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.
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.
Background:
Intracranial aneurysms (IAs) are cerebrovascular diseases with exceptionally high mortality and disability rates. Preventing and treating IA are crucial steps toward reducing the burden of these conditions. We propose conducting a proteome Mendelian randomization study to investigate key plasma proteins that influence IA and to identify biomarkers and therapeutic targets for their prevention and treatment.
Methods:
We used 2100 plasma proteins from 9 studies as exposures and IA GWAS data from the UK Biobank as outcomes to explore the major plasma proteins influencing IA. The primary method of this study was inverse variance weighting or Wald ratio. To test the robustness of the findings, sensitivity analyses were performed using various approaches, including PheWAS, reverse Mendelian randomization, and others. Finally, GWAS data on IA from 473,683 European patients were used as replication data. Protein-protein interaction networks, Drugbank/DGIdb, and other methods were employed to discover potential therapeutic targets.
Results:
After False Discovery Rate correction, we identified that biotinidase (BTD) (odds ratio [OR = 0.6489, 95% confidence interval [CI]: 0.5520-0.7628, P = 1.59 × 10-7) and Fc alpha receptor (OR = 0.6798, 95% CI: 0.5620-0.8223, P = 7.03 × 10-5) reduced the risk of IA, while versican (VCAN) (OR = 1.4190, 95% CI: 1.1976-1.6815, P = 5.29 × 10-5) increased the risk of IA according to the inverse variance weighting method. Sensitivity analyses confirmed that the robustness of the results was not affected by heterogeneity, pleiotropy, or reverse causality. During the replication phase, BTD (OR = 0.9141, 95% CI: 0.8383-0.9967, P = 0.04) was found to potentially decrease IA risk; however, the association among VCAN (OR = 0.9602, 95% CI: 0.9136-1.0092, P = 0.11), Fc alpha receptor (OR = 1.0031, 95% CI: 0.9576-1.0507, P = 0.90), and the risk of IA was not verified. Additionally, protein-protein interaction and other methods suggest that VCAN may be a potential drug target for IA.
Conclusions:
Circulating protein BTD reduces the risk of IA and may serve as a key biomarker and preventive target for IA.
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