Cardio-oncology & otherMeta-analysis

Multicohort Epigenome-Wide Association Study of All-Cause Cardiovascular Disease and Cancer Incidence

JACC CardioOncolPublished

  • Epigenome-wide association study
  • multicohort
  • 2-stage strategy
  • meta-analysis

Authors' conclusion

These results point to molecular pathways and potential treatments for precision prevention of CVD and cancer.

Study context

Population
3 ethnically diverse cohorts: Native Americans (SHS), European Americans (FHS), European Americans and African Americans (ARIC)
Outcome
Common epigenetic signatures (DMPs) for CVD and cancer incidence

Pooled result

As reported in the abstract

DMPs significant in meta-analysis

Differentially methylated positions (DMPs) significant for cardiovascular disease (CVD) only

3

DMPs significant for both cancer and CVD

1

Further pooled results

C index for incident cancer in SHS participants with incident CVD, adding combined cancer and CVD DMPs

C index before adding DMPs
0.618 (95% CI: 0.570-0.672)
C index after adding DMPs
0.971 (95% CI: 0.963-0.978)
  • n = 950 SHS participants who developed incident CVD

Enrichment analysis

Interconnected biological pathways involved in cancer and CVD

Original publication

Multicohort Epigenome-Wide Association Study of All-Cause Cardiovascular Disease and Cancer Incidence. JACC CardioOncol. Published 10 September 2024. doi:10.1016/j.jaccao.2024.07.014

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