Type 2 & other diabetes

Roles of gut microbiota in atrial fibrillation: insights from Mendelian randomization analysis and genetic data from over 430,000 cohort study participants

Cardiovasc DiabetolPublished Mendelian randomization study

Authors' conclusion

This study provided genetic evidence to support a potential causal mechanism between gut microbiota and AF and suggested the mediation role of AF risk factors.

Study context

Population
Genome-wide association studies (GWAS) summary statistics of 207 gut microbial taxa (Dutch Microbiome Project) and two large meta-GWASs of atrial fibrillation (AF); validation in FinnGen and >430,000 UK Biobank participants207 gut microbial taxa
Comparison
Genetically predicted gut microbial taxa and AF risk
Outcome
Causal relationships between gut microbiota and AF
Methodological detailstwo large meta-GWASs of AF, validation in FinnGen and UK Biobank, mediation Mendelian randomization (MR) analyses
  • Two large meta-GWASs of AF
  • Validation in FinnGen and UK Biobank
  • Mediation MR analyses

Performance

As reported in the abstract

AF

Species Eubacterium ramulus: OR (95% CI), P, false discovery rate (FDR) adjusted P

1.08 (1.04-1.12), P = 0.0001, FDR adjusted p-value = 0.023

Genus Holdemania: OR (95% CI), P, FDR adjusted P

1.15 (1.07-1.25), P = 0.0004, FDR adjusted p-value = 0.042

Further findings

Incident AF risk in UK Biobank

Genus Holdemania was associated with incident AF risk in the UK Biobank

Proportion of mediation effect

Species Eubacterium ramulus via coronary artery disease (CAD) (95% CI), P
8.05% (1.73% - 14.95%), P = 0.008
Genus Holdemania on AF via body mass index (BMI) (95% CI), P
12.01% (5.17% - 19.39%), P = 0.0005

Original publication

Roles of gut microbiota in atrial fibrillation: insights from Mendelian randomization analysis and genetic data from over 430,000 cohort study participants. Cardiovasc Diabetol. Published 8 November 2023. doi:10.1186/s12933-023-02045-6

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