Association of Birth Weight With Type 2 Diabetes and Glycemic Traits: A Mendelian Randomization Study

IMPORTANCE Observational studies have shown associations of birth weight with type 2 diabetes (T2D) and glycemic traits, but it remains unclear whether these associations represent causal associations.OBJECTIVE To test the association of birth weight with T2D and glycemic traits using a mendelian randomization analysis.DESIGN, SETTING, AND PARTICIPANTS This mendelian randomization study used a genetic risk score for birth weight that was constructed with 7 genome-wide significant single-nucleotide polymorphisms. The associations of this score with birth weight and T2D were tested in a mendelian randomization analysis using study-level data. The association of birth weight with T2D was tested using both study-level data (7 single-nucleotide polymorphisms were used as an instrumental variable) and summary-level data from the consortia (43 single-nucleotide polymorphismswere used as an instrumental variable). Data from 180 056 participants from 49 studies were included.MAIN OUTCOMES AND MEASURES Type 2 diabetes and glycemic traits.RESULTS This mendelian randomization analysis included 49 studies with 41 155 patients with T2D and 80 008 control participants from study-level data and 34 840 patients with T2D and 114 981 control participants from summary-level data. Study-level data showed that a 1-SD decrease in birth weight due to the genetic risk score was associated with higher risk of T2D among all participants (odds ratio [OR], 2.10; 95% CI, 1.69-2.61; P=4.03 x 10-5), among European participants (OR, 1.96; 95% CI, 1.42-2.71; P=.04), and among East Asian participants (OR, 1.39; 95% CI, 1.18-1.62; P=.04). Similar results were observed from summary-level analyses. In addition, each 1-SD lower birth weight was associated with 0.189 SD higher fasting glucose concentration (beta=0.189; SE=0.060; P=.002), but not with fasting insulin, 2-hour glucose, or hemoglobin A1c concentration.CONCLUSIONS AND RELEVANCE In this study, a genetic predisposition to lower birth weight was associated with increased risk of T2D and higher fasting glucose concentration, suggesting genetic effects on retarded fetal growth and increased diabetes risk that either are independent of each other or operate through alterations of integrated biological mechanisms

Photoelectron angular distributions from strong-field ionization of oriented molecules

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Impulsive orientation and alignment of quantum-state-selected NO molecules

Manipulation of the molecular-axis distribution is an important ingredient in experiments aimed at understanding and controlling molecular processes(1-6). Samples of aligned or oriented molecules can be obtained following the interaction with an intense laser field(7-9), enabling experiments in the molecular rather than the laboratory frame(10-12). However, the degree of impulsive molecular orientation and alignment that can be achieved using a single laser field is limited(13) and crucially depends on the initial states, which are thermally populated. Here we report the successful demonstration of a new technique for laser-field-free orientation and alignment of molecules that combines an electrostatic field, non-resonant femtosecond laser excitation(14) and the preparation of state-selected molecules using a hexapole(2). As a unique quantum-mechanical wavepacket is formed, a large degree of orientation and alignment is observed both during and after the femtosecond laser pulse, which is even further increased (to < cos theta > = -0.74 and < cos(2)theta > = 0.82, respectively) by tailoring the shape of the femtosecond laser pulse. This work should enable new applications such as the study of reaction dynamics or collision experiments in the molecular frame, and orbital tomography(11) of heteronuclear molecules.No Full Tex