Evidence map›Paper›PMID 42754861›Full record

Observational studyBMC cancer2026

Polygenic risk scores, adiposity, and disease transition in type 2 diabetes and colorectal cancer comorbidity: a population-based Chinese cohort study.

Bing Liu, Jue Xu, Caixia Jiang, Yan Zhang, Xin Wang

Abstract readObservational Study
In one paragraph

Observational study in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Bing LiuHangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou, 310021, China. liubing524057@gmail.com.
Jue XuHangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou, 310021, China.
Caixia JiangHangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou, 310021, China.
Yan ZhangHangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou, 310021, China.
Xin WangCommunity Health Service Center of Ziyang Subdistrict, Hangzhou, 310002, China.

Funding

Zhejiang Provincial Natural Science Foundation of China LTGY24H260006
6 · The paper itself

Abstract

backgroundThe co-occurrence of type 2 diabetes (T2D) and colorectal cancer (CRC) represents an increasing public health concern, contributing to greater clinical complexity and poorer outcomes. This study aimed to evaluate whether polygenic risk scores (PRS) for T2D and CRC are associated with the risk of T2D-CRC comorbidity and to investigate their potential interaction with body mass index (BMI).

methodsA Chinese cohort comprising four groups was analyzed, including individuals with both T2D and CRC (n = 202), T2D_only (n = 203), CRC_only (n = 199), and controls (n = 201). Ancestry-matched genome-wide association study data were used to construct PRS for T2D and CRC. Associations between genetic risk, adiposity, and disease status were assessed using multinomial logistic regression and multi-state models.

resultsIndividuals with T2D-CRC comorbidity exhibited higher PRS for both T2D and CRC compared with controls. In multinomial analyses, T2D PRS showed a borderline association with isolated CRC risk (OR = 1.24, P = 0.046). BMI significantly modified the association between CRC genetic liability and CRC risk (OR = 1.75, 95% CI: 1.27-2.34; P for interaction = 0.033), with stronger effects observed among overweight individuals. Multi-state modeling suggested that CRC genetic liability was associated with a higher hazard of transition from T2D to comorbidity (HR = 1.21, P = 0.037, FDR q = 0.150). Furthermore, individuals in the highest CRC PRS group showed a higher modeled probability of progressing to comorbidity by age 80 compared with those at lower genetic risk in exploratory cumulative risk analyses.

conclusionsGenetic susceptibility to both T2D and CRC, together with adiposity, may help identify individuals at higher risk of developing comorbidity. Integrating PRS with BMI may provide a useful approach for risk stratification and support targeted prevention strategies in populations at elevated risk.

Indexed as

AdiposityColorectal NeoplasmsDiabetes Mellitus, Type 2AgedBody Mass IndexChinaCohort StudiesComorbidityEast Asian PeopleFemaleGenetic Predisposition to DiseaseGenetic Risk ScoreGenome-Wide Association StudyHumansMaleMiddle AgedColorectal cancerComorbidityMulti-state modelingPolygenic risk scoreType 2 diabetes

Identifiers

PMID42754861
PMCPMC13584306

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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.