RT Journal Article T1 The association between circulating 25-hydroxyvitamin D metabolites and type 2 diabetes in European populations: A meta-analysis and Mendelian randomisation analysis. A1 Zheng, Ju-Sheng A1 Luan, Jian'an A1 Sofianopoulou, Eleni A1 Sharp, Stephen J A1 Day, Felix R A1 Imamura, Fumiaki A1 Gundersen, Thomas E A1 Lotta, Luca A A1 Sluijs, Ivonne A1 Stewart, Isobel D A1 Shah, Rupal L A1 van der Schouw, Yvonne T A1 Wheeler, Eleanor A1 Ardanaz, Eva A1 Boeing, Heiner A1 Dorronsoro, Miren A1 Dahm, Christina C A1 Dimou, Niki A1 El-Fatouhi, Douae A1 Franks, Paul W A1 Fagherazzi, Guy A1 Grioni, Sara A1 Huerta, José María A1 Heath, Alicia K A1 Hansen, Louise A1 Jenab, Mazda A1 Jakszyn, Paula A1 Kaaks, Rudolf A1 Kühn, Tilman A1 Khaw, Kay-Tee A1 Laouali, Nasser A1 Masala, Giovanna A1 Nilsson, Peter M A1 Overvad, Kim A1 Olsen, Anja A1 Panico, Salvatore A1 Quiros, J Ramon A1 Rolandsson, Olov A1 Rodriguez-Barranco, Miguel A1 Sacerdote, Carlotta A1 Spijkerman, Annemieke M W A1 Tong, Tammy Y N A1 Tumino, Rosario A1 Tsilidis, Konstantinos K A1 Danesh, John A1 Riboli, Elio A1 Butterworth, Adam S A1 Langenberg, Claudia A1 Forouhi, Nita G A1 Wareham, Nicholas J K1 Adult K1 Diabetes Mellitus, Type 2 K1 Dietary Supplements K1 Female AB Prior research suggested a differential association of 25-hydroxyvitamin D (25(OH)D) metabolites with type 2 diabetes (T2D), with total 25(OH)D and 25(OH)D3 inversely associated with T2D, but the epimeric form (C3-epi-25(OH)D3) positively associated with T2D. Whether or not these observational associations are causal remains uncertain. We aimed to examine the potential causality of these associations using Mendelian randomisation (MR) analysis. We performed a meta-analysis of genome-wide association studies for total 25(OH)D (N = 120,618), 25(OH)D3 (N = 40,562), and C3-epi-25(OH)D3 (N = 40,562) in participants of European descent (European Prospective Investigation into Cancer and Nutrition [EPIC]-InterAct study, EPIC-Norfolk study, EPIC-CVD study, Ely study, and the SUNLIGHT consortium). We identified genetic variants for MR analysis to investigate the causal association of the 25(OH)D metabolites with T2D (including 80,983 T2D cases and 842,909 non-cases). We also estimated the observational association of 25(OH)D metabolites with T2D by performing random effects meta-analysis of results from previous studies and results from the EPIC-InterAct study. We identified 10 genetic loci associated with total 25(OH)D, 7 loci associated with 25(OH)D3 and 3 loci associated with C3-epi-25(OH)D3. Based on the meta-analysis of observational studies, each 1-standard deviation (SD) higher level of 25(OH)D was associated with a 20% lower risk of T2D (relative risk [RR]: 0.80; 95% CI 0.77, 0.84; p Our study found discordant associations of biochemically measured and genetically predicted differences in blood 25(OH)D with T2D risk. The findings based on MR analysis in a large sample of European ancestry do not support a causal association of total 25(OH)D or 25(OH)D metabolites with T2D and argue against the use of vitamin D supplementation for the prevention of T2D. PB Public Library of Science YR 2020 FD 2020-09-11 LK http://hdl.handle.net/10668/16431 UL http://hdl.handle.net/10668/16431 LA en NO Zheng JS, Luan J, Sofianopoulou E, Sharp SJ, Day FR, Imamura F, et al. The association between circulating 25-hydroxyvitamin D metabolites and type 2 diabetes in European populations: A meta-analysis and Mendelian randomisation analysis. PLoS Med. 2020 Oct 16;17(10):e1003394. DS RISalud RD Feb 14, 2025