Repurposing lipid-lowering drugs on asthma and lung function: evidence from a genetic association analysis

被引:2
作者
Zhang, Yue [1 ]
Jiang, Zichao [2 ]
Chen, Lingli [1 ]
Lei, Ting [2 ]
Zheng, Xiangrong [1 ]
机构
[1] Cent South Univ, Xiangya Hosp, Dept Pediat, Changsha 410008, Hunan, Peoples R China
[2] Cent South Univ, Xiangya Hosp, Dept Orthopaed, Changsha 410008, Hunan, Peoples R China
基金
中国国家自然科学基金;
关键词
Lipids; Lowering-lipid therapy; Asthma; Mendelian randomization; Casual association; MENDELIAN RANDOMIZATION; STATINS; METAANALYSIS; SIMVASTATIN; DEFINITION; PHENOTYPES; CHILDHOOD; MODEL;
D O I
10.1186/s12967-024-05359-5
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
ObjectiveTo explore the correlation between asthma risk and genetic variants affecting the expression or function of lipid-lowering drug targets.MethodsWe conducted Mendelian randomization (MR) analyses using variants in several genes associated with lipid-lowering medication targets: HMGCR (statin target), PCSK9 (alirocumab target), NPC1L1 (ezetimibe target), APOB (mipomersen target), ANGPTL3 (evinacumab target), PPARA (fenofibrate target), and APOC3 (volanesorsen target), as well as LDLR and LPL. Our objective was to investigate the relationship between lipid-lowering drugs and asthma through MR. Finally, we assessed the efficacy and stability of the MR analysis using the MR Egger and inverse variance weighted (IVW) methods.ResultsThe elevated triglyceride (TG) levels associated with the APOC3, and LPL targets were found to increase asthma risk. Conversely, higher LDL-C levels driven by LDLR were found to decrease asthma risk. Additionally, LDL-C levels (driven by APOB, NPC1L1 and HMGCR targets) and TG levels (driven by the LPL target) were associated with improved lung function (FEV1/FVC). LDL-C levels driven by PCSK9 were associated with decreased lung function (FEV1/FVC).ConclusionIn conclusion, our findings suggest a likely causal relationship between asthma and lipid-lowering drugs. Moreover, there is compelling evidence indicating that lipid-lowering therapies could play a crucial role in the future management of asthma.
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页数:12
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