Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study

Background: Recent reports have suggested that antihypertensive drugs may play an oncogenic role in common cancers, but it is still uncertain whether this could influence the risk of oral cancer. Through two-sample Mendelian randomization (MR), we sought to assess the causal effect of antihypertensi...

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Main Authors: Junfeng Guo, Rongxing Liu, Fangfang Sheng, Qiuxiang Wu, Rufu Xu, Haitao He, Gang Zhang, Junjie Huang, Zhe Zhang, Rong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1294297/full
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author Junfeng Guo
Junfeng Guo
Rongxing Liu
Fangfang Sheng
Qiuxiang Wu
Rufu Xu
Haitao He
Gang Zhang
Junjie Huang
Zhe Zhang
Rong Zhang
author_facet Junfeng Guo
Junfeng Guo
Rongxing Liu
Fangfang Sheng
Qiuxiang Wu
Rufu Xu
Haitao He
Gang Zhang
Junjie Huang
Zhe Zhang
Rong Zhang
author_sort Junfeng Guo
collection DOAJ
description Background: Recent reports have suggested that antihypertensive drugs may play an oncogenic role in common cancers, but it is still uncertain whether this could influence the risk of oral cancer. Through two-sample Mendelian randomization (MR), we sought to assess the causal effect of antihypertensive drugs on oral cancer outcomes.Methods: To proxy the exposure of antihypertensive drugs, we utilized two genetic instruments, including expression quantitative trait loci of drug target genes and genetic variants within or around drug target genes related to blood pressure from genome-wide association studies. Inverse-variance-weighted MR (IVW-MR) and summary-data-based MR (SMR) were employed to compute the instrument effect estimates.Results: It was observed through IVW-MR analysis that there is a positive relationship between KCNH2 (target of beta-adrenoceptor blockers)–mediated blood pressure and oral cancer (odds ratio [OR] = 1.197, 95% confidence interval [CI] = 1.028–1.394). Similarly, SMR analysis demonstrated that a higher expression of KCNH2 (target of beta-adrenoceptor blockers) was linked to a greater risk of oral cancer (OR = 2.223, 95% CI = 1.094–4.516). Both analyses yielded no consistent evidence of other associations.Conclusion: This two-sample MR study proposed a latent causal association between KCNH2 (target of beta-adrenoceptor blockers) inhibition and diminished risk of oral cancer.
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spelling doaj.art-a85e99553b8f435bade98eaf6e3e38652023-11-27T06:42:53ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-11-011410.3389/fphar.2023.12942971294297Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization studyJunfeng Guo0Junfeng Guo1Rongxing Liu2Fangfang Sheng3Qiuxiang Wu4Rufu Xu5Haitao He6Gang Zhang7Junjie Huang8Zhe Zhang9Rong Zhang10Department of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Stomatology, The 970th Hospital of the Joint Logistics Support Force, Yantai, ChinaDepartment of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Stomatology, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Stomatology, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Stomatology, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaDepartment of Pharmacy, Xinqiao Hospital, Third Military Medical University, Chongqing, ChinaBackground: Recent reports have suggested that antihypertensive drugs may play an oncogenic role in common cancers, but it is still uncertain whether this could influence the risk of oral cancer. Through two-sample Mendelian randomization (MR), we sought to assess the causal effect of antihypertensive drugs on oral cancer outcomes.Methods: To proxy the exposure of antihypertensive drugs, we utilized two genetic instruments, including expression quantitative trait loci of drug target genes and genetic variants within or around drug target genes related to blood pressure from genome-wide association studies. Inverse-variance-weighted MR (IVW-MR) and summary-data-based MR (SMR) were employed to compute the instrument effect estimates.Results: It was observed through IVW-MR analysis that there is a positive relationship between KCNH2 (target of beta-adrenoceptor blockers)–mediated blood pressure and oral cancer (odds ratio [OR] = 1.197, 95% confidence interval [CI] = 1.028–1.394). Similarly, SMR analysis demonstrated that a higher expression of KCNH2 (target of beta-adrenoceptor blockers) was linked to a greater risk of oral cancer (OR = 2.223, 95% CI = 1.094–4.516). Both analyses yielded no consistent evidence of other associations.Conclusion: This two-sample MR study proposed a latent causal association between KCNH2 (target of beta-adrenoceptor blockers) inhibition and diminished risk of oral cancer.https://www.frontiersin.org/articles/10.3389/fphar.2023.1294297/fullantihypertensive drugsblood pressureoral cancerMendelian randomizationcausal effect
spellingShingle Junfeng Guo
Junfeng Guo
Rongxing Liu
Fangfang Sheng
Qiuxiang Wu
Rufu Xu
Haitao He
Gang Zhang
Junjie Huang
Zhe Zhang
Rong Zhang
Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study
Frontiers in Pharmacology
antihypertensive drugs
blood pressure
oral cancer
Mendelian randomization
causal effect
title Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study
title_full Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study
title_fullStr Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study
title_full_unstemmed Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study
title_short Association between antihypertensive drugs and oral cancer: a drug target Mendelian randomization study
title_sort association between antihypertensive drugs and oral cancer a drug target mendelian randomization study
topic antihypertensive drugs
blood pressure
oral cancer
Mendelian randomization
causal effect
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1294297/full
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