Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study

Researchers have suggested a potential relationship between gamma-glutamyl transferase (GGT) level and stroke. We investigated a potential causal relationship between GGT level as exposures and stroke and stroke subtypes (cardioembolic, small vessel, and large artery) in a European population. We pe...

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Main Authors: Young Lee, Je Hyun Seo
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/13/11/1592
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author Young Lee
Je Hyun Seo
author_facet Young Lee
Je Hyun Seo
author_sort Young Lee
collection DOAJ
description Researchers have suggested a potential relationship between gamma-glutamyl transferase (GGT) level and stroke. We investigated a potential causal relationship between GGT level as exposures and stroke and stroke subtypes (cardioembolic, small vessel, and large artery) in a European population. We performed a two-sample Mendelian randomization (MR) study using the genome-wide association study (GWAS) data from the UK Biobank as the exposure set. For the outcome set, we used stroke in the GWAS data from the GIGASTROKE Consortium. We considered alcohol consumption, atrial fibrillation, and body mass index as confounders. We used PhenoScanner searches for removal of SNPs and multivariable MR analysis for assessing confounders. We observed significant causal associations between GGT level and stroke (odds ratio [OR] = 1.23, 95% CI = [1.05–1.44], and <i>p</i> = 0.012 with IVW; OR = 1.19, 95% CI= [1.02–1.39], and <i>p</i> = 0.031 with MR-PRESSO). These results were consistent after removing SNPs related to confounding factors. Similarly, in multivariable MR, GGT was associated with stroke after adjusting for confounding factors (OR = 1.30, 95% CI 1.07–1.60), <i>p</i> = 0.010). Because GGT level has a causal relationship with stroke, researchers should test its significance as a potential risk factor for stroke. Additional research is required to validate these results.
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spelling doaj.art-5bceb5a475ba48f38097c453a32bba012023-11-24T14:31:52ZengMDPI AGBiomolecules2218-273X2023-10-011311159210.3390/biom13111592Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization StudyYoung Lee0Je Hyun Seo1Veterans Medical Research Institute, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaVeterans Medical Research Institute, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaResearchers have suggested a potential relationship between gamma-glutamyl transferase (GGT) level and stroke. We investigated a potential causal relationship between GGT level as exposures and stroke and stroke subtypes (cardioembolic, small vessel, and large artery) in a European population. We performed a two-sample Mendelian randomization (MR) study using the genome-wide association study (GWAS) data from the UK Biobank as the exposure set. For the outcome set, we used stroke in the GWAS data from the GIGASTROKE Consortium. We considered alcohol consumption, atrial fibrillation, and body mass index as confounders. We used PhenoScanner searches for removal of SNPs and multivariable MR analysis for assessing confounders. We observed significant causal associations between GGT level and stroke (odds ratio [OR] = 1.23, 95% CI = [1.05–1.44], and <i>p</i> = 0.012 with IVW; OR = 1.19, 95% CI= [1.02–1.39], and <i>p</i> = 0.031 with MR-PRESSO). These results were consistent after removing SNPs related to confounding factors. Similarly, in multivariable MR, GGT was associated with stroke after adjusting for confounding factors (OR = 1.30, 95% CI 1.07–1.60), <i>p</i> = 0.010). Because GGT level has a causal relationship with stroke, researchers should test its significance as a potential risk factor for stroke. Additional research is required to validate these results.https://www.mdpi.com/2218-273X/13/11/1592strokemendelian randomizationgamma-glutamyl transferasesingle-nucleotide polymorphismsalcoholatrial fibrillation
spellingShingle Young Lee
Je Hyun Seo
Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study
Biomolecules
stroke
mendelian randomization
gamma-glutamyl transferase
single-nucleotide polymorphisms
alcohol
atrial fibrillation
title Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study
title_full Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study
title_fullStr Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study
title_full_unstemmed Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study
title_short Potential Causal Association between Elevated Gamma-Glutamyl Transferase Level and Stroke: A Two-Sample Mendelian Randomization Study
title_sort potential causal association between elevated gamma glutamyl transferase level and stroke a two sample mendelian randomization study
topic stroke
mendelian randomization
gamma-glutamyl transferase
single-nucleotide polymorphisms
alcohol
atrial fibrillation
url https://www.mdpi.com/2218-273X/13/11/1592
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AT jehyunseo potentialcausalassociationbetweenelevatedgammaglutamyltransferaselevelandstrokeatwosamplemendelianrandomizationstudy