The Role of Genetically Determined Glycemic Traits in Breast Cancer: A Mendelian Randomization Study

Front Genet. 2020 Sep 16:11:540724. doi: 10.3389/fgene.2020.540724. eCollection 2020.

Abstract

Background: Circulating glycemic traits (GTs) have been considered a risk factor for breast cancer, but studies using GT-associated genetic variants as an instrumental variable are limited and inconclusive.

Methods: Our Mendelian Randomization analysis used the most recent genome-wide datasets focusing on European women.

Results: Of 44 single-nucleotide polymorphisms (SNPs) with GTs, 38 fasting-glucose and 6 fasting-insulin SNPs showed heterogeneous associations with breast cancer, without significant directional pleiotropy observed.

Conclusion: Our findings indicate a null association between genetically determined GTs and breast cancer risk among European women. Our findings may contribute to more complete characterizing of metabolic pathways in GTs and breast cancer.

Keywords: Mendelian randomization; breast cancer; diabetes; genetically determined glucose and insulin; obesity.