Coronary disease & ACSCohort study

Mosaic loss of Y chromosome and mortality after coronary angiography

Eur Heart JPublished

  • Cohort study with mechanistic analyses

Authors' conclusion

LOY represents an important independent risk factor for cardiovascular mortality in male patients with coronary artery disease.

Study context

Population
Male participants of the LURIC study undergoing coronary angiographyLURIC study, males
Participants
1,698 participants
Exposure
LOY >17% vs lower LOY
Outcome
CV mortality

Main finding

As reported in the abstract

LOY > 17% vs LOY ≤ 17%Hazard ratio (95% CI)
CV mortality
1.49(1.09–2.03)
all-cause mortality
1.41(1.09–1.82)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Fatal MI2.65 (1.46–4.81)

Plasma proteins

LOY > 17% associated with profibrotic, proinflammatory profile (higher osteoprotegerin, MMP-12, GDF-15, HB-EGF, resistin)

Genetic predisposition for lower myocardial fibrosis

Attenuated the association between LOY and CV mortality

Genome-wide methylation and single-cell RNA sequencing

Genes with differential methylation
298
Genes with confirmed differential expression in PBMCs with LOY
37

Original publication

Mosaic loss of Y chromosome and mortality after coronary angiography. Eur Heart J. Published 12 February 2025. doi:10.1093/eurheartj/ehaf035

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