Evidence map›Paper›PMID 41178771›Full record

ArticleCurrent medicinal chemistry2026

A Bi-directional Mendelian Randomization Study of Idiopathic Pulmonary Fibrosis and Six Diabetes-related Traits.

Yi Nie, Hongmei Li, Haibin Wang

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Article in Current medicinal chemistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Yi NieDepartment of Endocrinology, The First Affiliated Hospital of Tsinghua University, Beijing, 100016, P.R. China.
Hongmei LiDepartment of Endocrinology, The First Affiliated Hospital of Tsinghua University, Beijing, 100016, P.R. China.
Haibin WangDepartment of Endocrine and Metabolic Diseases, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450000, P.R. China.

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6 · The paper itself

Abstract

introductionThe objective of the present study was to explore the bi-directional causal relationship between IPF and diabetes (type 1 diabetes and type 2 diabetes)/ diabetic nephropathy/glycemic traits [fasting glucose and glycated hemoglobin (HbA1c)]/fasting blood insulin through MR analysis.

methodsA bi-directional two-sample Mendelian randomization (MR) study design was adopted to evaluate the causal relationship between IPF and diabetes (type 1 diabetes and type 2 diabetes), diabetic complications (diabetic nephropathy) and glycemic traits [fasting blood glucose, glycated hemoglobin (HbA1c), fasting insulin] in a European population. Genome-wide association study summary data was obtained. The inverse variance weighted (IVW) method with a fixed-effects model was used to estimate the primary causal effects. The causal effects are represented by reporting odds ratios (OR) and their corresponding 95% confidence intervals (CI). The robustness of results was assessed using the MR-Egger and Weighted Median methods.

resultsIn the forward MR analysis, the IVW method revealed a significant causal effect of IPF on type 2 diabetes (OR=1.031, 95% CI: 1.011-1.052). Similar estimates were obtained through the Weighted Median method. However, no significant causal effects were observed on type 1 diabetes, diabetic nephropathy, fasting blood glucose, HbA1c, and fasting insulin, respectively (p>0.05). We performed the reverse MR analysis using similar methods to the forward MR approach. MR analysis only showed a significant causal association of fasting insulin with IPF risk, with an OR of 3.576 (95% CI: 1.958-6.531). DISCUSSION: Genetically determined IPF was linked to an elevated risk of type 2 diabetes. The inverse MR analysis indicated that there was no causal impact of genetically predicted type 2 diabetes on the IPF risk.

conclusionGenetically predicted fasting blood insulin was found to be positively associated with IPF risk.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Idiopathic Pulmonary FibrosisMendelian Randomization AnalysisBlood GlucoseDiabetic NephropathiesGenome-Wide Association StudyGlycated HemoglobinHumansInsulinBlood GlucoseGlycated HemoglobinInsulinBi-directionalblood glucosediabetesidiopathic pulmonary fibrosisinsulinMendelian randomization

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.