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Precision Medicine and Cardiovascular Health: Insights from Mendelian Randomization Analyses
Wes Spiller1, Keum Ji Jung2, Ji Young Lee2
1Department of Population Health Sciences, University of Bristol, Bristol, UK.
Insights
This review highlights how Mendelian randomization analyses strengthen evidence for cardiovascular disease (CVD) risk factors. Triangulating diverse study designs offers robust causal insights for precision medicine and novel CVD interventions.
Area of Science:
- Epidemiology
- Genetics
- Cardiovascular Medicine
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality, responsible for approximately 17.9 million deaths annually.
- Extensive research focuses on CVD prevention and treatment strategies.
- Mendelian randomization (MR) analyses are increasingly utilized in CVD research.
Purpose of the Study:
- To critically examine existing cardiovascular disease (CVD) literature.
- To specifically highlight the contribution of Mendelian randomization (MR) analyses in CVD research.
- To assess the agreement of research findings across different study designs using a triangulation framework.
Main Methods:
- Systematic review of cardiovascular disease (CVD) literature.
- Application of a triangulation framework to compare findings from studies with differing designs.
- Emphasis on Mendelian randomization (MR) analyses to assess causality.
Main Results:
- Consistent findings across diverse study designs, when subject to non-overlapping biases, provide robust causal evidence for CVD risk factors.
- The triangulation approach reveals emerging patterns in research findings.
- Identified risk factors show potential for precision medicine and novel interventions.
Conclusions:
- Triangulating evidence from various study designs, including Mendelian randomization, strengthens causal inference in cardiovascular disease (CVD) research.
- Consistent findings across methodologies enhance the reliability of identified CVD risk factors.
- This approach supports the development of targeted precision medicine strategies and novel interventions for CVD.
Abstract:
Cardiovascular disease (CVD) is considered a primary driver of global mortality and is estimated to be responsible for approximately 17.9 million deaths annually. Consequently, a substantial body of research related to CVD has developed, with an emphasis on identifying strategies for the prevention and effective treatment of CVD. In this review, we critically examine the existing CVD literature, and specifically highlight the contribution of Mendelian randomization analyses in CVD research. Throughout this review, we assess the extent to which research findings agree across a range of studies of differing design within a triangulation framework. If differing study designs are subject to non-overlapping sources of bias, consistent findings limit the extent to which results are merely an artefact of study design. Consequently, broad agreement across differing studies can be viewed as providing more robust causal evidence in contrast to limiting the scope of the review to a single specific study design. Utilising the triangulation approach, we highlight emerging patterns in research findings, and explore the potential of identified risk factors as targets for precision medicine and novel interventions.
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