Evidence map›Paper›PMID 38152968›Full record

ArticleCirculation2024

Proteogenomic Data Integration Reveals CXCL10 as a Potentially Downstream Causal Mediator for IL-6 Signaling on Atherosclerosis.

Savvina Prapiadou, Luka Živković, Barbara Thorand, Marc J George, Sander W van der Laan, Rainer Malik, Christian Herder, Wolfgang Koenig, Thor Ueland, Ola Kleveland and 10 more

Open access · greenAbstract read
In one paragraph

Article in Circulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  7. TheJournal of the American Heart Association · 2026
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  18. The role of IL-6 in atherosclerosis: a narrative review.Frontiers in cardiovascular medicine · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 11 institutions in 7 countries.

Savvina PrapiadouUniversity of Patras School of Medicine, Greece (S.P.).
Luka ŽivkovićInstitute for Stroke and Dementia Research, Ludwig-Maximilians-University of Munich, Germany (L.Z., R.M., J.B., M.D., M.K.G.).ORCID 0000-0002-9979-890X
Barbara ThorandInstitute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany (B.T., A.P.).ORCID 0000-0002-8416-6440
Marc J GeorgeDepartment of Clinical Pharmacology, Division of Medicine, University College London, United Kingdom (M.J.G., A.D.H.).ORCID 0000-0003-0313-893X
Sander W van der LaanCentral Diagnostics Laboratory, Division Laboratories, Pharmacy, and Biomedical Genetics, University Medical Center Utrecht, The Netherlands (S.W.v.d.L., G.P.).ORCID 0000-0001-6888-1404
Rainer MalikInstitute for Stroke and Dementia Research, Ludwig-Maximilians-University of Munich, Germany (L.Z., R.M., J.B., M.D., M.K.G.).ORCID 0000-0001-9212-2520
Christian HerderInstitute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University, Düsseldorf, Germany (C.H.).ORCID 0000-0002-2050-093X
Wolfgang KoenigGerman Centre for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Germany (W.K., J.B., M.D.).ORCID 0000-0002-2064-9603
Thor UelandThrombosis Research Center (TREC), Division of internal medicine, University hospital of North Norway, Tromsø (T.U.).ORCID 0000-0001-5005-0784
Ola KlevelandClinic of Cardiology, St Olavs Hospital, Trondheim, Norway (O.K.).
Pål AukrustResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Norway (T.U., P.A.).
Lars GullestadDepartment of Cardiology Oslo University Hospital Rikshospitalet, Norway (L.G.).
Jürgen BernhagenInstitute for Stroke and Dementia Research, Ludwig-Maximilians-University of Munich, Germany (L.Z., R.M., J.B., M.D., M.K.G.).
Gerard PasterkampCentral Diagnostics Laboratory, Division Laboratories, Pharmacy, and Biomedical Genetics, University Medical Center Utrecht, The Netherlands (S.W.v.d.L., G.P.).ORCID 0000-0001-5345-1022
Annette PetersInstitute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany (B.T., A.P.).ORCID 0000-0001-6645-0985
Aroon D HingoraniDepartment of Clinical Pharmacology, Division of Medicine, University College London, United Kingdom (M.J.G., A.D.H.).
Jonathan RosandCenter for Genomic Medicine, Massachusetts General Hospital, Boston (S.P., J.R., C.D.A.).ORCID 0000-0002-1014-9138
Martin DichgansInstitute for Stroke and Dementia Research, Ludwig-Maximilians-University of Munich, Germany (L.Z., R.M., J.B., M.D., M.K.G.).ORCID 0000-0002-0654-387X
Christopher D AndersonCenter for Genomic Medicine, Massachusetts General Hospital, Boston (S.P., J.R., C.D.A.).ORCID 0000-0002-0053-2002
Marios K GeorgakisBroad Institute of MIT and Harvard, Cambridge, MA (S.P., J.R., C.D.A., M.K.G.).ORCID 0000-0003-3507-3659
Broad Institute · USOslo University Hospital · NOLudwig-Maximilians-Universität München · DEUtrecht University · NLZimmer Biomet (Netherlands) · NLDüsseldorf University Hospital · DEGenomics England · GBHelmholtz Zentrum München · DEMunich Cluster for Systems Neurology · DENorwegian University of Science and Technology · NOThe George Institute for Global Health · GB

Funding

Ethnic/Racial Variation in Intracerebral Hemorrhage (ERICH)U01NS069763 · NINDS · UNIVERSITY OF CINCINNATI · PI ANDERSON, CHRISTOPHER DAVID, DEMEL, STACIE · 2010 to 2024
$34.2M
Sequencing Annotation and Functional Analysis in Risk of Intracerebral HemorrhageR01NS103924 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDERSON, CHRISTOPHER DAVID · 2018 to 2022
$3.4M
American Heart Association-American Stroke Association 18SFRN34250007NINDS NIH HHS R01 NS103924NINDS NIH HHS U01 NS069763
6 · The paper itself

Abstract

backgroundGenetic and experimental studies support a causal involvement of IL-6 (interleukin-6) signaling in atheroprogression. Although trials targeting IL-6 signaling are underway, any benefits must be balanced against an impaired host immune response. Dissecting the mechanisms that mediate the effects of IL-6 signaling on atherosclerosis could offer insights about novel drug targets with more specific effects.

methodsLeveraging data from 522 681 individuals, we constructed a genetic instrument of 26 variants in the gene encoding the IL-6R (IL-6 receptor) that proxied for pharmacological IL-6R inhibition. Using Mendelian randomization, we assessed its effects on 3281 plasma proteins quantified with an aptamer-based assay in the INTERVAL cohort (n=3301). Using mediation Mendelian randomization, we explored proteomic mediators of the effects of genetically proxied IL-6 signaling on coronary artery disease, large artery atherosclerotic stroke, and peripheral artery disease. For significant mediators, we tested associations of their circulating levels with incident cardiovascular events in a population-based study (n=1704) and explored the histological, transcriptomic, and cellular phenotypes correlated with their expression levels in samples from human atherosclerotic lesions.

resultsWe found significant effects of genetically proxied IL-6 signaling on 70 circulating proteins involved in cytokine production/regulation and immune cell recruitment/differentiation, which correlated with the proteomic effects of pharmacological IL-6R inhibition in a clinical trial. Among the 70 significant proteins, genetically proxied circulating levels of CXCL10 (C-X-C motif chemokine ligand 10) were associated with risk of coronary artery disease, large artery atherosclerotic stroke, and peripheral artery disease, with up to 67% of the effects of genetically downregulated IL-6 signaling on these end points mediated by decreases in CXCL10. Higher midlife circulating CXCL10 levels were associated with a larger number of cardiovascular events over 20 years, whereas higher

conclusionsIntegrating multiomics data, we found a proteomic signature of IL-6 signaling activation and mediators of its effects on cardiovascular disease. Our analyses suggest the interferon-γ-inducible chemokine CXCL10 to be a potentially causal mediator for atherosclerosis in 3 vascular compartments and, as such, could serve as a promising drug target for atheroprotection.

Indexed as

AtherosclerosisChemokine CXCL10Interleukin-6ProteogenomicsCoronary Artery DiseaseGenome-Wide Association StudyHumansMendelian Randomization AnalysisPeripheral Arterial DiseaseProteomicsStrokeChemokine CXCL10CXCL10 protein, humanInterleukin-6atherosclerosisinterleukin-6Mendelian randomization analysis

Identifiers

PMID38152968
PMCPMC10922752
OpenAlexW4390344699

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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.