Using genetic variation for establishing causality of cardiovascular risk factors: overcoming confounding and reverse causality

被引:12
作者
Smit, R. A. J. [1 ,2 ]
Trompet, S. [1 ,2 ,3 ]
de Craen, A. J. M. [1 ]
Jukema, J. W. [2 ,3 ]
机构
[1] Leiden Univ, Med Ctr, Dept Gerontol & Geriatr, NL-2333 ZA Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Cardiol, NL-2333 ZA Leiden, Netherlands
[3] Interuniv Cardiol Inst Netherlands, Utrecht, Netherlands
关键词
Cardiovascular risk assessment; Genetics; Instrumental variable analysis; Mendelian randomisation; CORONARY-HEART-DISEASE; MENDELIAN RANDOMIZATION; INSTRUMENTAL VARIABLES; BLOOD-PRESSURE; TRIAL; CHOLESTEROL; VARIANTS; CANCER; LOCI;
D O I
10.1007/s12471-014-0534-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiovascular disease (CVD) remains the leading cause of death in developed countries, despite the decline of CVD mortality over the last two decades. From observational, predictive research, efforts have been made to find causal risk factors for CVD. However, in recent years, some of these findings have been shown to be mistaken. Possible explanations for the discrepant findings are confounding and reverse causation. Genetic epidemiology has tried to address these problems through the use of Mendelian randomisation. In this paper, we discuss the promise and limitations of using genetic variation for establishing causality of cardiovascular risk factors.
引用
收藏
页码:186 / 189
页数:4
相关论文
共 26 条
[1]  
[Anonymous], 2011, WHO I Global atlas on cardiovascular disease prevention and control
[2]   Use of allele scores as instrumental variables for Mendelian randomization [J].
Burgess, Stephen ;
Thompson, Simon G. .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2013, 42 (04) :1134-1144
[3]   Meta-Analysis of Genome-Wide Association Studies in >80 000 Subjects Identifies Multiple Loci for C-Reactive Protein Levels [J].
Dehghan, Abbas ;
Dupuis, Josee ;
Barbalic, Maja ;
Bis, Joshua C. ;
Eiriksdottir, Gudny ;
Lu, Chen ;
Pellikka, Niina ;
Wallaschofski, Henri ;
Kettunen, Johannes ;
Henneman, Peter ;
Baumert, Jens ;
Strachan, David P. ;
Fuchsberger, Christian ;
Vitart, Veronique ;
Wilson, James F. ;
Pare, Guillaume ;
Naitza, Silvia ;
Rudock, Megan E. ;
Surakka, Ida ;
de Geus, Eco J. C. ;
Alizadeh, Behrooz Z. ;
Guralnik, Jack ;
Shuldiner, Alan ;
Tanaka, Toshiko ;
Zee, Robert Y. L. ;
Schnabel, Renate B. ;
Nambi, Vijay ;
Kavousi, Maryam ;
Ripatti, Samuli ;
Nauck, Matthias ;
Smith, Nicholas L. ;
Smith, Albert V. ;
Sundvall, Jouko ;
Scheet, Paul ;
Liu, Yongmei ;
Ruokonen, Aimo ;
Rose, Lynda M. ;
Larson, Martin G. ;
Hoogeveen, Ron C. ;
Freimer, Nelson B. ;
Teumer, Alexander ;
Tracy, Russell P. ;
Launer, Lenore J. ;
Buring, Julie E. ;
Yamamoto, Jennifer F. ;
Folsom, Aaron R. ;
Sijbrands, Eric J. G. ;
Pankow, James ;
Elliott, Paul ;
Keaney, John F. .
CIRCULATION, 2011, 123 (07) :731-U151
[4]   Genetic variants in novel pathways influence blood pressure and cardiovascular disease risk [J].
