The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study

Abstract Background This study used a bidirectional 2-sample Mendelian randomization study to investigate the potential causal links between mtDNA copy number and cardiometabolic disease (obesity, hypertension, hyperlipidaemia, type 2 diabetes [T2DM], coronary artery disease [CAD], stroke, ischemic...

Full description

Bibliographic Details
Main Authors: Pei Qin, Tianhang Qin, Lei Liang, Xinying Li, Bin Jiang, Xiaojie Wang, Jianping Ma, Fulan Hu, Ming Zhang, Dongsheng Hu
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Cardiovascular Diabetology
Subjects:
Online Access:https://doi.org/10.1186/s12933-023-02074-1
_version_ 1797276027181858816
author Pei Qin
Tianhang Qin
Lei Liang
Xinying Li
Bin Jiang
Xiaojie Wang
Jianping Ma
Fulan Hu
Ming Zhang
Dongsheng Hu
author_facet Pei Qin
Tianhang Qin
Lei Liang
Xinying Li
Bin Jiang
Xiaojie Wang
Jianping Ma
Fulan Hu
Ming Zhang
Dongsheng Hu
author_sort Pei Qin
collection DOAJ
description Abstract Background This study used a bidirectional 2-sample Mendelian randomization study to investigate the potential causal links between mtDNA copy number and cardiometabolic disease (obesity, hypertension, hyperlipidaemia, type 2 diabetes [T2DM], coronary artery disease [CAD], stroke, ischemic stroke, and heart failure). Methods Genetic associations with mtDNA copy number were obtained from a genome-wide association study (GWAS) summary statistics from the UK biobank (n = 395,718) and cardio-metabolic disease were from largest available GWAS summary statistics. Inverse variance weighting (IVW) was conducted, with weighted median, MR-Egger, and MR-PRESSO as sensitivity analyses. We repeated this in the opposite direction using instruments for cardio-metabolic disease. Results Genetically predicted mtDNA copy number was not associated with risk of obesity (P = 0.148), hypertension (P = 0.515), dyslipidemia (P = 0.684), T2DM (P = 0.631), CAD (P = 0.199), stroke (P = 0.314), ischemic stroke (P = 0.633), and heart failure (P = 0.708). Regarding the reverse directions, we only found that genetically predicted dyslipidemia was associated with decreased levels of mtDNA copy number in the IVW analysis (β= − 0.060, 95% CI − 0.044 to − 0.076; P = 2.416e−14) and there was suggestive of evidence for a potential causal association between CAD and mtDNA copy number (β= − 0.021, 95% CI − 0.003 to − 0.039; P = 0.025). Sensitivity and replication analyses showed the stable findings. Conclusions Findings of this Mendelian randomization study did not support a causal effect of mtDNA copy number in the development of cardiometabolic disease, but found dyslipidemia and CAD can lead to reduced mtDNA copy number. These findings have implications for mtDNA copy number as a biomarker of dyslipidemia and CAD in clinical practice.
first_indexed 2024-03-07T15:22:26Z
format Article
id doaj.art-f57a4fb3441145bfa27deebf6fc89572
institution Directory Open Access Journal
issn 1475-2840
language English
last_indexed 2024-03-07T15:22:26Z
publishDate 2024-01-01
publisher BMC
record_format Article
series Cardiovascular Diabetology
spelling doaj.art-f57a4fb3441145bfa27deebf6fc895722024-03-05T17:36:34ZengBMCCardiovascular Diabetology1475-28402024-01-0123111410.1186/s12933-023-02074-1The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization studyPei Qin0Tianhang Qin1Lei Liang2Xinying Li3Bin Jiang4Xiaojie Wang5Jianping Ma6Fulan Hu7Ming Zhang8Dongsheng Hu9Department of General Practice, The Affiliated Luohu Hospital of Shenzhen UniversityInstitute of Software Chinese Academy of SciencesDepartment of Gynecology and Obstetrics, Shenzhen Qianhai Shekou Free Trade Zone HospitalSchool of Public Health, Shantou UniversityDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone HospitalDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone HospitalDepartment of Neurology, Shenzhen Qianhai Shekou Free Trade Zone HospitalSchool of Public Health, Shenzhen University Health Science CenterSchool of Public Health, Shenzhen University Health Science CenterDepartment of General Practice, The Affiliated Luohu Hospital of Shenzhen UniversityAbstract Background This study used a bidirectional 2-sample Mendelian randomization study to investigate the potential causal links between mtDNA copy number