Plasma Circulating Proteins and Intracranial Aneurysm Susceptibility: A Proteome-Wide Mendelian Randomization

Xuelun Zou1, Yishu Tang2, Chang Zhou3

  • 1Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, P.R. China.

World Neurosurgery
|April 28, 2025
PubMed

Insights

Biotinidase (BTD) protein levels are associated with reduced intracranial aneurysm (IA) risk, suggesting BTD as a potential biomarker and preventive target for IA. This study used proteome Mendelian randomization to identify key plasma proteins influencing IA.

Area of Science:

  • Genetics
  • Proteomics
  • Cardiovascular Science

Background:

  • Intracranial aneurysms (IAs) are a significant cause of mortality and disability.
  • Effective prevention and treatment strategies for IA are critically needed.

Purpose of the Study:

  • To identify key plasma proteins influencing the risk of intracranial aneurysms (IAs) using a proteome-wide Mendelian randomization approach.
  • To discover potential biomarkers and therapeutic targets for IA prevention and treatment.

Main Methods:

  • Utilized proteome data from 9 studies (2100 plasma proteins) and IA GWAS data from UK Biobank.
  • Employed inverse variance weighting and Wald ratio for primary analysis, with sensitivity analyses including PheWAS and reverse Mendelian randomization.
  • Validated findings using GWAS data from 473,683 European patients and explored therapeutic targets via protein-protein interaction networks and databases.

Main Results:

  • Biotinidase (BTD) and Fc alpha receptor were associated with reduced IA risk, while versican (VCAN) was linked to increased IA risk.
  • Sensitivity analyses confirmed the robustness of these findings against heterogeneity, pleiotropy, and reverse causality.
  • Replication phase confirmed BTD's association with decreased IA risk, but not VCAN or Fc alpha receptor. VCAN emerged as a potential drug target for IA.

Conclusions:

  • Circulating biotinidase (BTD) significantly reduces intracranial aneurysm risk.
  • BTD shows promise as a key biomarker and preventive target for intracranial aneurysms.
Abstract

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