Instrumental variable and colocalization analyses identify endotrophin and HTRA1 as potential therapeutic targets for

Paul C Lee1, In-Hyuk Jung1, Shreeya Thussu1

  • 1Center for Cardiovascular Research, Division of Cardiology, Department of Medicine, Washington University School of Medicine, Saint Louis, MO 63110, USA.

Iscience
|July 11, 2024
PubMed

Insights

This study used genetic analysis to find new therapeutic targets for coronary artery disease (CAD). It identified several genes and proteins, including HTRA1 and endotrophin, causally linked to CAD risk.

Area of Science:

  • Genetics
  • Cardiovascular Disease Research
  • Pharmacogenomics

Background:

  • Coronary artery disease (CAD) is a major global health concern with ongoing need for novel therapeutic strategies.
  • Genome-wide association studies (GWAS) identify genetic loci associated with disease, but determining causal genes requires advanced methods.
  • Instrumental variable (IV) and genetic colocalization analyses are powerful tools for nominating causal genes within GWAS loci.

Purpose of the Study:

  • To identify novel, potentially causal genes and proteins associated with coronary artery disease (CAD) risk.
  • To leverage multi-omic data and advanced genetic analyses to nominate therapeutic targets for CAD.
  • To validate established CAD targets and discover new ones using a robust analytical framework.

Main Methods:

  • Conducted cis-instrumental variable (cis-IV) analyses integrating molecular quantitative trait loci (QTLs) data for 20,125 genes and 1,746 plasma proteins with CAD.
  • Employed genetic colocalization to confirm shared genetic architecture between identified molecular traits and CAD risk.
  • Utilized data from three distinct molecular QTL studies for comprehensive analysis.

Main Results:

  • Identified 19 proteins and 119 genes significantly associated with CAD risk through IV analyses, with evidence of genetic colocalization.
  • Validated known therapeutic targets for CAD, such as PCSK9 and ANGPTL4.
  • Discovered novel candidate targets, including HTRA1 and endotrophin (COL6A3 cleavage product), causally linked to CAD risk.

Conclusions:

  • The study successfully nominated multiple genes and proteins with a potential causal role in coronary artery disease.
  • Findings highlight HTRA1 and endotrophin as promising new targets for therapeutic development in CAD.
  • Further experimental validation is crucial to confirm the identified causal relationships and their therapeutic potential.