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Published on: June 21, 2018
Associations of Circulating Biomarkers with Disease Risks: a Two-Sample Mendelian Randomization Study
Abdulkadir Elmas1, Kevin Spehar2,3,4,5, Ron Do1
1Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Mendelian Randomization identified novel causal links between glucose and cystatin C with bipolar disorder. This study also confirmed known biomarker-disease relationships and highlighted others for cardiovascular conditions.
Area of Science:
- Genetics and Genomics
- Biomarkers and Diagnostics
- Personalized Medicine
Background:
- Circulating biomarkers are crucial for personalized medicine, aiding in disease screening, prevention, and treatment.
- Establishing causal relationships between biomarkers and diseases is complex.
- Mendelian Randomization (MR) utilizes genetic instruments to infer causality, with multiple methods enhancing reliability.
Purpose of the Study:
- To investigate causal relationships between 212 circulating biomarkers and 99 complex diseases using multiple MR methods.
- To identify novel and confirm known biomarker-disease associations.
Main Methods:
- Employed multiple Mendelian Randomization (MR) techniques: inverse variance weighted, simple mode, weighted mode, weighted median, and MR Egger.
- Utilized the MR-base resource, analyzing data from UK Biobank and other large-scale genetic studies.
- Assessed associations between 212 biomarkers and 99 complex diseases.
Main Results:
- Identified novel causal links between glucose and bipolar disorder (Mean Effect Size: 0.39) and cystatin C and bipolar disorder (Mean Effect Size: -0.31) supported by at least four MR methods.
- Confirmed known associations, including urate with gout and creatine with chronic kidney disease.
- Found potential causal links between several lipid biomarkers (apolipoprotein B, cholesterol, LDL, lipoprotein A, triglycerides) and cardiovascular conditions like coronary heart disease and myocardial infarction.
Conclusions:
- Corroborated existing causal relationships between biomarkers and diseases.
- Uncovered two novel potential causal biomarkers for bipolar disorder, warranting further research.
- Provided insights into disease etiology and potential for improved precision diagnostics and interventions.
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