循环蛋白和心脏代谢疾病之间的关联:观察性和门德尔随机化研究的系统审查和元分析
Ting Wu1, Yalei Ke1, Yingtao Li1
1School of Public Health, Peking University, Beijing, China.
大规模研究揭示了许多与心脏代谢疾病 (CMD) 相关的蛋白质. 几种蛋白质表现出因果作用,为生物标志物发现和CMD治疗点提供了新的途径.
科学领域:
- 蛋白质组学和遗传学
- 心血管和代谢疾病研究研究
背景情况:
- 综合蛋白质学和遗传学的基于人群的研究为心脏代谢疾病 (CMD) 的新生物标志物和治疗点提供了洞察力.
- 目前关于循环蛋白和CMD之间的观察和遗传关联的现有证据需要合成.
研究的目的:
- 综合现有关于循环蛋白和心脏代谢疾病 (CMD) 之间的观察和遗传关联的证据.
主要方法:
- 在PubMed,Embase和Web of Science中搜索到2023年7月的前性观察和门德尔随机化 (MR) 研究.
- 包括研究研究循环蛋白质和CMD (冠心病,中风,2型糖尿病,心力衰竭,心房动,动脉样硬化) 之间的关联.
- 使用随机效应模型提取研究特征和聚合数据.
主要成果:
- 包括50个观察性,25个MR和10个综合分析研究 (超过2600万参与者).
- 鉴定了560种与CMD相关的蛋白质,其中133种是类蛋白质 (与≥2种CMD相关).
- 通过MR发现了245种潜在的因果蛋白生物标志物,其中包括23种类蛋白;IL6RA和MMP12因果关系与7种疾病有关.
- 蛋白质生物标志物适度提高了CMD预测准确性,特别是在心力衰竭方面.
- 发现了3种蛋白质-疾病对与验证的药物开发证据;66种蛋白质是其他指示的现有药物标.
结论:
- 综合观察和遗传分析强调了蛋白质在CMD病因学中的潜在因果作用.
- 新型蛋白质生物标志物对药物开发和心脏代谢疾病的风险分层有希望.
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