Evidence map›Paper›PMID 37603265›Full record

Trial reportAging clinical and experimental research2023

Effects of blood pressure and antihypertensive drugs on osteoarthritis: a mendelian randomized study.

Yinzhen Zhang, Yanpeng Wang, Changwei Zhao, Wenjun Cai, Zhengyan Wang, Wenhai Zhao

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yinzhen Zhang *Department of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.
Yanpeng Wang *Department of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.
Changwei ZhaoDepartment of Orthopedics, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, China.
Wenjun CaiDepartment of Orthopedics, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Zhengyan WangDepartment of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.
Wenhai ZhaoDepartment of Orthopedics, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, China. zwh9899@163.com.
Changchun University of Chinese Medicine · CN

Funding

Jilin Scientific and Technological Development Program 20210303004SFNatural Science Foundation of Jilin Province YDZJ202201ZYTS216
6 · The paper itself

Abstract

backgroundPrevious studies have suggested that antihypertensive drugs may play a role in the treatment of osteoarthritis, but these studies may be limited by confounding factors and lead to biased results. Therefore, we conducted a Mendelian randomization study to investigate the effects of blood pressure and antihypertensive drugs on osteoarthritis.

methodsWe used published large-scale genome-wide association data and applied univariate and multivariate Mendelian randomization methods. The main analysis model was inverse variance weighting, and the reliability of the results was tested using MR-Egger intercept analysis, Cochran's Q test, and leave-one-out analysis. We comprehensively evaluated the relationship between systolic blood pressure, diastolic blood pressure, 12 antihypertensive drugs, and osteoarthritis. We also conducted verification in the independent queue of UK Biobank and built a simple linear regression model to obtain an independent comparison.

resultsWe found no evidence that systolic and diastolic blood pressure significantly affected osteoarthritis. However, among antihypertensive drugs, we observed a significant positive correlation between potassium-preserving diuretics and aldosterone antagonists and all osteoarthritis (OR: 0.560, 95% CI 0.406-0.772, P = 0.0004). Sensitivity analysis showed no horizontal pleiotropy or heterogeneity, and the leave-one-out analysis demonstrated the reliability of the results. This result was replicated with nominally statistical significance in the validation cohort and exhibited significant correlation in the linear regression analysis.

conclusionsOur study suggested that controlling the protein targets of potassium-sparing diuretics and aldosterone antagonists may have beneficial results for osteoarthritis. These findings provide valuable medication strategies for the control of hypertension in patients with osteoarthritis.

Indexed as

Antihypertensive AgentsOsteoarthritisBlood PressureDiureticsGenome-Wide Association StudyHumansMineralocorticoid Receptor AntagonistsPotassiumReproducibility of ResultsAntihypertensive AgentsDiureticsMineralocorticoid Receptor AntagonistsPotassiumDrug targetsHypertensionMendelian randomizationOsteoarthritisPSDs and aldosterone antagonist

Identifiers

PMID37603265
PMCPMC10627939
OpenAlexW4386019739

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.