Heart failure & cardiomyopathies

Genetically predicted iron status and cardiovascular function and structure: a Mendelian randomization study

Eur J Prev CardiolPublished Mendelian randomisation study

Authors' conclusion

Our study provides MR evidence that iron status may alter cardiovascular function and structure.

Study context

Population
UK Biobank participants with cardiac imaging (left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV), left ventricular ejection fraction (LVEF), left ventricular mass (LVM), LVMVR); iron variants from 257,953 subjects across six cohortsiron GWAS: 257,953 subjects, 6 cohorts
Comparison
Genetically predicted iron biomarkers and LV function and structure
Methodological detailstwo-sample Mendelian randomization (MR)
  • Two-sample MR

Main finding

As reported in the abstract

Serum iron (per 1 SD increase) · LVEDV (lower)
beta −0.11 (95% CI −0.19 to −0.03); P = 0.006
Serum iron (per 1 SD increase) · LVESV (lower)
beta −0.11 (95% CI −0.19 to −0.03); P = 0.007
Transferrin saturation (TSAT) (per 1 SD increase) · LVMVR (higher)
beta 0.09 (95% CI 0.03–0.15); P = 0.005

Further findings

Sensitivity analyses (heterogeneity, pleiotropy, bidirectional MR)

Heterogeneity, pleiotropy and bidirectional effects not observed

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Genetically predicted iron status and cardiovascular function and structure: a Mendelian randomization study. Eur J Prev Cardiol. Published 5 August 2025. doi:10.1093/eurjpc/zwaf498

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

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