Systematic identification of therapeutic targets for coronary artery calcification: an integrated transcriptomic and

Lihong Chen1,2, Xiaoqi Ye1,2, Yan Li1,2

  • 1Department of Endocrinology & Metabolism, West China Hospital, Sichuan University, Chengdu, China.

PubMed
Abstract

Insights

Coronary artery calcification (CAC) poses significant health risks, but effective treatments are lacking. This study used Mendelian randomization to identify 23 potential therapeutic targets for CAC, including ULK3, DOT1L, and AMH for drug repurposing.

Area of Science:

  • Cardiovascular Genetics
  • Pharmacogenomics
  • Biostatistics

Background:

  • Coronary artery calcification (CAC) is a strong predictor of mortality and cardiovascular events.
  • Current therapeutic options for treating CAC are limited, highlighting the need for novel treatment strategies.
  • Identifying effective therapeutic targets is crucial for developing new treatments for CAC.

Purpose of the Study:

  • To identify potential therapeutic targets for Coronary Artery Calcification (CAC) using Mendelian randomization (MR) and colocalization analysis.
  • To explore novel drug repurposing opportunities for CAC treatment.
  • To leverage genetic and proteomic data for target identification in cardiovascular disease.

Main Methods:

  • Utilized expression quantitative trait loci (eQTLs) and protein quantitative trait loci (pQTLs) as genetic instruments.
  • Performed Genome-Wide Association Study (GWAS) meta-analysis on 26,909 individuals for CAC associations.
  • Applied Mendelian randomization (MR) and colocalization analyses to identify and validate potential therapeutic targets.

Main Results:

  • Transcriptomic MR analysis identified 671 genes associated with CAC risk (FDR <0.05).
  • Proteomic MR analysis revealed 15 genes significantly associated with CAC.
  • Colocalization analysis confirmed associations for CWF19L2, JARID2, MANBA (positive) and KLB (inverse) with CAC risk, identifying 23 potential therapeutic targets overall.

Conclusions:

  • Integrated MR analysis of transcriptomic and proteomic data identified multiple potential drug targets for CAC treatment.
  • ULK3, DOT1L, and AMH emerged as novel targets for drug repurposing in CAC.
  • These findings warrant further investigation for developing new therapeutic strategies for CAC.