Lipids & metabolic liver disease

The Sex‐Stratified Effects of RSPO3 Expression on Body Fat and Blood Lipids: An Omics Mendelian Randomization Study

Obesity (Silver Spring)Published Mendelian randomization study

Authors' conclusion

Our findings indicated that RSPO3 could be a drug target for regulating body fat distribution and blood lipids in women.

Study context

Population
Sex-stratified genome-wide association study (GWAS) of RSPO3 protein; outcomes body fat and blood lipids
Participants
21,323 vs 18,529
Comparison
Genetically predicted RSPO3 protein levels, women vs men
  • Womenn = 21,323
  • Menn = 18,529
Outcome
Associations of RSPO3 protein levels with body fat and blood lipids in women
Methodological detailssex-stratified GWAS, two-sample Mendelian randomization, two-step Mendelian randomization (MR) mediation analysis
  • Sex-stratified GWAS
  • Two-sample Mendelian randomization
  • Two-step MR mediation analysis

Main finding

As reported in the abstract

Visceral adipose tissue, β (95% CI), women
0.22 (0.10 to 0.34)
Waist circumference, β (95% CI), women
0.10 (0.05 to 0.15)
Hip circumference, β (95% CI), women
0.10 (0.05 to 0.15)
TG, β (95% CI), women
0.22 (0.18 to 0.26)
HDL-C, β (95% CI), women
−0.17 (−0.21 to −0.13)
Apolipoprotein A, β (95% CI), women
−0.11 (−0.15 to −0.06)

Further findings

GWAS loci for RSPO3 protein levels

Loci associated with RSPO3 protein levels
9
Novel signals
3
Female-stratified loci
4

Mediation via sex hormones (two-step MR)

RSPO3 affected outcomes via SHBG in women, little evidence in men
6 outcomes

Original publication

The Sex‐Stratified Effects of RSPO3 Expression on Body Fat and Blood Lipids: An Omics Mendelian Randomization Study. Obesity (Silver Spring). Published 8 July 2026. doi:10.1002/oby.70252

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