
---|---|---|---|---|---|---|---|---|---|
Weighted mode estimate (95% CI) | Weighted median estimate (95% CI) | MR-Egger estimate (95% CI) | MR-Egger intercept (95% CI) | Cochrane’s Q (p-value) | Rucker’s Q’ (p-value) | ||||
Statin response ➔ T2D1 | 35 | 18.1 (16.2, 20.9) | 1.00 (0.97, 1.03) | 0.99 (0.93, 1.04) | 0.98 (0.94, 1.02) | 0.99 (0.94, 1.04) | 1.02 (0.92, 1.14) | 31.0 (0.61) | 31.0 (0.57) |
4 | 73.1 (38.8, 120.3) | 1.01 (0.93, 1.09) | 0.98 (0.91, 1.05) | 0.98 (0.91, 1.05) | 0.91 (0.81, 1.01) | 1.04 (1.01, 1.07) | 3.4 (0.33) | 0.2 (0.93) | |
T2D liability ➔ Statin response2 | 62 | 23.2 (16.3, 37.8) | 0.20 (−0.40, 0.80) | 0.11 (−0.95, 1.18) | 0.03 (−0.97, 1.02) | 0.62 (−0.55, 1.80) | −0.04 (−0.15, 0.06) | 65.5 (0.32) | 65.3 (0.30) |
24 | 44.8 (35.5, 70.7) | 0.32 (−0.47, 1.12) | 0.04 (−1.07, 1.14) | 0.08 (−0.99, 1,15) | 1.24 (−0.67, 3.15) | −0.12 (−0.36, 0.11) | 32.4 (0.09) | 32.3 (0.07) |
IVW denotes inverse-variance weighted. The different MR estimators can be interpreted as
odds ratio for T2D per 10% increase in proportional statin response, and
the effect on proportional statin response (%) per doubling in the odds of liability to T2D, respectively. A positive statin response value corresponds to an increased LDL cholesterol lowering effect of statin therapy.