血液代谢组介导血浆脂质组对房颤风险的影响:一项孟德尔随机研究

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Yanglulu Su, Yi Ning, Zhiyuan Jiang, Guoqiang Zhong
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引用次数: 0

摘要

背景与目的房颤(AF)是一种常见的心律失常,发病率逐年上升,已成为危害人类健康的重要公共卫生问题。代谢物是代谢反应过程中产生的小分子,它们可以影响疾病的风险,并可能成为疾病管理的靶点。方法采用双样本和双向磁共振技术探讨脂质组与房颤之间的潜在因果关系。两步磁共振分析用于探讨血浆代谢物是否介导了脂质组与房颤的因果关系。结果我们使用IVW模型评估了179种脂质对房颤的影响,发现8种脂质与房颤显著相关(p < 0.05)。同样,我们评估了1091种代谢物和309种代谢物比例对AF的影响,发现22种代谢物与AF显著相关(p < 0.05)。我们分析了上述血液代谢物作为从上述脂质体到房颤途径的介质。脂质甾醇酯(27:1/18:3)与较低的同型精氨酸水平相关,较低的代谢产物同型精氨酸水平与房颤风险增加相关。结论本研究确定了血浆脂质体与房颤之间的因果关系,并发现血浆代谢产物同型精氨酸水平可以作为脂质甾醇酯对房颤作用的中介。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Blood Metabolome Mediates the Effect of the Plasma Lipidome on the Risk of Atrial Fibrillation: A Mendelian Randomization Study

Blood Metabolome Mediates the Effect of the Plasma Lipidome on the Risk of Atrial Fibrillation: A Mendelian Randomization Study

Background and Objective

Atrial fibrillation (AF), a common arrhythmic disorder, is increasing in prevalence annually and has become an important public health problem that jeopardizes human health. Metabolites are small molecules produced in the process of metabolic reactions, and they can affect the risk of disease and possibly become targets for disease management.

Methods

We used two-sample and bidirectional MR to explore potential causal associations between lipid groups and AF. Two-step MR analysis was used to explore whether plasma metabolites mediated a causal effect from lipidomes to AF.

Result

We assessed the effect of 179 lipids on AF using IVW models and observed that 8 lipids were associated significantly with AF (p < 0.05). Likewise, we assessed the effect of 1091 metabolites and 309 metabolite ratios on AF and observed that 22 metabolites were significantly associated with AF (p < 0.05). We analyzed the blood metabolites above as mediators in the pathway from the lipidomes above to AF. We found that levels. Of lipid sterol ester (27:1/18:3) were associated with lower homoarginine levels, and lower metabolite homoarginine levels were associated with an increased risk of AF.

Conclusion

Our study identified a causal relationship between plasma liposomes and AF, and additionally found that the plasma metabolite homoarginine levels can act as a mediator of the lipid sterol ester in its effect on AF.

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来源期刊
Clinical Cardiology
Clinical Cardiology 医学-心血管系统
CiteScore
5.10
自引率
3.70%
发文量
189
审稿时长
4-8 weeks
期刊介绍: Clinical Cardiology provides a fully Gold Open Access forum for the publication of original clinical research, as well as brief reviews of diagnostic and therapeutic issues in cardiovascular medicine and cardiovascular surgery. The journal includes Clinical Investigations, Reviews, free standing editorials and commentaries, and bonus online-only content. The journal also publishes supplements, Expert Panel Discussions, sponsored clinical Reviews, Trial Designs, and Quality and Outcomes.
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