Multi-omics Mendelian randomization integrating RNA-seq, eQTL and pQTL data revealed CPXM1 as a potential drug target

Junxiang Lian1, Xinjian Zhang2, Shanwei Shi1

  • 1Department of Oral and Maxillofacial Surgery, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, 510280, China.

Hereditas
|October 1, 2025
PubMed

Insights

This study identifies Carboxypeptidase X, M14 family member 1 (CPXM1) as a novel gene causally linked to osteoporosis risk. CPXM1 upregulation in aged bone suggests it

Area of Science:

  • Genetics and Genomics
  • Bone Biology
  • Pharmacology

Background:

  • Osteoporosis is a major global health issue with limited effective treatments.
  • Novel therapeutic targets are crucial for managing osteoporosis.
  • Current treatments have suboptimal efficacy and safety profiles.

Purpose of the Study:

  • To identify novel drug targets for osteoporosis using multi-omics data.
  • To investigate the causal relationship between genes and osteoporosis risk.
  • To validate potential therapeutic targets through transcriptomic and proteomic analyses.

Main Methods:

  • Mendelian randomization (MR) analysis integrating RNA-seq, eQTL, and pQTL data.
  • Bidirectional two-sample MR analysis to establish causality.
  • Transcriptomic, proteomic, and phenome-wide association studies (PheWAS) for validation.
  • Computational drug repurposing for identifying potential treatments.

Main Results:

  • Carboxypeptidase X, M14 family member 1 (CPXM1) was identified as a novel gene causally linked to osteoporosis.
  • CPXM1 expression was upregulated in aged bone tissues and osteoporotic conditions in human and murine models.
  • Dysregulation of bone homeostasis pathways, including extracellular matrix degradation and suppressed osteoblast differentiation, was observed.
  • PheWAS indicated minimal off-target effects for CPXM1.
  • Drug repurposing identified Doxorubicin, 5-Fluorouracil, and 2-Methylcholine as potential CPXM1-targeting agents.

Conclusions:

  • CPXM1 is a promising novel therapeutic target and potential biomarker for osteoporosis.
  • Targeting CPXM1 pathways may offer new therapeutic strategies for osteoporosis.
  • Further research into CPXM1 and its associated drug candidates is warranted.