Hypertension

Utilizing genetics and proteomics to assess the role of antihypertensive drugs in human longevity and the underlying pathways: a Mendelian randomization study

Eur Heart J Cardiovasc PharmacotherPublished Mendelian randomisation study

Authors' conclusion

Beta-blockers, CCBs, and vasodilators may prolong lifespan, with potential sex differences for BBs and CCBs. The role of CCBs in lifespan is partly mediated by CDH1.

Study context

Population
European participants of UK Biobank and LifeGen (lifespan GWAS)
Participants
1 million GWAS participants
Comparison
Genetically proxied antihypertensive drug classes and lifespan
Outcome
Lifespan (life years)
Methodological detailsdrug-target MR, proteomic mediation analysis, sex-specific analysis, colocalization
  • Drug-target MR
  • Proteomic mediation analysis
  • Sex-specific analysis
  • Colocalization

Main finding

As reported in the abstract

Life years per 5 mmHg SBP reduction

Further findings

Sex-specific analysis

Beneficial effects of beta-blockers (BBs) and calcium channel blockers (CCBs) more obvious in men

Drug-target genes

ADRB1, CACNA2D2, CACNB3, CPT1A, CPT2 and EDNRA related to extended lifespan; CPT2 supported by colocalization

Plasma proteins (2291 assessed)

Proteins related to lifespan
86
Lifespan-related proteins affected by CCBs
4
CDH1 may mediate CCB–lifespan association

Original publication

Utilizing genetics and proteomics to assess the role of antihypertensive drugs in human longevity and the underlying pathways: a Mendelian randomization study. Eur Heart J Cardiovasc Pharmacother. Published 20 May 2024. doi:10.1093/ehjcvp/pvae038

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