Lipids & metabolic liver disease

Revisiting an old relationship: the causal associations of the ApoB/ApoA1 ratio with cardiometabolic diseases and relative risk factors—a mendelian randomization analysis

Cardiovasc DiabetolPublished Mendelian randomisation study

Authors' conclusion

This MR study provides evidence supporting the significant causal relationship between the ApoB/ApoA1 ratio and CMD and its risk factors. Moreover, it demonstrates the mediating effect of the ApoB/ApoA1 ratio in CMD and its risk factors. These findings suggest that the ApoB/ApoA1 ratio may serve as a potential indicator for identifying the risk of developing CMD in participants.

Study context

Population
European GWAS data on the ApoB/ApoA1 ratio, cardiometabolic diseases (CMD) and their risk factors
Outcome
Causal association of ApoB/ApoA1 ratio with CMD
Methodological detailsunivariable and multivariable Mendelian Randomization (MR), bidirectional MR, mediation analysis
  • Univariable and multivariable MR
  • Bidirectional MR
  • Mediation analysis

Main finding

As reported in the abstract

Higher ApoB/ApoA1 ratio associated with various CMD, incl. ischemic heart disease, MACE, aortic aneurysm, cerebral ischemic disease

all PFDR<0.05

Further findings

Causal association of ApoB/ApoA1 ratio with CMD risk factors

ApoB/ApoA1 ratio significantly associated with CMD risk factors, e.g. HbA1c, fasting insulin, WHR, sedentary behavior
all PFDR<0.05

Mediation

ApoB/ApoA1 ratio played a mediating role in CMD and related risk factors

Original publication

Revisiting an old relationship: the causal associations of the ApoB/ApoA1 ratio with cardiometabolic diseases and relative risk factors—a mendelian randomization analysis. Cardiovasc Diabetol. Published 3 February 2024. doi:10.1186/s12933-024-02140-2

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