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Causal association between placental growth factor and coronary heart disease: a Mendelian randomization study
Bo Zuo1, Sha Zhu2, Guoting Zhong2
1Department of Cardiology, Cardiovascular Centre, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Insights
Placental growth factor (PlGF) is causally linked to a reduced risk of coronary heart disease (CHD). This genetic association suggests PlGF may be a therapeutic target for preventing heart conditions like myocardial infarction.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Biomarkers in Heart Disease
Background:
- Placental growth factor (PlGF) is a polypeptide hormone involved in physiological processes.
- Observational studies suggest an association between PlGF and coronary heart disease (CHD) risk.
- The causal relationship between PlGF and CHD remains unclear.
Purpose of the Study:
- To investigate the causal association between genetically predicted PlGF levels and the risk of CHD.
- To utilize Mendelian randomization to assess genetic links between PlGF and cardiovascular events.
Main Methods:
- Employed two-sample Mendelian randomization (MR).
- Selected single nucleotide polymorphisms (SNPs) associated with PlGF as instrumental variables (IVs).
- Evaluated the causal effect of genetically predicted PlGF on CHD risk.
Main Results:
- A suggestive causal association was found between genetically predicted PlGF levels and overall CHD risk (OR = 0.79).
- Significant negative causal associations were observed for myocardial infarction (OR = 0.83) and unstable angina pectoris (OR = 0.78).
- PlGF levels showed a negative correlation with CHD events (OR = 0.89).
Conclusions:
- Genetically predicted PlGF levels are causally associated with a reduced risk of CHD, particularly acute coronary syndrome.
- PlGF emerges as a potential therapeutic target for managing and preventing coronary heart disease.
Objective:
Placental growth factor (PlGF), an important polypeptide hormone, plays an important regulatory role in various physiological processes. Observational studies have shown that PlGF is associated with the risk of coronary heart disease (CHD). However, the causal association between PlGF and CHD is unclear at present. This study aimed to investigate the causal association between genetically predicted PlGF levels and CHD.
Methods:
Single nucleotide polymorphisms (SNPs) associated with PlGF were selected as instrumental variables (IVs) to evaluate the causal association between genetically predicted circulating PlGF levels and CHD risk by two-sample Mendelian randomization (MR).
Results:
Inverse variance weighted (IVW) analysis showed that there was a suggestive causal association between genetically predicted PlGF level and the risk of CHD (OR = 0.79, 95% CI: 0.66-0.95, P = 0.011) overall. In addition, PlGF levels had a significant negative causal association with the risk of myocardial infarction (OR = 0.83, 95% CI: 0.72-0.95, P = 0.007). A negative correlation trend was found between PlGF level and the risk of angina pectoris (OR = 0.89, 95% CI: 0.79-1.01, P = 0.067). In addition, PlGF levels had a significant negative association with the risk of unstable angina pectoris (OR = 0.78, 95% CI: 0.64-0.94, P = 0.008). PlGF levels were negatively correlated with CHD events with suggestive significance (OR = 0.89, 95% CI: 0.80-0.99, P = 0.046).
Conclusion:
Genetically predicted circulating PlGF levels are causally associated with the risk of CHD, especially acute coronary syndrome, and PlGF is a potential therapeutic target for CHD.
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