Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease

Background Observational studies have suggested the potential role of inflammatory factors in the risk of coronary artery disease (CAD). We aimed to perform 2‐sample Mendelian randomization (MR) analyses to assess the causal association between circulating cytokines/growth factors and CAD. Methods a...

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Main Authors: Yuwei Li, Bin Liu, Ying Chen, Ziying Liu, Ding Ye, Yingying Mao, Xiaohui Sun
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.123.030726
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author Yuwei Li
Bin Liu
Ying Chen
Ziying Liu
Ding Ye
Yingying Mao
Xiaohui Sun
author_facet Yuwei Li
Bin Liu
Ying Chen
Ziying Liu
Ding Ye
Yingying Mao
Xiaohui Sun
author_sort Yuwei Li
collection DOAJ
description Background Observational studies have suggested the potential role of inflammatory factors in the risk of coronary artery disease (CAD). We aimed to perform 2‐sample Mendelian randomization (MR) analyses to assess the causal association between circulating cytokines/growth factors and CAD. Methods and Results The instrumental variables for 28 circulating cytokines and growth factors were identified from a genome‐wide association study of 8293 European participants. Summary‐level data on CAD were derived from a large genome‐wide association study (71 602 cases and 260 875 controls). We used the inverse‐variance‐weighted and Wald ratio methods as our main MR methods. The weighted median, simple median, maximum likelihood, MR pleiotropy residual sum and outlier, and MR‐Egger methods were performed as sensitivity analyses. Genetic colocalization analyses were conducted to validate the robustness of our MR findings. We found that genetically predicted circulating levels of macrophage migration inhibitory factor were associated with an increased risk of CAD at the Bonferroni‐adjusted level of significance (P<1.79×10−3). The odds ratio was 1.20 (95% CI, 1.08–1.33; P=6.83×10−4) per 1‐SD increase in macrophage migration inhibitory factor. Colocalization analyses supported our MR findings. Additionally, we found suggestive evidence between the genetic effects of stem cell growth factor‐β and the risk of CAD (odds ratio, 0.95 [95% CI, 0.91–0.98]; P=0.007). Conclusions Our findings suggested a risk‐increasing effect of macrophage migration inhibitory factor level on the development of CAD. The roles of these inflammatory factors for CAD warrant further investigation.
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spelling doaj.art-c96138c4accf4911bd21b1382940800e2024-02-24T04:04:20ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-01-0113210.1161/JAHA.123.030726Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery DiseaseYuwei Li0Bin Liu1Ying Chen2Ziying Liu3Ding Ye4Yingying Mao5Xiaohui Sun6Department of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaDepartment of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaDepartment of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaDepartment of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaDepartment of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaDepartment of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaDepartment of Epidemiology, School of Public Health Zhejiang Chinese Medical University Hangzhou ChinaBackground Observational studies have suggested the potential role of inflammatory factors in the risk of coronary artery disease (CAD). We aimed to perform 2‐sample Mendelian randomization (MR) analyses to assess the causal association between circulating cytokines/growth factors and CAD. Methods and Results The instrumental variables for 28 circulating cytokines and growth factors were identified from a genome‐wide association study of 8293 European participants. Summary‐level data on CAD were derived from a large genome‐wide association study (71 602 cases and 260 875 controls). We used the inverse‐variance‐weighted and Wald ratio methods as our main MR methods. The weighted median, simple median, maximum likelihood, MR pleiotropy residual sum and outlier, and MR‐Egger methods were performed as sensitivity analyses. Genetic colocalization analyses were conducted to validate the robustness of our MR findings. We found that genetically predicted circulating levels of macrophage migration inhibitory factor were associated with an increased risk of CAD at the Bonferroni‐adjusted level of significance (P<1.79×10−3). The odds ratio was 1.20 (95% CI, 1.08–1.33; P=6.83×10−4) per 1‐SD increase in macrophage migration inhibitory factor. Colocalization analyses supported our MR findings. Additionally, we found suggestive evidence between the genetic effects of stem cell growth factor‐β and the risk of CAD (odds ratio, 0.95 [95% CI, 0.91–0.98]; P=0.007). Conclusions Our findings suggested a risk‐increasing effect of macrophage migration inhibitory factor level on the development of CAD. The roles of these inflammatory factors for CAD warrant further investigation.https://www.ahajournals.org/doi/10.1161/JAHA.123.030726coronary artery diseasecytokineinflammationMendelian randomization analysis
spellingShingle Yuwei Li
Bin Liu
Ying Chen
Ziying Liu
Ding Ye
Yingying Mao
Xiaohui Sun
Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
coronary artery disease
cytokine
inflammation
Mendelian randomization analysis
title Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease
title_full Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease
title_fullStr Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease
title_full_unstemmed Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease
title_short Genetic Evidence for the Causal Association of Circulating Cytokines and Growth Factors With Coronary Artery Disease
title_sort genetic evidence for the causal association of circulating cytokines and growth factors with coronary artery disease
topic coronary artery disease
cytokine
inflammation
Mendelian randomization analysis
url https://www.ahajournals.org/doi/10.1161/JAHA.123.030726
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