Aortic & peripheral vascular disease

Genetic association of lipid-lowering drugs with aortic aneurysms: a Mendelian randomization study

Eur J Prev CardiolPublished Mendelian randomisation study

Authors' conclusion

This study provides causal evidence for the genetic association between lipid-lowering drugs and AA. Higher gene expression of HMGCR, PCSK9, and CETP increases AA risk. Furthermore, HMGCR inhibitors may link with smaller aortic lumen size.

Study context

Population
Publicly available GWAS and expression quantitative trait loci (eQTL) data; aortic aneurysms
Comparison
Genetic proxies of lipid-lowering drug targets and aortic aneurysms (AA)
Outcome
Aortic aneurysm (AA)
Methodological detailsdrug-target Mendelian randomization, GWAS and eQTL data
  • Drug-target Mendelian randomization
  • GWAS and eQTL data

Main finding

As reported in the abstract

AA risk
Odds ratio (95% CI)P value
HMGCRhigher expression
1.58(1.20–2.09)
P = 1.20 × 10-03
PCSK9suggestive
1.34(1.10–1.63)
P = 3.07 × 10-03
CETPsuggestive
1.38(1.06–1.80)
P = 1.47 × 10-02

Further findings

Aortic lumen size (HMGCR)

OR (95% CI)P value
HMGCRAortic maximum area1.28 (1.13–1.46)P = 1.48 × 10-04
HMGCRAortic minimum area1.26 (1.21–1.42)P = 1.78 × 10-04

Original publication

Genetic association of lipid-lowering drugs with aortic aneurysms: a Mendelian randomization study. Eur J Prev Cardiol. Published 1 February 2024. doi:10.1093/eurjpc/zwae044

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