RT Journal Article T1 Interaction of Dietary and Genetic Factors Influencing Body Iron Status and Risk of Type 2 Diabetes Within the EPIC-InterAct Study. A1 Meidtner, Karina A1 Podmore, Clara A1 Kröger, Janine A1 van der Schouw, Yvonne T A1 Bendinelli, Benedetta A1 Agnoli, Claudia A1 Arriola, Larraitz A1 Barricarte, Aurelio A1 Boeing, Heiner A1 Cross, Amanda J A1 Dow, Courtney A1 Ekblom, Kim A1 Fagherazzi, Guy A1 Franks, Paul W A1 Gunter, Marc J A1 Huerta, José María A1 Jakszyn, Paula A1 Jenab, Mazda A1 Katzke, Verena A A1 Key, Timothy J A1 Khaw, Kay Tee A1 Kühn, Tilman A1 Kyrø, Cecilie A1 Mancini, Francesca Romana A1 Melander, Olle A1 Nilsson, Peter M A1 Overvad, Kim A1 Palli, Domenico A1 Panico, Salvatore A1 Quirós, J Ramón A1 Rodríguez-Barranco, Miguel A1 Sacerdote, Carlotta A1 Sluijs, Ivonne A1 Stepien, Magdalena A1 Tjonneland, Anne A1 Tumino, Rosario A1 Forouhi, Nita G A1 Sharp, Stephen J A1 Langenberg, Claudia A1 Schulze, Matthias B A1 Riboli, Elio A1 Wareham, Nicholas J AB Meat intake has been consistently shown to be positively associated with incident type 2 diabetes. Part of that association may be mediated by body iron status, which is influenced by genetic factors. We aimed to test for interactions of genetic and dietary factors influencing body iron status in relation to the risk of incident type 2 diabetes. The case-cohort comprised 9,347 case subjects and 12,301 subcohort participants from eight European countries. Single nucleotide polymorphisms (SNPs) were selected from genome-wide association studies on iron status biomarkers and candidate gene studies. A ferritin-related gene score was constructed. Multiplicative and additive interactions of heme iron and SNPs as well as the gene score were evaluated using Cox proportional hazards regression. Higher heme iron intake (per 1 SD) was associated with higher ferritin levels (β = 0.113 [95% CI 0.082; 0.144]), but not with transferrin (-0.019 [-0.043; 0.006]) or transferrin saturation (0.016 [-0.006; 0.037]). Five SNPs located in four genes (rs1799945 [HFE H63D], rs1800562 [HFE C282Y], rs236918 [PCK7], rs744653 [SLC40A1], and rs855791 [TMPRSS6 V736A]) were associated with ferritin. We did not detect an interaction of heme iron and the gene score on the risk of diabetes in the overall study population (Padd = 0.16, Pmult = 0.21) but did detect a trend toward a negative interaction in men (Padd = 0.04, Pmult = 0.03). We found no convincing evidence that the interplay of dietary and genetic factors related to body iron status associates with type 2 diabetes risk above the level expected from the sum or product of the two individual exposures. YR 2017 FD 2017-11-22 LK http://hdl.handle.net/10668/11836 UL http://hdl.handle.net/10668/11836 LA en DS RISalud RD Apr 19, 2025