Serum magnesium levels and risk of coronary artery disease: Mendelian randomisation study

Susanna C Larsson1, Stephen Burgess2,3, Karl Michaëlsson4

  • 1Unit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden. susanna.larsson@ki.se.

BMC Medicine
|May 18, 2018
PubMed

Insights

Higher serum magnesium levels are genetically linked to a lower risk of coronary artery disease (CAD). This Mendelian randomization study suggests a potential causal relationship, supporting further research into magnesium supplementation for CAD prevention.

Area of Science:

  • Genetics and Cardiovascular Disease Epidemiology
  • Nutritional Genomics
  • Biomarker Discovery

Background:

  • Observational studies indicate an inverse relationship between serum magnesium and cardiovascular disease risk.
  • The causal nature of this association remains unconfirmed.
  • Coronary artery disease (CAD) is a major global health concern.

Purpose of the Study:

  • To investigate the potential causal association between serum magnesium levels and coronary artery disease (CAD) risk.
  • To utilize Mendelian randomization to infer causality from observational data.

Main Methods:

  • A Mendelian randomization analysis was performed using summary-level data.
  • Data originated from the CARDIoGRAMplusC4D consortium's genome-wide association meta-analysis.
  • Six single-nucleotide polymorphisms robustly associated with serum magnesium served as instrumental variables.

Main Results:

  • A genetic predisposition to higher serum magnesium levels was inversely associated with CAD risk.
  • Each 0.1-mmol/L increase in genetically predicted serum magnesium corresponded to an 12-17% reduced odds of CAD.
  • Findings were consistent across multiple sensitivity analyses, reinforcing the robustness of the results.

Conclusions:

  • This genetic study provides evidence supporting a causal inverse association between serum magnesium levels and CAD risk.
  • Further research, including randomized controlled trials, is warranted to confirm if magnesium supplementation reduces CAD risk.
  • Clinical trials may be particularly beneficial in populations at higher risk of hypomagnesaemia.
Abstract

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