4.7 Article

Association of Genetic Variants Related to Serum Calcium Levels With Coronary Artery Disease and Myocardial Infarction

期刊

出版社

AMER MEDICAL ASSOC
DOI: 10.1001/jama.2017.8981

关键词

-

资金

  1. Junior Researcher Award grant from the Strategic Research Area in Epidemiology at Karolinska Institutet
  2. MRC [MR/L003120/1, MC_UU_00002/7] Funding Source: UKRI
  3. British Heart Foundation [RG/08/014/24067] Funding Source: researchfish
  4. Medical Research Council [MR/L003120/1, MC_UU_00002/7] Funding Source: researchfish
  5. National Institute for Health Research [NF-SI-0512-10165] Funding Source: researchfish
  6. Wellcome Trust [204623/Z/16/Z] Funding Source: researchfish

向作者/读者索取更多资源

IMPORTANCE Serum calcium has been associated with cardiovascular disease in observational studies and evidence from randomized clinical trials indicates that calcium supplementation, which raises serum calcium levels, may increase the risk of cardiovascular events, particularly myocardial infarction. OBJECTIVE To evaluate the potential causal association between genetic variants related to elevated serum calcium levels and risk of coronary artery disease (CAD) and myocardial infarction using mendelian randomization. DESIGN, SETTING, AND PARTICIPANTS The analyses were performed using summary statistics obtained for single-nucleotide polymorphisms (SNPs) identified from a genome-wide association meta-analysis of serum calcium levels (N = up to 61 079 individuals) and from the Coronary Artery Disease Genome-wide Replication and Meta-analysis Plus the Coronary Artery Disease Genetics (CardiogramplusC4D) consortium's 1000 genomes-based genome-wide association meta-analysis (N = up to 184 305 individuals) that included cases (individuals with CAD andmyocardial infarction) and noncases, with baseline data collected from 1948 and populations derived from across the globe. The association of each SNP with CAD andmyocardial infarction was weighted by its association with serum calcium, and estimates were combined using an inverse-variance weighted meta-analysis. EXPOSURES Genetic risk score based on genetic variants related to elevated serum calcium levels. MAIN OUTCOMES AND MEASURES Co-primary outcomes were the odds of CAD and myocardial infarction. RESULTS Among the mendelian randomized analytic sample of 184 305 individuals (60 801 CAD cases [approximately 70% with myocardial infarction] and 123 504 noncases), the 6 SNPs related to serum calcium levels and without pleiotropic associations with potential confounders were estimated to explain about 0.8% of the variation in serum calcium levels. In the inverse-variance weighted meta-analysis (combining the estimates of the 6 SNPs), the odds ratios per 0.5-mg/dL increase (about 1 SD) in genetically predicted serum calcium levels were 1.25 (95% CI, 1.08-1.45; P = .003) for CAD and 1.24 (95% CI, 1.05-1.46; P = .009) for myocardial infarction. CONCLUSIONS AND RELEVANCE A genetic predisposition to higher serum calcium levels was associated with increased risk of CAD andmyocardial infarction. Whether the risk of CAD associated with lifelong genetic exposure to increased serum calcium levels can be translated to a risk associated with short-term to medium-term calcium supplementation is unknown.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Gastroenterology & Hepatology

Inverse Association Between Serum 25-Hydroxyvitamin D and Nonalcoholic Fatty Liver Disease

Shuai Yuan, Susanna C. Larsson

Summary: This study conducted a bidirectional Mendelian randomization to explore the association between serum 25-hydroxyvitamin D and NAFLD. It found that increased vitamin D levels may play a role in preventing NAFLD in European populations.

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2023)

Article Geriatrics & Gerontology

Linear and Nonlinear Associations Between Vitamin D and Grip Strength: A Mendelian Randomization Study in UK Biobank

Snehal M. Pinto Pereira, Victoria Garfield, Thomas Norris, Stephen Burgess, Dylan M. Williams, Richard Dodds, Avan A. Sayer, Sian M. Robinson, Rachel Cooper

Summary: This study found a nonlinear relationship between circulating vitamin D concentration and grip strength, with higher vitamin D levels associated with stronger grip. Mendelian randomization analysis also showed a modest positive effect of higher vitamin D concentration on grip strength.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2023)

Article Nutrition & Dietetics

Plasma phospholipid arachidonic acid in relation to non-alcoholic fatty liver disease: Mendelian randomization study

Jie Chen, Xixian Ruan, Yuhao Sun, Xue Li, Shuai Yuan, Susanna C. Larsson

Summary: This study used Mendelian randomization analysis and found potential causal associations between high levels of plasma phospholipid AA and the risk of NAFLD and cirrhosis, based on data from three different sources.

