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Proteome-wide Mendelian randomization identifies causal plasma proteins in prostate cancer development
Jian Wu1, Zitong Yang1,2, Jiafeng Ding1,3
1Department of Urology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, China.
Human Genomics
|February 25, 2025
Summary
This study identified nine plasma proteins associated with prostate cancer risk using Mendelian randomization. SMAD2 and CREB3L4 showed significant causal effects, suggesting their potential roles in prostate cancer development and treatment.
Area of Science:
- Genetics
- Oncology
- Biochemistry
Background:
- The causes of prostate cancer are not fully understood.
- The association between plasma protein levels and prostate cancer risk remains unclear.
Purpose of the Study:
- To investigate the causal relationship between plasma protein levels and prostate cancer risk.
- To identify specific plasma proteins that may influence prostate cancer development.
Main Methods:
- Mendelian randomization analyses were conducted using cis-protein quantitative trait loci (cis-pQTL) variants.
- Data from the PRACTICAL consortium were analyzed, with findings replicated in the FinnGen consortium.
- Causal effects of plasma proteins and circulating gene expression on prostate cancer risk were assessed.
Main Results:
- Four plasma proteins (CREB3L4, HDGF, SERPINA3, GNPNAT1) were positively correlated with increased prostate cancer risk.
- Five plasma proteins (TNFRSF6B, GSK3A, EIF4B, CLIC1, SMAD2) were associated with decreased prostate cancer risk.
- Causal effects of CREB3L4, HDGF, SERPINA3, TNFRSF6B, EIF4B, and SMAD2 were confirmed in replication and meta-analyses.
Conclusions:
- Plasma levels of SMAD2 and CREB3L4 are significantly associated with prostate cancer risk.
- These proteins may play crucial roles in prostate cancer etiology.
- Further research into SMAD2 and CREB3L4 could inform prostate cancer prevention and treatment strategies.

