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Verfasst von:Zheng, Jie [VerfasserIn]   i
 Wheeler, Eleanor [VerfasserIn]   i
 Pietzner, Maik [VerfasserIn]   i
 Andlauer, Till F. M. [VerfasserIn]   i
 Yau, Michelle S. [VerfasserIn]   i
 Hartley, April E. [VerfasserIn]   i
 Brumpton, Ben Michael [VerfasserIn]   i
 Rasheed, Humaira [VerfasserIn]   i
 Kemp, John P. [VerfasserIn]   i
 Frysz, Monika [VerfasserIn]   i
 Robinson, Jamie [VerfasserIn]   i
 Reppe, Sjur [VerfasserIn]   i
 Prijatelj, Vid [VerfasserIn]   i
 Gautvik, Kaare M. [VerfasserIn]   i
 Falk, Louise [VerfasserIn]   i
 März, Winfried [VerfasserIn]   i
 Gergei, Ingrid [VerfasserIn]   i
 Peyser, Patricia A. [VerfasserIn]   i
 Kavousi, Maryam [VerfasserIn]   i
 Vries, Paul S. de [VerfasserIn]   i
 Miller, Clint L. [VerfasserIn]   i
 Bos, Maxime [VerfasserIn]   i
 van der Laan, Sander W. [VerfasserIn]   i
 Malhotra, Rajeev [VerfasserIn]   i
 Herrmann, Markus [VerfasserIn]   i
 Scharnagl, Hubert [VerfasserIn]   i
 Kleber, Marcus E. [VerfasserIn]   i
 Dedoussis, George [VerfasserIn]   i
 Zeggini, Eleftheria [VerfasserIn]   i
 Nethander, Maria [VerfasserIn]   i
 Ohlsson, Claes [VerfasserIn]   i
 Lorentzon, Mattias [VerfasserIn]   i
 Wareham, Nick [VerfasserIn]   i
 Langenberg, Claudia [VerfasserIn]   i
 Holmes, Michael V. [VerfasserIn]   i
 Davey Smith, George [VerfasserIn]   i
 Tobias, Jonathan H. [VerfasserIn]   i
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

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