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蛋白质组范围的孟德尔随机化鉴定出非酒精性脂肪性肝病的潜在治疗靶点。

Proteome-wide Mendelian randomization identifies potential therapeutic targets for nonalcoholic fatty liver diseases.

机构信息

Department of Ultrasonography, Dali Prefecture Third People's Hospital, Dali Prefecture, Yunnan Province, China.

Chongqing Medical University, Chongqing, China.

出版信息

Sci Rep. 2024 May 23;14(1):11814. doi: 10.1038/s41598-024-62742-4.

Abstract

Nonalcoholic fatty liver disease (NAFLD) is the predominant cause of liver pathology. Current evidence highlights plasma proteins as potential therapeutic targets. However, their mechanistic roles in NAFLD remain unclear. This study investigated the involvement of specific plasma proteins and intermediate risk factors in NAFLD progression. Two-sample Mendelian randomization (MR) analysis was conducted to examine the association between plasma proteins and NAFLD. Colocalization analysis determined the shared causal variants between the identified proteins and NAFLD. The MR analysis was applied separately to proteins, risk factors, and NAFLD. Mediator shares were computed by detecting the correlations among these elements. Phenome-wide association studies (phewas) were utilized to assess the safety implications of targeting these proteins. Among 1,834 cis-protein quantitative trait loci (cis-pQTLs), after-FDR correction revealed correlations between the plasma levels of four gene-predicted proteins (CSPG3, CILP2, Apo-E, and GCKR) and NAFLD. Colocalization analysis indicated shared causal variants for CSPG3 and GCKR in NAFLD (posterior probability > 0.8). Out of the 22 risk factors screened for MR analysis, only 8 showed associations with NAFLD (p ≤ 0.05), while 4 linked to CSPG3 and GCKR. The mediator shares for these associations were calculated separately. Additionally, reverse MR analysis was performed on the pQTLs, risk factors, and NAFLD, which exhibited a causal relationship with forward MR analysis. Finally, phewas summarized the potential side effects of associated-targeting proteins, including CSPG3 and GCKR. Our research emphasized the potential therapeutic targets for NAFLD and provided modifiable risk factors for preventing NAFLD.

摘要

非酒精性脂肪性肝病 (NAFLD) 是肝脏病理学的主要原因。目前的证据强调了血浆蛋白作为潜在治疗靶点的作用。然而,它们在 NAFLD 中的机制作用仍不清楚。本研究调查了特定血浆蛋白和中间危险因素在 NAFLD 进展中的作用。两样本 Mendelian 随机化 (MR) 分析用于研究血浆蛋白与 NAFLD 之间的关联。共定位分析确定了鉴定蛋白与 NAFLD 之间的共同因果变异。MR 分析分别应用于蛋白、危险因素和 NAFLD。通过检测这些元素之间的相关性来计算中介份额。表型全基因组关联研究 (phewas) 用于评估针对这些蛋白的靶向治疗的安全性。在 1834 个顺式蛋白数量性状基因座 (cis-pQTLs) 中,经过 FDR 校正后,发现四种基因预测蛋白(CSPG3、CILP2、Apo-E 和 GCKR)的血浆水平与 NAFLD 之间存在相关性。共定位分析表明 CSPG3 和 GCKR 在 NAFLD 中存在共同因果变异(后验概率 > 0.8)。在 22 个筛选用于 MR 分析的危险因素中,只有 8 个与 NAFLD 相关(p ≤ 0.05),而 4 个与 CSPG3 和 GCKR 相关。这些关联的中介份额分别进行了计算。此外,对与正向 MR 分析具有因果关系的 pQTLs、危险因素和 NAFLD 进行了反向 MR 分析。最后,phewas 总结了相关靶向蛋白(包括 CSPG3 和 GCKR)的潜在副作用。我们的研究强调了 NAFLD 的潜在治疗靶点,并提供了预防 NAFLD 的可调节危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0490/11116402/f5a2d7cd6bdc/41598_2024_62742_Fig1_HTML.jpg

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