Prevention & lipids

Associations between circulating proteins and cardiometabolic diseases: a systematic review and meta-analysis of observational and Mendelian randomisation studies

HeartPublished Systematic review and meta-analysis of observational and Mendelian randomisation studies

Authors' conclusion

Combined analyses of observational and genetic studies revealed the potential causal role of several proteins in the aetiology of CMD.

Study context

Population
Prospective observational and Mendelian randomisation (MR) studies of circulating proteins and cardiometabolic diseases (CMD) (CHD, stroke, T2DM, HF, AF, atherosclerosis)50 observational, 25 MR, 10 both
Participants
26,414,160 participants
Outcome
Observational and genetic associations between circulating proteins and CMD
Methodological detailsrandom effects models, Searched PubMed, Embase and Web of Science until July 2023, Two investigators independently extracted data
  • Random effects models
  • Searched PubMed, Embase and Web of Science until July 2023
  • Two investigators independently extracted data

Pooled result

As reported in the abstract

Proteins associated with CMD (observational meta-analysis)
560
Pleiotropic proteins (associated with ≥2 CMDs), observational
133
Potentially causal protein biomarkers (MR pooled)
245
Pleiotropic proteins among MR causal proteins
23
IL6RA and MMP12 each causally associated with seven diseases
7
Protein-disease pairs directionally concordant in observational and MR estimates
22

Further pooled results

Prediction of incident CMD: protein biomarkers added to traditional clinical models

Modest improvement; highest for HF (ΔC-index)
≈0.2

Drug development evidence for potentially causal proteins (291 protein-disease pairs)

Pairs validated by drug development evidence
3
Pairs lacking drug development evidence
288
Proteins that are drug targets approved for other indications
66

Original publication

Associations between circulating proteins and cardiometabolic diseases: a systematic review and meta-analysis of observational and Mendelian randomisation studies. Heart. Published 31 July 2024. doi:10.1136/heartjnl-2024-324050

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.