Heart failure & cardiomyopathies

Causal relationships between the gut microbiome, blood lipids, and heart failure: a Mendelian randomization analysis

Eur J Prev CardiolPublished Mendelian randomization study

Main finding · Gut microbial taxa and HFResult — go to the resultOdds ratio 1.059 95% CI 1.022–1.097

Authors' conclusion

The study suggested a causal relationship between specific gut microbial taxa and HF and that ApoB might mediate this relationship as the primary lipid determinant of HF.

Study context

Population
GWAS summary statistics: gut microbial taxa (Dutch Microbiome Project, n = 7738), blood lipids (UK Biobank, n = 115,078), heart failure (HF) meta-analysis (115,150 cases, 1550 331 controls)
Outcome
Causal relationship between gut microbiome and HF (inverse-variance weighted method)
Methodological detailsbidirectional, mediation, multivariable Mendelian randomization (MR) (MR-BMA)
  • Bidirectional
  • Mediation
  • Multivariable MR (MR-BMA)

Main finding

Gut microbial taxa and HF

Odds ratio

1.059

95% CI 1.022–1.097

P = 0.0017

Bacteroides dorei
OR 1.059 (95% CI 1.022–1.097); P = 0.0017

As reported in the abstract

Microbial taxa suggestively associated with HF causally
6

Further findings

OutcomeProportion mediated (95% CI)P value
Mediation of B. dorei effect on HF by ApoB10.1% (0.2–21.6%)P = 0.031

Most likely causal lipid for HF (MR-BMA)

Apolipoprotein B (ApoB) marginal inclusion probability
0.717
  • P-value = 0.005

Original publication

Causal relationships between the gut microbiome, blood lipids, and heart failure: a Mendelian randomization analysis. Eur J Prev Cardiol. Published 17 May 2023. doi:10.1093/eurjpc/zwad171

Summarised from the published abstract; every number is checked against it

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