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Updated: Jun 23, 2025

Author Spotlight: Advancing the Analysis of Plasma Extracellular Vesicle Proteome for Cardiovascular Biomarker Studies
Published on: January 31, 2025
Genetic Evidence for Causal Relationships between Plasma Eicosanoid Levels and Cardiovascular Disease
Xukun Bi1, Yiran Wang2, Yangjun Lin1
1Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province, Department of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Insights
High plasma eicosanoid levels are genetically linked to increased cardiovascular disease risk, including heart attacks and strokes. This finding suggests eicosanoids may be a target for future cardiovascular disease treatments.
Area of Science:
- Biochemistry
- Genetics
- Cardiology
Background:
- Cardiovascular diseases (CVD) are leading causes of global mortality and disability.
- Eicosanoids, bioactive metabolites of arachidonic acid, have complex roles in CVD, with both beneficial and detrimental effects.
- The direct causal link between eicosanoid levels and CVD risk has remained unclear.
Purpose of the Study:
- To investigate the potential genetic causal relationship between plasma eicosanoid levels and the risk of developing cardiovascular diseases.
- To leverage genetic variants associated with eicosanoid levels to infer causality.
Main Methods:
- Utilized a two-sample Mendelian randomization (MR) analysis.
- Selected six single nucleotide polymorphisms (SNPs) strongly associated with plasma eicosanoid levels.
- Employed summary-level data for various cardiovascular diseases from public genome-wide association studies.
Main Results:
- Plasma eicosanoid levels showed inverse correlations with several cardiovascular conditions.
- Significant associations were found for unstable angina pectoris, myocardial infarction, ischemic stroke, transient ischemic attack, heart failure, and pulmonary embolism.
- The study identified a genetic causal link between elevated plasma eicosanoid levels and increased risk for these cardiovascular diseases.
Conclusions:
- The findings provide strong genetic evidence supporting a causal relationship between higher plasma eicosanoid levels and elevated cardiovascular disease risk.
- This research suggests that targeting eicosanoid pathways could be a potential therapeutic strategy for managing cardiovascular diseases.
Abstract:
Cardiovascular diseases are the most common causes of mortality and disability worldwide. Eicosanoids are a group of bioactive metabolites that are mainly oxidized by arachidonic acid. Eicosanoids play a diverse role in cardiovascular diseases, with some exerting beneficial effects while others have detrimental consequences. However, a causal relationship between eicosanoid levels and cardiovascular disease remains unclear. Six single nucleotide polymorphisms (SNPs) with strong associations with plasma eicosanoid levels were selected. Summary-level data for cardiovascular disease were obtained from publicly available genome-wide association studies. A two-sample MR analysis identified that plasma eicosanoid levels were inversely correlated with unstable angina pectoris (OR 1.06; 95% CI 1-1.12; p = 0.04), myocardial infarction (OR 1.05; 95% CI 1.02-1.09; p = 0.005), ischemia stroke (OR 1.05; 95% CI 1-1.11; p = 0.047), transient ischemic attack (OR 1.03; 95% CI 1-1.07; p = 0.042), heart failure (OR 1.03; 95% CI 1.01-1.05; p = 0.011), and pulmonary embolism (OR 1.08; 95% CI 1.02-1.14; p = 1.69 × 10-6). In conclusion, our data strongly suggest a genetic causal link between high plasma eicosanoid levels and an increased cardiovascular disease risk. This study provides genetic evidence for treating cardiovascular diseases.
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