Heart failure & cardiomyopathies

Multiomics Insight Into the Role of Glucagon-Like Peptide-1 Receptor Agonists in Heart Failure

ESC Heart FailPublished two-sample Mendelian randomization (MR) analyses

Main finding · HF in European populationsResult — go to the resultOdds ratio 0.60 95% CI 0.51–0.72

Authors' conclusion

This study provides multiomics insight into the role of GLP1Ra in cardiovascular diseases, especially in HF and the underlying pathway. The results suggest that GLP1Ra may exert anti-HF effects by reducing the concentration of circulating FGF5 and increasing the levels of circulating NAC, and enriches the potential mechanisms through which GLP1Ra alleviates HF.

Study context

Population
European and East Asian populations in genome-wide association study data on atrial fibrillation, coronary artery disease, heart failure and ischaemic strokeatrial fibrillation, European 1,202,168 · atrial fibrillation, East Asian 28,612 · coronary artery disease, European 501,756 · coronary artery disease, East Asian 183,134 · heart failure, European 1,350,497 · heart failure, East Asian 203,040 · ischaemic stroke, European 689,168 · ischaemic stroke, East Asian 192,383
Comparison
Causal effects of GLP1Ra on cardiovascular diseases in European and East Asian populations
Outcome
HF in European populations
Methodological detailsSummary-data-based MR analyses, Mediation analysis, sensitivity analyses
  • Summary-data-based MR analyses
  • Mediation analysis
  • Sensitivity analyses

Main finding

As reported in the abstract

Odds ratio

0.60

95% CI 0.51–0.72

P = 2.76 × 10-8

GLP1Ra
odds ratio 0.60 (95% CI 0.51–0.72); P = 2.76 × 10-8

Further findings

Atrial fibrillation, coronary artery disease, ischaemic stroke in European populations; all cardiovascular diseases in East Asian populations

No significant associations

Circulating inflammatory proteins and metabolites influenced by GLP1Ra

Circulating inflammatory proteins influenced
27
Circulating metabolites influenced
146
Inflammatory proteins associated with heart failure (HF)
4
Metabolites associated with HF
17

Mediation of the protective effect of GLP1Ra on HF

Mediated proportion, FGF5
4.37%
Mediated proportion, N-acetylglycine (NAC)
8%

Original publication

Multiomics Insight Into the Role of Glucagon-Like Peptide-1 Receptor Agonists in Heart Failure. ESC Heart Fail. Published 28 April 2025. doi:10.1002/ehf2.15310

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