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Genetically predicted lower FLT3L levels increase the risk of hypertrophic cardiomyopathy partly mediated by phosphate: Evidence from a 2-step Mendelian randomization analysis.

📚 期刊: Medicine 📅 发表: 0000-00-00 🔬 PMID: 42363547 🔗 DOI: 10.1097/MD.0000000000049477 👁️ 浏览: 18

👤 作者: Li Y, Chen R, Hou C, Zheng Z, Xu S, Zheng X, Liu M, Liao X, Bao M, Huang C

心肌病

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APA Vancouver 国标 GB/T 7714 BibTeX RIS
Li Y, Chen R, Hou C, Zheng Z, Xu S, Zheng X, Liu M, Liao X, Bao M, Huang C (0000). Genetically predicted lower FLT3L levels increase the risk of hypertrophic cardiomyopathy partly mediated by phosphate: Evidence from a 2-step Mendelian randomization analysis.. Medicine. https://doi.org/10.1097/MD.0000000000049477

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📝 摘要

We performed a 2-step Mendelian randomization (MR) study to investigate the associations of Fms-related tyrosine kinase 3 ligand (FLT3L) and phosphate levels with the risk of hypertrophic cardiomyopathy (HCM). Genetic instruments for 75 circulating inflammatory factors were obtained from the NHGRI-EBI GWAS Catalog, while summary statistics for circulating phosphate and HCM were derived from the UK Biobank and FinnGen, respectively. Univariable MR analysis using the inverse-variance weighted method indicated that genetically predicted higher phosphate levels were associated with an increased risk of HCM (OR = 1.36, P = 4.82 × 10-2). Among the inflammatory markers, FLT3L emerged as a significant candidate and showed inverse associations with phosphate levels (β = -0.05, P = 1.70 × 10-9) and HCM (OR = 0.79, P = 4.10 × 10-2). Bidirectional MR analyses did not support a causal effect of phosphate on FLT3L. Mediation analysis suggested that phosphate levels accounted for an estimated 12.05% of the total effect of FLT3L on HCM. Genetic liability to lower FLT3L levels is associated with a higher risk of HCM, and this relationship may be partially mediated through circulating phosphate levels.

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