Department of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, China.
Department of Cardiovascular Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, China.
Cytokine. 2024 Jun;178:156569. doi: 10.1016/j.cyto.2024.156569. Epub 2024 Mar 13.
Inflammation is associated with thoracic aortic aneurysm (TAA) but the effects of each circulating inflammatory factor on TAA remain unclear. In this study, we explored the relationship between circulating inflammatory factors and TAA risk using Mendelian randomization (MR) approach based on summary statistics from the latest genome-wide association study (GWAS) of 41 circulating inflammatory factors in 8293 Finns and a GWAS involving 1351 TAA cases and 18,295 controls of European ancestry. In univariable MR, higher interferon gamma-induced protein 10 (IP-10) levels, higher interferon gamma (IFNγ) levels and higher stem cell growth factor beta (SCGFβ) levels were associated with an increased risk of TAA (OR = 1.37, 95 % CI = 1.17-1.59, p = 7.42 × 10; OR = 1.43, 95 % CI = 1.19-1.74, p = 2.04 × 10; OR = 1.27, 95 % CI = 1.09-1.48, p = 2.40 × 10, respectively). In multivariable MR, the patterns of associations for the three cytokines remained adjusting for each other or smoking, but were attenuated differently with adjustment for other cardiovascular risk factors, especially for lipids and body mass index. Bidirectional MR approach did not identify any significant associations between cytokines and risk factors. Our results indicated that circulating cytokines may play mediation roles in the pathogenesis of TAA. Further studies are needed to determine whether these biomarkers can be used to prevent and treat TAA.
炎症与胸主动脉瘤(TAA)有关,但每种循环炎症因子对 TAA 的影响尚不清楚。在这项研究中,我们使用基于对 8293 名芬兰人进行的 41 种循环炎症因子的最新全基因组关联研究(GWAS)和涉及 1351 例 TAA 病例和 18295 例欧洲血统对照的 GWAS 的汇总统计数据,采用孟德尔随机化(MR)方法探讨了循环炎症因子与 TAA 风险之间的关系。在单变量 MR 中,较高的干扰素γ诱导蛋白 10(IP-10)水平、较高的干扰素γ(IFNγ)水平和较高的干细胞生长因子β(SCGFβ)水平与 TAA 风险增加相关(OR=1.37,95%CI=1.17-1.59,p=7.42×10;OR=1.43,95%CI=1.19-1.74,p=2.04×10;OR=1.27,95%CI=1.09-1.48,p=2.40×10,分别)。在多变量 MR 中,在相互调整或调整吸烟的情况下,三种细胞因子的关联模式仍然存在,但在调整其他心血管危险因素(尤其是脂质和体重指数)时,关联强度会有所减弱。双向 MR 方法未发现细胞因子与危险因素之间存在任何显著关联。我们的结果表明,循环细胞因子可能在 TAA 的发病机制中发挥中介作用。需要进一步的研究来确定这些生物标志物是否可用于预防和治疗 TAA。