Ehret, Georg B. ;
Munroe, Patricia B. ;
Rice, Kenneth M. ;
Bochud, Murielle ;
Johnson, Andrew D. ;
Chasman, Daniel I. ;
Smith, Albert V. ;
Tobin, Martin D. ;
Verwoert, Germaine C. ;
Hwang, Shih-Jen ;
Pihur, Vasyl ;
Vollenweider, Peter ;
O'Reilly, Paul F. ;
Amin, Najaf ;
Bragg-Gresham, Jennifer L. ;
Teumer, Alexander ;
Glazer, Nicole L. ;
Launer, Lenore ;
Zhao, Jing Hua ;
Aulchenko, Yurii ;
Heath, Simon ;
Sober, Siim ;
Parsa, Afshin ;
Luan, Jian'an ;
Arora, Pankaj ;
Dehghan, Abbas ;
Zhang, Feng ;
Lucas, Gavin ;
Hicks, Andrew A. ;
Jackson, Anne U. ;
Peden, John F. ;
Tanaka, Toshiko ;
Wild, Sarah H. ;
Rudan, Igor ;
Igl, Wilmar ;
Milaneschi, Yuri ;
Parker, Alex N. ;
Fava, Cristiano ;
Chambers, John C. ;
Fox, Ervin R. ;
Kumari, Meena ;
Go, Min Jin ;
van der Harst, Pim ;
Kao, Wen Hong Linda ;
Sjogren, Marketa ;
Vinay, D. G. ;
Alexander, Myriam ;
Tabara, Yasuharu ;
Shaw-Hawkins, Sue ;
Whincup, Peter H. .
NATURE, 2011, 478 (7367) :103-109
[5]  
Gabriel SR, 2005, COCHRANE DB SYST REV
[6]  
GRAY R, 1991, BONE MARROW TRANSPL, V7, P9
[7]   An introduction to instrumental variables for epidemiologists [J].
Greenland, S .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2000, 29 (04) :722-729
[8]   Secretory Phospholipase A2-IIA and Cardiovascular Disease [J].
Holmes, Michael V. ;
Simon, Tabassome ;
Exeter, Holly J. ;
Folkersen, Lasse ;
Asselbergs, Folkert W. ;
Guardiola, Montse ;
Cooper, Jackie A. ;
Palmen, Jutta ;
Hubacek, Jaroslav A. ;
Carruthers, Kathryn F. ;
Horne, Benjamin D. ;
Brunisholz, Kimberly D. ;
Mega, Jessica L. ;
Van Iperen, Erik P. A. ;
Li, Mingyao ;
Leusink, Maarten ;
Trompet, Stella ;
Verschuren, Jeffrey J. W. ;
Hovingh, G. Kees ;
Dehghan, Abbas ;
Nelson, Christopher P. ;
Kotti, Salma ;
Danchin, Nicolas ;
Scholz, Markus ;
Haase, Christiane L. ;
Rothenbacher, Dietrich ;
Swerdlow, Daniel I. ;
Kuchenbaecker, Karoline B. ;
Staines-Urias, Eleonora ;
Goel, Anuj ;
van 't Hooft, Ferdinand ;
Gertow, Karl ;
de Faire, Ulf ;
Panayiotou, Andrie G. ;
Tremoli, Elena ;
Baldassarre, Damiano ;
Veglia, Fabrizio ;
Holdt, Lesca M. ;
Beutner, Frank ;
Gansevoort, Ron T. ;
Navis, Gerjan J. ;
Leach, Irene Mateo ;
Breitling, Lutz P. ;
Brenner, Hermann ;
Thiery, Joachim ;
Dallmeier, Dhayana ;
Franco-Cereceda, Anders ;
Boer, Jolanda M. A. ;
Stephens, Jeffrey W. ;
Hofker, Marten H. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 62 (21) :1966-1976
[9]   FACTORS OF RISK IN DEVELOPMENT OF CORONARY HEART DISEASE - 6-YEAR FOLLOW-UP EXPERIENCE [J].
KANNEL, WB ;
KAGAN, A ;
STOKES, J ;
DAWBER, TR ;
REVOTSKIE, N .
ANNALS OF INTERNAL MEDICINE, 1961, 55 (01) :33-+
[10]  
KATAN MB, 1986, LANCET, V1, P507