NUTRITION (2023)

Article Biology

Conditional inference in cis-Mendelian randomization using weak genetic factors

Ashish Patel, Dipender Gill, Paul Newcombe, Stephen Burgess

Summary: This paper proposes a method for cis-MR inference that uses many correlated variants to make robust inferences even in situations with weak effects. This method can be used for drug target validation and provides genetic evidence for cholesterol-lowering drug targets aimed at preventing coronary heart disease.

BIOMETRICS (2023)

Article Endocrinology & Metabolism

Gastrointestinal Consequences of Type 2 Diabetes Mellitus and Impaired Glycemic Homeostasis: A Mendelian Randomization Study

Jie Chen, Shuai Yuan, Tian Fu, Xixian Ruan, Jie Qiao, Xiaoyan Wang, Xue Li, Dipender Gill, Stephen Burgess, Edward L. Giovannucci, Susanna C. Larsson

Summary: We conducted an MR study to examine the associations between type 2 diabetes and glycemic traits with gastrointestinal diseases (GDs). It was found that genetic liability to type 2 diabetes was associated with an increased risk of 12 GDs.

DIABETES CARE (2023)

Letter Public, Environmental & Occupational Health

Response to: Reassessing the causal role of early life adiposity in breast cancer

Yu Hao, Jinyu Xiao, Yu Liang, Xueyao Wu, Haoyu Zhang, Chenghan Xiao, Li Zhang, Stephen Burgess, Nan Wang, Xunying Zhao, Peter Kraft, Jiayuan Li, Xia Jiang

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY (2023)

Article Cardiac & Cardiovascular Systems

Sex-Specific Reproductive Factors Augment Cardiovascular Disease Risk in Women: A Mendelian Randomization Study

Maddalena Ardissino, Eric A. W. Slob, Paul Carter, Tormod Rogne, Joanna Girling, Stephen Burgess, Fu Siong Ng

Summary: This study used Mendelian randomization to explore the causal relevance of reproductive factors on cardiovascular disease in women. The results showed that earlier genetically predicted age at first birth, higher genetically predicted number of live births, and earlier genetically predicted age at menarche were associated with increased risk of cardiovascular disease. These findings support the role of reproductive factors in the development of cardiovascular disease in women and identify potential modifiable mediators for clinical intervention.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2023)

Article Psychiatry

Depression and 24 gastrointestinal diseases: a Mendelian randomization study

Xixian Ruan, Jie Chen, Yuhao Sun, Yao Zhang, Jianhui Zhao, Xiaoyan Wang, Xue Li, Shuai Yuan, Susanna C. C. Larsson

Summary: The study used Mendelian randomization analysis to explore the association between depression and 24 gastrointestinal diseases. It was found that genetic variations associated with depression were linked to several gastrointestinal diseases, including irritable bowel syndrome, non-alcoholic fatty liver disease, and ulcerative colitis.

TRANSLATIONAL PSYCHIATRY (2023)

Article Cardiac & Cardiovascular Systems

Triglyceride-rich lipoprotein remnants, low-density lipoproteins, and risk of coronary heart disease: a UK Biobank study

Elias Bjornson, Martin Adiels, Marja-Riitta Taskinen, Stephen Burgess, Aidin Rawshani, Jan Boren, Chris J. Packard

Summary: In this study, the association between triglyceride-rich lipoproteins (TRL) and coronary heart disease (CHD) was investigated using population data from the UK Biobank. The results suggest that TRL/remnant cholesterol has a stronger and independent association with CHD compared to LDL cholesterol. Moreover, different genetic clusters impact TRL/remnants and LDL differentially, with TRL/remnants exhibiting a higher atherogenicity per particle than LDL.

