Arrhythmias & electrophysiologyCohort study

From blood to heartbeat: Plasma proteins and Brugada syndrome revealed by Mendelian randomization

Heart RhythmPublished

  • Mendelian randomization (MR)
  • pQTL proteomic data from a Finnish cohort
  • inverse variance weighted (IVW) method as primary analysis
  • MR-CAUSE
  • protein-protein interaction (PPI) networks
  • Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses
  • machine learning-based model to prioritize candidate proteins

Authors' conclusion

This study provides insight into the molecular landscape of BrS and identifies high-priority plasma proteins for further investigation. Experimental and clinical validation is needed to evaluate their diagnostic and therapeutic potential.

Study context

Population
Finnish cohort with pQTL proteomic data; Brugada syndrome (BrS)4,185 plasma proteins evaluated
Exposure
causal associations between 4185 plasma proteins and BrS

Main finding

As reported in the abstract

Plasma proteins potentially associated with BrS

Plasma proteins identified as potentially associated with BrS

20

Observational data: associations, not effects.

Further findings

Sensitivity analyses

Sensitivity analyses supported the robustness of these findings

Top candidate proteins

HSPB1, MAPKAPK2, PDLIM4, and MMP1 emerged as top candidates based on causal strength, biological relevance, and network centrality

Original publication

From blood to heartbeat: Plasma proteins and Brugada syndrome revealed by Mendelian randomization. Heart Rhythm. Published 9 October 2025. doi:10.1016/j.hrthm.2025.09.039

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