Online-Ressource | |
Verfasst von: | Zheng, Jie [VerfasserIn] |
Wheeler, Eleanor [VerfasserIn] | |
Pietzner, Maik [VerfasserIn] | |
Andlauer, Till F. M. [VerfasserIn] | |
Yau, Michelle S. [VerfasserIn] | |
Hartley, April E. [VerfasserIn] | |
Brumpton, Ben Michael [VerfasserIn] | |
Rasheed, Humaira [VerfasserIn] | |
Kemp, John P. [VerfasserIn] | |
Frysz, Monika [VerfasserIn] | |
Robinson, Jamie [VerfasserIn] | |
Reppe, Sjur [VerfasserIn] | |
Prijatelj, Vid [VerfasserIn] | |
Gautvik, Kaare M. [VerfasserIn] | |
Falk, Louise [VerfasserIn] | |
März, Winfried [VerfasserIn] | |
Gergei, Ingrid [VerfasserIn] | |
Peyser, Patricia A. [VerfasserIn] | |
Kavousi, Maryam [VerfasserIn] | |
Vries, Paul S. de [VerfasserIn] | |
Miller, Clint L. [VerfasserIn] | |
Bos, Maxime [VerfasserIn] | |
van der Laan, Sander W. [VerfasserIn] | |
Malhotra, Rajeev [VerfasserIn] | |
Herrmann, Markus [VerfasserIn] | |
Scharnagl, Hubert [VerfasserIn] | |
Kleber, Marcus E. [VerfasserIn] | |
Dedoussis, George [VerfasserIn] | |
Zeggini, Eleftheria [VerfasserIn] | |
Nethander, Maria [VerfasserIn] | |
Ohlsson, Claes [VerfasserIn] | |
Lorentzon, Mattias [VerfasserIn] | |
Wareham, Nick [VerfasserIn] | |
Langenberg, Claudia [VerfasserIn] | |
Holmes, Michael V. [VerfasserIn] | |
Davey Smith, George [VerfasserIn] | |
Tobias, Jonathan H. [VerfasserIn] | |
Titel: | Lowering of circulating sclerostin may increase risk of atherosclerosis and its risk factors |
Titelzusatz: | evidence from a genome-wide association meta-analysis followed by mendelian randomization |
Verf.angabe: | Jie Zheng, Eleanor Wheeler, Maik Pietzner, Till FM Andlauer, Michelle S Yau, April E Hartley, Ben Michael Brumpton, Humaira Rasheed, John P Kemp, Monika Frysz, Jamie Robinson, Sjur Reppe, Vid Prijatelj, Kaare M Gautvik, Louise Falk, Winfried Maerz, Ingrid Gergei, Patricia A Peyser, Maryam Kavousi, Paul S de Vries, Clint L Miller, Maxime Bos, Sander W van der Laan, Rajeev Malhotra, Markus Herrmann, Hubert Scharnagl, Marcus Kleber, George Dedoussis, Eleftheria Zeggini, Maria Nethander, Claes Ohlsson, Mattias Lorentzon, Nick Wareham, Claudia Langenberg, Michael V Holmes, George Davey Smith, and Jonathan H Tobias |
E-Jahr: | 2023 |
Jahr: | October 2023 |
Umfang: | 12 S. |
Fussnoten: | Online veröffentlicht: 25. April 2023 ; Gesehen am 07.02.2024 |
Titel Quelle: | Enthalten in: Arthritis & rheumatology |
Ort Quelle: | Hoboken, NJ : Wiley, 2014 |
Jahr Quelle: | 2023 |
Band/Heft Quelle: | 75(2023), 10 vom: Okt., Seite 1781-1792 |
ISSN Quelle: | 2326-5205 |
Abstract: | Objective In this study, we aimed to establish the causal effects of lowering sclerostin, target of the antiosteoporosis drug romosozumab, on atherosclerosis and its risk factors. Methods A genome-wide association study meta-analysis was performed of circulating sclerostin levels in 33,961 European individuals. Mendelian randomization (MR) was used to predict the causal effects of sclerostin lowering on 15 atherosclerosis-related diseases and risk factors. Results We found that 18 conditionally independent variants were associated with circulating sclerostin. Of these, 1 cis signal in SOST and 3 trans signals in B4GALNT3, RIN3, and SERPINA1 regions showed directionally opposite signals for sclerostin levels and estimated bone mineral density. Variants with these 4 regions were selected as genetic instruments. MR using 5 correlated cis-SNPs suggested that lower sclerostin increased the risk of type 2 diabetes mellitus (DM) (odds ratio [OR] 1.32 [95% confidence interval (95% CI) 1.03-1.69]) and myocardial infarction (MI) (OR 1.35 [95% CI 1.01-1.79]); sclerostin lowering was also suggested to increase the extent of coronary artery calcification (CAC) (β = 0.24 [95% CI 0.02-0.45]). MR using both cis and trans instruments suggested that lower sclerostin increased hypertension risk (OR 1.09 [95% CI 1.04-1.15]), but otherwise had attenuated effects. Conclusion This study provides genetic evidence to suggest that lower levels of sclerostin may increase the risk of hypertension, type 2 DM, MI, and the extent of CAC. Taken together, these findings underscore the requirement for strategies to mitigate potential adverse effects of romosozumab treatment on atherosclerosis and its related risk factors. |
DOI: | doi:10.1002/art.42538 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt. kostenfrei: Volltext: https://doi.org/10.1002/art.42538 |
kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/art.42538 | |
DOI: https://doi.org/10.1002/art.42538 | |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1880185490 |
Verknüpfungen: | → Zeitschrift |