EUROPEAN HEART JOURNAL (2023)

Article Cardiac & Cardiovascular Systems

Birth weight influences cardiac structure, function, and disease risk: evidence of a causal association

Maddalena Ardissino, Alec P. Morley, Eric A. W. Slob, Art Schuermans, Bilal Rayes, Zahra Raisi-Estabragh, Antonio de Marvao, Stephen Burgess, Tormod Rogne, Michael C. Honigberg, Fu Siong Ng

Summary: This study found that natural birth weight, independent of the intrauterine environment, is associated with cardiovascular disease and adverse cardiac structure and function.

EUROPEAN HEART JOURNAL (2023)

Article Multidisciplinary Sciences

Genetic insights into resting heart rate and its role in cardiovascular disease

Yordi van de Vegte, Ruben P. Eppinga, M. Yldau van der Ende, Yanick Hagemeijer, Yuvaraj V. Mahendran, Elias Y. Salfati, Albert E. Smith, Vanessa Tan, Dan V. Arking, Ioanna Ntalla, Emil A. Appel, Claudia Schurmann, Jennifer Brody, Rico Rueedi, Ozren Polasek, Gardar Sveinbjornsson, Cecile Lecoeur, Claes Ladenvall, Jing Hua Zhao, Aaron Isaacs, Lihua Wang, Jian'an Luan, Shih-Jen Hwang, Nina U. Mononen, Kirsi F. Auro, Anne Jackson, Lawrence Bielak, Linyao Zeng, Nabi Shah, Maria Nethander, Archie Campbell, Tuomo Rankinen, Sonali Pechlivanis, Lu Qi, Wei Zhao, Federica Rizzi, Toshiko Tanaka, Antonietta Robino, Massimiliano Cocca, Leslie Lange, Martina Mueller-Nurasyid, Carolina E. Roselli, Weihua Zhang, Marcus J. Kleber, Xiuqing Guo, Henry E. Lin, Francesca Pavani, Tessel Galesloot, Raymond E. Noordam, Yuri Milaneschi, Katharina Schraut, Marcel den Hoed, Frauke E. Degenhardt, Stella Trompet, Marten van den Berg, Giorgio Pistis, Yih-Chung S. Tham, Stefan L. Weiss, Xueling J. Sim, Hengtong M. Li, Peter van der Most, Ilja Nolte, Leo-Pekka R. Lyytikaeinen, M. Abdullah Said, Daniel Witte, Carlos M. Iribarren, Lenore S. Launer, Susan Ring, Paul de Vries, Peter P. Sever, Allan Linneberg, Erwin M. Bottinger, Sandosh Padmanabhan, Bruce Psaty, Nona Sotoodehnia, Ivana Kolcic, Delnaz D. Roshandel, Andrew O. Paterson, David F. Arnar, Daniel Gudbjartsson, Hilma Holm, Beverley T. Balkau, Claudia H. Silva, Christopher Newton-Cheh, Kjell Nikus, Perttu L. Salo, Karen A. Mohlke, Patricia Peyser, Heribert Schunkert, Mattias Lorentzon, Jari C. Lahti, Dabeeru C. Rao, Marilyn D. Cornelis, Jessica A. Faul, Jennifer Smith, Katarzyna Stolarz-Skrzypek, Stefania Bandinelli, Maria Pina Concas, Gianfranco Sinagra, Thomas Meitinger, Melanie F. Waldenberger, Moritz Sinner, Konstantin E. Strauch, Graciela D. Delgado, Kent Taylor, Jie Yao, Luisa Foco, Olle Melander, Jacqueline de Graaf, Renee de Mutsert, Eco J. C. de Geus, Asa K. Johansson, Peter K. Joshi, Lars Lind, Andre W. Franke, Peter V. Macfarlane, Kirill Tarasov, Nicholas B. Tan, Stephan Felix, E-Shyong Q. Tai, Debra Quek, Harold Snieder, Johan Ormel, Martin Ingelsson, Cecilia P. Lindgren, Andrew T. Morris, Olli Raitakari, Torben Hansen, Themistocles Assimes, Vilmundur J. Gudnason, Nicholas C. Timpson, Alanna B. Morrison, Patricia P. Munroe, David Strachan, Niels Grarup, Ruth J. F. R. Loos, Susan Heckbert, Peter Vollenweider, Caroline Hayward, Kari Stefansson, Philippe Froguel, Leif J. Groop, Nicholas M. Wareham, Cornelia F. van Duijn, Mary J. Feitosa, Christopher O'Donnell, Mika Kaehoenen, Markus Perola, Michael Boehnke, Sharon L. R. Kardia, Jeanette Erdmann, Colin N. A. Palmer, Claes J. Ohlsson, David G. Porteous, Johan Eriksson, Claude Bouchard, Susanne Moebus, Peter R. Kraft, David Weir, Daniele Cusi, Luigi Ferrucci, Sheila Ulivi, Giorgia Girotto, Adolfo Correa, Stefan Kaeaeb, Annette C. Peters, John S. Chambers, Jaspal Kooner, Winfried I. Maerz, Jerome A. Rotter, Andrew Hicks, J. Gustav Smith, Lambertus A. L. M. O. Kiemeney, Dennis Mook-Kanamori, Brenda W. J. H. Penninx, Ulf F. Gyllensten, James Wilson, Stephen Burgess, Johan Sundstroem, Wolfgang Lieb, J. Wouter Jukema, Mark Eijgelsheim, Edward L. M. Lakatta, Ching-Yu Cheng, Marcus Doerr, Tien-Yin Wong, Charumathi J. Sabanayagam, Albertine Oldehinkel, Harriette Riese, Terho Lehtimaeki, Niek Verweij, Pim van der Harst

