ArticlemedRxiv : the preprint server for health sciences2026
Multi-molecular scores map process-specific polygenic diabetes risk to atherosclerosis, cardiometabolic diseases, and vascular complications.
Article in medRxiv : the preprint server for health sciences, 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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Abstract
Type 2 diabetes (T2D) is etiologically heterogeneous, and process-specific polygenic scores (pPSs) only partly resolve this complexity. Here we integrate fourteen published T2D pPSs with plasma biochemistry, proteomics and NMR metabolomics in 29,425 SCAPIS participants to derive process-specific, polygenic-informed multi-molecular scores (pMMSs) that map genetic risk onto multi-omic molecular signatures. We then test the associations of these scores with subclinical coronary atherosclerosis, incident T2D, macrovascular disease, and microvascular complications in SCAPIS and 458,905 participants from UK Biobank. The novel pMMSs recapitulate the mechanistic interpretability of their underlying pPSs, yet show substantially stronger and more granular associations with molecular traits and disease risk. For example, per standard deviation, the
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