TNF inhibitors associated with cardiovascular diseases and cardiometabolic risk factors: a Mendelian randomization study

被引:0
作者
Liu, Z. -Y. [1 ,2 ]
Huang, X. -B. [1 ]
Yang, G. -M. [1 ]
Zhao, S. [1 ,2 ]
机构
[1] Anhui Prov Childrens Hosp, Dept Cardiol, Hefei, Anhui, Peoples R China
[2] Anhui Med Univ, Sch Clin Med 5, Hefei, Anhui, Peoples R China
关键词
Tumor necrosis factor inhibitors; Cardiovascular conditions; Cardiometabolic risk factors; Mendelian randomization; TUMOR-NECROSIS-FACTOR; INFLAMMATORY-BOWEL-DISEASE; FACTOR-ALPHA; RHEUMATOID-ARTHRITIS; GENETIC-LOCI; INSULIN-RESISTANCE; HEART-FAILURE; THERAPY; INFLIXIMAB; MECHANISMS;
D O I
暂无
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
OBJECTIVE: There is still disagreement about whether anti-tumor necrosis factor (TNF) therapy is beneficial or detrimental to cardiovascular conditions. This two-sample Mendelian randomization (MR) study aimed to evaluate the effects of long-term tumor necrosis factor (TNF) inhibition on cardiovascular diseases (CVDs) and cardiometabolic risk factors via genetically proxied inhibition of tumor necrosis factor receptor 1 (TNFR1) and TNF. MATERIALS AND METHODS: Two genetic instruments were examined to mimic the long-term effect of TNF inhibitors. The first were single-nucleotide polymorphisms (SNPs) within or nearby drug-target genes TNFRSF1A and TNF (encoding TNFR1 and TNF) associated with circulating CRP levels. The other instruments were the expression quantitative trait loci (eQTLs) near the genes. Inverse variance-weighted MR (IVW-MR) and summary-based MR (SMR) methods were employed to estimate causal effects. RESULTS: In IVW-MR analysis, TNF-mediated circulating CRP levels were significantly associated with 4 out of 12 CVDs, including hypertension [odds ratio (OR) = 1.13; 95% CI, 1.09-1.18], coronary artery disease (OR = 3.18; 95% CI, 1.77-5.71), coronary atherosclerosis (OR = 1.05; 95% CI, 1.02-1.08) and type 2 diabetes (OR = 3.48; 95% CI, 1.98-6.10). These findings were also validated in the FinnGen study. Moreover, TNF inhibition was also associated with total cholesterol, triglycerides, apolipoprotein B, systolic blood pressure, serum cystatin C, height, weight, and body mass index. CONCLUSIONS: In this study, the decrease in several CVDs and cardiometabolic risk factors has been found to be causally associated with genetically proxied TNF inhibitors.
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页码:8556 / 8578
页数:23
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[81]   Integration of summary data from GWAS and eQTL studies predicts complex trait gene targets [J].
Zhu, Zhihong ;
Zhang, Futao ;
Hu, Han ;
Bakshi, Andrew ;
Robinson, Matthew R. ;
Powell, Joseph E. ;
Montgomery, Grant W. ;
Goddard, Michael E. ;
Wray, Naomi R. ;
Visscher, Peter M. ;
Yang, Jian .
NATURE GENETICS, 2016, 48 (05) :481-+