and cardiometabolic disease (obesity, hypertension, hyperlipidaemia, type 2 diabetes [T2DM], coronary artery disease [CAD], stroke, ischemic stroke, and heart failure). Methods Genetic associations with mtDNA copy number were obtained from a genome-wide association study (GWAS) summary statistics from the UK biobank (n = 395,718) and cardio-metabolic disease were from largest available GWAS summary statistics. Inverse variance weighting (IVW) was conducted, with weighted median, MR-Egger, and MR-PRESSO as sensitivity analyses. We repeated this in the opposite direction using instruments for cardio-metabolic disease. Results Genetically predicted mtDNA copy number was not associated with risk of obesity (P = 0.148), hypertension (P = 0.515), dyslipidemia (P = 0.684), T2DM (P = 0.631), CAD (P = 0.199), stroke (P = 0.314), ischemic stroke (P = 0.633), and heart failure (P = 0.708). Regarding the reverse directions, we only found that genetically predicted dyslipidemia was associated with decreased levels of mtDNA copy number in the IVW analysis (β= − 0.060, 95% CI − 0.044 to − 0.076; P = 2.416e−14) and there was suggestive of evidence for a potential causal association between CAD and mtDNA copy number (β= − 0.021, 95% CI − 0.003 to − 0.039; P = 0.025). Sensitivity and replication analyses showed the stable findings. Conclusions Findings of this Mendelian randomization study did not support a causal effect of mtDNA copy number in the development of cardiometabolic disease, but found dyslipidemia and CAD can lead to reduced mtDNA copy number. These findings have implications for mtDNA copy number as a biomarker of dyslipidemia and CAD in clinical practice.https://doi.org/10.1186/s12933-023-02074-1Mitochondrial DNA copy numberCardiometabolic diseaseBidirectionalTwo-sample mendelian randomization study
spellingShingle Pei Qin
Tianhang Qin
Lei Liang
Xinying Li
Bin Jiang
Xiaojie Wang
Jianping Ma
Fulan Hu
Ming Zhang
Dongsheng Hu
The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study
Cardiovascular Diabetology
Mitochondrial DNA copy number
Cardiometabolic disease
Bidirectional
Two-sample mendelian randomization study
title The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study
title_full The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study
title_fullStr The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study
title_full_unstemmed The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study
title_short The role of mitochondrial DNA copy number in cardiometabolic disease: a bidirectional two-sample mendelian randomization study
title_sort role of mitochondrial dna copy number in cardiometabolic disease a bidirectional two sample mendelian randomization study
topic Mitochondrial DNA copy number
Cardiometabolic disease
Bidirectional
Two-sample mendelian randomization study
url https://doi.org/10.1186/s12933-023-02074-1
work_keys_str_mv AT peiqin theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT tianhangqin theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT leiliang theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT xinyingli theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT binjiang theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT xiaojiewang theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT jianpingma theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT fulanhu theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT mingzhang theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT dongshenghu theroleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT peiqin roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT tianhangqin roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT leiliang roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT xinyingli roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT binjiang roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT xiaojiewang roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT jianpingma roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT fulanhu roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT mingzhang roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy
AT dongshenghu roleofmitochondrialdnacopynumberincardiometabolicdiseaseabidirectionaltwosamplemendelianrandomizationstudy