Aortic & peripheral vascular diseaseCohort study

Mosaic Loss of Y Chromosome and Risks of Peripheral Arterial and Aortic Diseases

JACC AdvPublished

  • Cohort study
  • UK Biobank
  • multivariable Cox proportional hazard models

Authors' conclusion

mLOY is a novel PAAD-related risk factor. Individuals with mLOY are strongly advised to avoid or quit smoking to reduce the risk of PAAD.

Study context

Population
Males from the UK Biobank with available genotyping datamLOY: n = 43,458 [20.1%]
Participants
216,086 males
Exposure
association of mLOY with incident peripheral arterial disease (PAD) and aortic aneurysm and dissection (AAD)
  • mLOYn = 43,458

Main finding

Incident PAD · median follow-up 13.7 years (IQR: 12.9-14.5)

Adjusted hazard ratio

1.17

95% CI 1.10–1.24

mLOY vs no mLOY
adjusted HR 1.17 (95% CI 1.10–1.24)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Outcomeadjusted HR (95% CI)
Abdominal aortic aneurysm (AAA) · median follow-up 13.7 years (IQR: 12.9-14.5) · higher risk with mLOY1.26 (1.14–1.38)

PAD and abdominal aortic aneurysm (AAA) by smoking status (interaction)

P for multiplicative interaction
<0.001
Smoking status and mLOY synergistically increased the risk of both PAD and AAA; P for additive interaction
<0.05
mLOY not significantly associated with increased risks of PAD or AAA among never-smokers; associations most pronounced in former smokers

Original publication

Mosaic Loss of Y Chromosome and Risks of Peripheral Arterial and Aortic Diseases. JACC Adv. Published 8 August 2026. doi:10.1016/j.jacadv.2026.103113

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