Identification of potential therapeutic targets for nonischemic cardiomyopathy in European ancestry: an integrated multiomics analysis

Cardiovasc DiabetolPublished Mendelian randomization study with integrated multiomics analysis

Authors' conclusion

Based on European Ancestry Cohort, this study reveals that LILRA5 and NELL1 are potential therapeutic targets for NISCM, with LILRA5 showing particularly promising prospects in diabetic cardiomyopathy. Several small molecules interact with LILRA5, implying potential clinical implication.

Study context

Population
European ancestry: cis-pQTLs from deCODE (35,559 Icelanders); Nonischemic cardiomyopathy (NISCM) GWAS from FinnGen (1,754 NISCM cases, 340,815 controls of Finnish ancestry)
Outcome
Causal relationship between circulating plasma protein levels and NISCM risk
Methodological detailscis-pQTL Mendelian randomization, false discovery rate (FDR) correction, Bayesian colocalization, molecular docking
  • cis-pQTL Mendelian randomization
  • FDR correction
  • Bayesian colocalization
  • Molecular docking

Main finding

As reported in the abstract

Circulating plasma proteins causally associated with NISCM

Plasma proteins associated with NISCM (mendelian randomization (MR))

255

Significant after FDR correction

16

LILRA5, protective effect: OR

0.758 (0.670-0.857) (95% CI)

NELL1, risk effect: OR

1.290 (1.199-1.387) (95% CI)

Further findings

Tissue expression in NISCM datasets

Decreased LILRA5 expression in diabetic, hypertrophic, dilated and inflammatory cardiomyopathy; NELL1 expression increased in hypertrophic cardiomyopathy
Human Protein Atlas (HPA): high LILRA5 expression in neutrophils, macrophages and endothelial cells in normal heart; limited NELL1 expression
Immune infiltration: decreased neutrophils in diabetic cardiomyopathy

Small molecules interacting with LILRA5 (Comparative Toxicogenomics Database (CTD), molecular docking)

Estradiol, Estradiol-3-benzoate, Gadodiamide, Topotecan and Testosterone stably bind LILRA5 at conserved VAL-15 or THR-133 residues in the Ig-like C2 domain

Original publication

Identification of potential therapeutic targets for nonischemic cardiomyopathy in European ancestry: an integrated multiomics analysis. Cardiovasc Diabetol. Published 12 September 2024. doi:10.1186/s12933-024-02431-8

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