A Mendelian randomization study of the role of lipoprotein subfractions in coronary artery disease
- University of Cambridge, United Kingdom
- University of Chicago, United States
- University of Pennsylvania, United States
Abstract
Recent genetic data can offer important insights into the roles of lipoprotein subfractions and particle sizes in preventing coronary artery disease (CAD), as previous observational studies have often reported conflicting results. We used the LD score regression to estimate the genetic correlation of 77 subfraction traits with traditional lipid profile and identified 27 traits that may represent distinct genetic mechanisms. We then used Mendelian randomization (MR) to estimate the causal effect of these traits on the risk of CAD. In univariable MR, the concentration and content of medium high-density lipoprotein (HDL) particles showed a protective effect against CAD. The effect was not attenuated in multivariable analyses. Multivariable MR analyses also found that small HDL particles and smaller mean HDL particle diameter may have a protective effect. We identified four genetic markers for HDL particle size and CAD. Further investigations are needed to fully understand the role of HDL particle size.
Data availability
GWAS data used in the data are publicly available. Details can be found in Table 1.
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Author details
Funding
No external funding was received for this work.
Reviewing Editor
- Edward D Janus, University of Melbourne, Australia
Version history
- Received: April 28, 2020
- Accepted: April 23, 2021
- Accepted Manuscript published: April 26, 2021 (version 1)
- Version of Record published: May 28, 2021 (version 2)
Copyright
© 2021, Zhao et al.
This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.
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A Mendelian randomization study of the role of lipoprotein subfractions in coronary artery disease
eLife 10:e58361.
https://doi.org/10.7554/eLife.58361
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