Summary: This study identifies new genetic variants associated with resting heart rate (RHR) and demonstrates that higher genetically predicted RHR is associated with a decreased risk of atrial fibrillation and ischemic stroke. Genome-wide analysis reveals multiple genetic variants in cardiomyocyte-related genes and provides insights into their electrocardiogram (ECG) signature. Mendelian randomization analyses indicate that higher genetically predicted RHR increases the risk of dilated cardiomyopathy, but reduces the risk of atrial fibrillation, ischemic stroke, and cardio-embolic stroke.

NATURE COMMUNICATIONS (2023)

Article Nutrition & Dietetics

Genetically Predicted Vegetable Intake and Cardiovascular Diseases and Risk Factors: An Investigation with Mendelian Randomization

Qi Feng, Andrew J. Grant, Qian Yang, Stephen Burgess, Jelena Besevic, Megan Conroy, Wemimo Omiyale, Yangbo Sun, Naomi Allen, Ben Lacey, Peter Pribis

Summary: This study used Mendelian randomization to investigate the associations between cooked and raw vegetable intake with cardiovascular diseases. The study found null evidence for significant associations between genetically predicted vegetable intake and coronary heart disease, heart failure, atrial fibrillation, and cardiometabolic risk factors in a meta-analysis of 1.2 million participants.

NUTRIENTS (2023)

Article Nutrition & Dietetics

Caffeine Intake, Plasma Caffeine Level, and Kidney Function: A Mendelian Randomization Study

Alice Giontella, Roxane de la Harpe, Helene T. Cronje, Loukas Zagkos, Benjamin Woolf, Susanna C. Larsson, Dipender Gill

Summary: Genetically predicted plasma caffeine levels are associated with a decrease in kidney function, while genetically predicted caffeine intake is associated with an improvement in kidney function.

NUTRIENTS (2023)

Article Genetics & Heredity

Relaxing parametric assumptions for non-linear Mendelian randomization using a doubly-ranked stratification method

Haodong Tian, Amy M. Mason, Cunhao Liu, Stephen Burgess

Summary: Non-linear Mendelian randomization is an extension of standard Mendelian randomization that explores the causal relationship between an exposure and outcome using an instrumental variable. The current stratification method, referred to as the residual method, relies on strong parametric assumptions and can yield misleading results. We propose a new stratification method, called the doubly-ranked method, that relaxes these assumptions and provides unbiased estimates even in non-linear or heterogeneous scenarios.

PLOS GENETICS (2023)

Review Cardiac & Cardiovascular Systems

Mendelian randomization for cardiovascular diseases: principles and applications

Susanna C. Larsson, Adam S. Butterworth, Stephen Burgess

Summary: Mendelian randomization utilizes genetic variation as a natural experiment to improve causal inferences from observational data. It can determine whether a putative risk factor likely has a causal effect on the disease.

EUROPEAN HEART JOURNAL (2023)

暂无数据