Cardiometabolic & kidney

Genetic variants of glucose-dependent insulinotropic polypeptide (GIP) signalling as proxy for body weight reduction and cardiovascular risk

Eur Heart JPublished Mendelian randomisation study

Authors' conclusion

Genetic proxies for body weight reduction via GIP receptor targeting reduces the risk of MACE and heart failure, mediated partly through lower BMI and partly through lower HbA1c.

Study context

Population
UK Biobank participants (one-sample Mendelian randomization (MR)); FinnGen summary statistics (two-sample MR)FinnGen n = 419,821
Participants
408,056 participants
Exposure
Genetically proxied body mass index (BMI) reduction via GIP/GIPR score vs polygenic BMI score
Outcome
MACE and HF risk per 1 kg/m² lower BMI
Methodological detailsone-sample MR, two-sample MR, observational analyses
  • One-sample MR
  • Two-sample MR
  • Observational analyses

Main finding

As reported in the abstract

Risk per 1 kg/m² lower BMI (one-sample MR)
GroupMajor adverse cardiovascular events (MACE)HF
GIP/GIPR score29% lower risk (P = .0002)43% lower risk (P = 5 × 10⁻⁵)
Polygenic BMI score3% lower risk (P = .002)13% lower risk (P < 1 × 10-300)

Major adverse cardiovascular events (MACE)

GIP/GIPR score29% lower risk (P = .0002)
Polygenic BMI score3% lower risk (P = .002)

HF

GIP/GIPR score43% lower risk (P = 5 × 10⁻⁵)
Polygenic BMI score13% lower risk (P < 1 × 10-300)

Observational data: associations, not effects.

Further findings

Two-sample MR (FinnGen)

Similar results

Mediation of GIP/GIPR score effect by BMI and HbA1c

MACE: mediated by BMI
13%
MACE: mediated by HbA1c
22%
HF: mediated by BMI
16%
HF: mediated by HbA1c
17%
  • All P ≤ 7 × 10-5

Original publication

Genetic variants of glucose-dependent insulinotropic polypeptide (GIP) signalling as proxy for body weight reduction and cardiovascular risk. Eur Heart J. Published 7 October 2025. doi:10.1093/eurheartj/ehaf779

Composed by AI from the published abstract and checked against it. How Briefs are made →

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