Prevention & lipids

Triglyceride-rich lipoprotein remnants, low-density lipoproteins, and risk of coronary heart disease: a UK Biobank study

Eur Heart JPublished Mendelian randomisation study

Authors' conclusion

Distinct SNP clusters appear to impact differentially on remnant particles and LDL. Our findings are consistent with TRL/remnants having a substantially greater atherogenicity per particle than LDL.

Study context

Population
UK Biobank population
Comparison
Triglyceride-rich lipoproteins (TRL)/remnant-C vs LDL-C as genetic determinants of coronary heart disease (CHD) risk
Outcome
CHD
Methodological detailsmultivariable Mendelian randomization, UK Biobank
  • Multivariable Mendelian randomization
  • UK Biobank

Main finding

As reported in the abstract

CHD per 1 mmol/L higher cholesterol (multivariable model)
Per 1 mmol/L higher cholesterol
Odds ratio (95% CI)
TRL/remnant-C
2.59(1.99–3.36)
LDL-C
1.37(1.27–1.48)

Per 1 mmol/L higher cholesterol, as printed

Further findings

OutcomeOR (95% CI)
CHD per SD higher apoB, by SNP clusterCluster 2 · per SD higher apoB1.76 (1.58–1.96)
CHD per SD higher apoB, by SNP clusterCluster 1 · per SD higher apoB1.33 (1.26–1.40)

CHD per SD higher apolipoprotein B (apoB), by SNP cluster

Cluster 2 OR significantly greater than cluster 1; concordant result with polygenic scores

Original publication

Triglyceride-rich lipoprotein remnants, low-density lipoproteins, and risk of coronary heart disease: a UK Biobank study. Eur Heart J. Published 26 June 2023. doi:10.1093/eurheartj/ehad337

Composed by AI from the published abstract and checked against it. How Briefs are made →

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