Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers

BackgroundPrevious observational studies have shown that the prevalence of cardiovascular diseases (CVDs) is related to particulate matter (PM). However, given the methodological limitations of conventional observational research, it is difficult to identify causality conclusively. To explore the ca...

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Main Authors: Qiubo Wang, Zhimiao Wang, Mingyou Chen, Wei Mu, Zhenxing Xu, Mei Xue
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1201479/full
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author Qiubo Wang
Qiubo Wang
Zhimiao Wang
Mingyou Chen
Wei Mu
Zhenxing Xu
Mei Xue
author_facet Qiubo Wang
Qiubo Wang
Zhimiao Wang
Mingyou Chen
Wei Mu
Zhenxing Xu
Mei Xue
author_sort Qiubo Wang
collection DOAJ
description BackgroundPrevious observational studies have shown that the prevalence of cardiovascular diseases (CVDs) is related to particulate matter (PM). However, given the methodological limitations of conventional observational research, it is difficult to identify causality conclusively. To explore the causality of PM on CVDs and cardiovascular biomarkers, we conducted a Mendelian randomization (MR) analysis.MethodIn this study, we obtained summary-level data for CVDs and cardiovascular biomarkers including atrial fibrillation (AF), heart failure (HF), myocardial infarction (MI), ischemic stroke (IS), stroke subtypes, body mass index (BMI), lipid traits, fasting glucose, fasting insulin, and blood pressure from several large genome-wide association studies (GWASs). Then we used two-sample MR to assess the causality of PM on CVDs and cardiovascular biomarkers, 16 single nucleotide polymorphisms (SNPs) for PM2.5 and 6 SNPs for PM10 were obtained from UK Biobank participants. Inverse variance weighting (IVW) analyses under the fixed effects model were used as the main analytical method to calculate MR Estimates, followed by multiple sensitivity analyses to confirm the robustness of the results.ResultsOur study revealed increases in PM2.5 concentration were significantly related to a higher risk of MI (odds ratio (OR), 2.578; 95% confidence interval (CI), 1.611–4.127; p = 7.920 × 10−5). Suggestive evidence was found between PM10 concentration and HF (OR, 2.015; 95% CI, 1.082–3.753; p = 0.027) and IS (OR, 2.279; 95% CI,1.099–4.723; p = 0.027). There was no evidence for an effect of PM concentration on other CVDs. Furthermore, PM2.5 concentration increases were significantly associated with increases in triglyceride (TG) (OR, 1.426; 95% CI, 1.133–1.795; p = 2.469 × 10−3) and decreases in high-density lipoprotein cholesterol (HDL-C) (OR, 0.779; 95% CI, 0.615–0.986; p = 0.038). The PM10 concentration increases were also closely related to the decreases in HDL-C (OR, 0.563; 95% CI, 0.366–0.865; p = 8.756 × 10−3). We observed no causal effect of PM on other cardiovascular biomarkers.ConclusionAt the genetic level, our study suggested the causality of PM2.5 on MI, TG, as well HDL-C, and revealed the causality of PM10 on HF, IS, and HDL-C. Our findings indicated the need for continued improvements in air pollution abatement for CVDs prevention.
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spelling doaj.art-836123bff3464e9ea6a1490680d8c68a2023-09-04T19:03:15ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-09-011110.3389/fpubh.2023.12014791201479Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkersQiubo Wang0Qiubo Wang1Zhimiao Wang2Mingyou Chen3Wei Mu4Zhenxing Xu5Mei Xue6Department of Cardiology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia, Jinan, ChinaShandong First Medical University and Shandong Academy of Medical Sciences, Jinan, ChinaDepartment of Cardiology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia, Jinan, ChinaDepartment of Cardiology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia, Jinan, ChinaDepartment of Cardiology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia, Jinan, ChinaDepartment of Cardiology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia, Jinan, ChinaDepartment of Cardiology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Cardiac Electrophysiology and Arrhythmia, Jinan, ChinaBackgroundPrevious observational studies have shown that the prevalence of cardiovascular diseases (CVDs) is related to particulate matter (PM). However, given the methodological limitations of conventional observational research, it is difficult to identify causality conclusively. To explore the causality of PM on CVDs and cardiovascular biomarkers, we conducted a Mendelian randomization (MR) analysis.MethodIn this study, we obtained summary-level data for CVDs and cardiovascular biomarkers including atrial fibrillation (AF), heart failure (HF), myocardial infarction (MI), ischemic stroke (IS), stroke subtypes, body mass index (BMI), lipid traits, fasting glucose, fasting insulin, and blood pressure from several large genome-wide association studies (GWASs). Then we used two-sample MR to assess the causality of PM on CVDs and cardiovascular biomarkers, 16 single nucleotide polymorphisms (SNPs) for PM2.5 and 6 SNPs for PM10 were obtained from UK Biobank participants. Inverse variance weighting (IVW) analyses under the fixed effects model were used as the main analytical method to calculate MR Estimates, followed by multiple sensitivity analyses to confirm the robustness of the results.ResultsOur study revealed increases in PM2.5 concentration were significantly related to a higher risk of MI (odds ratio (OR), 2.578; 95% confidence interval (CI), 1.611–4.127; p = 7.920 × 10−5). Suggestive evidence was found between PM10 concentration and HF (OR, 2.015; 95% CI, 1.082–3.753; p = 0.027) and IS (OR, 2.279; 95% CI,1.099–4.723; p = 0.027). There was no evidence for an effect of PM concentration on other CVDs. Furthermore, PM2.5 concentration increases were significantly associated with increases in triglyceride (TG) (OR, 1.426; 95% CI, 1.133–1.795; p = 2.469 × 10−3) and decreases in high-density lipoprotein cholesterol (HDL-C) (OR, 0.779; 95% CI, 0.615–0.986; p = 0.038). The PM10 concentration increases were also closely related to the decreases in HDL-C (OR, 0.563; 95% CI, 0.366–0.865; p = 8.756 × 10−3). We observed no causal effect of PM on other cardiovascular biomarkers.ConclusionAt the genetic level, our study suggested the causality of PM2.5 on MI, TG, as well HDL-C, and revealed the causality of PM10 on HF, IS, and HDL-C. Our findings indicated the need for continued improvements in air pollution abatement for CVDs prevention.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1201479/fullparticulate mattercardiovascular diseasescardiovascular biomarkersMendelian randomizationcausal association
spellingShingle Qiubo Wang
Qiubo Wang
Zhimiao Wang
Mingyou Chen
Wei Mu
Zhenxing Xu
Mei Xue
Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
Frontiers in Public Health
particulate matter
cardiovascular diseases
cardiovascular biomarkers
Mendelian randomization
causal association
title Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
title_full Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
title_fullStr Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
title_full_unstemmed Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
title_short Causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
title_sort causality of particulate matter on cardiovascular diseases and cardiovascular biomarkers
topic particulate matter
cardiovascular diseases
cardiovascular biomarkers
Mendelian randomization
causal association
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1201479/full
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