Evidence map›Paper›PMID 40082904›Full record

ArticleLipids in health and disease2025

Causal relationship between drug target genes of LDL-cholesterol and coronary artery disease: drug target Mendelian randomization study.

Yongho Jee, Jong Won Shin, Mikyung Ryu, Tae-Jin Song

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Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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3 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Yongho JeeAdvanced Biomedical Research Institute, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea.
Jong Won ShinDepartment of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Mikyung RyuInstitute on Aging, Ajou University Medical Center, Suwon, Republic of Korea. kyung8545@gmail.com.
Tae-Jin SongDepartment of Neurology, Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea.

Funding

National Research Foundation of Korea RS-2023-00210888
6 · The paper itself

Abstract

backgroundHigh LDL-cholesterol (LDL-C) is a well-known risk factor for coronary artery disease (CAD). PCSK9, HMGCR, NPC1L1, ACLY, and LDLR gene have been reported as lipid lowering drug genes related to LDL-C lowering. However relevant Asian studies were rare.

methodsWe examined the causality between LDL-c drug target genes and CAD using Korean and Japanese data using the two sample Mendelian Randomization (MR) method. We conducted two-sample MR analysis of LDL-c lowering drug target genes (7 Single-nucleotide polymorphisms (SNP) in PCSK9, 6 SNPs in HMGCR, 5 SNPs in NPC1L1, 9 SNPs in ACLY, 3 SNPs in LDLR) and CAD. We used summary statistics data from the Korean Genome Epidemiology Study (KOGES) for LDL-C data, and Biobank of Japan (BBJ) for CAD data.

resultsFor every 10 mg/dl decrease in LDL-C determined by four significant SNPs in the PCSK9 gene, the risk of CAD decreased by approximately 20% (OR = 0.80, 95% CI: 0.75-0.86). The risk of CAD decreased by 10% for every 10 mg/dl decrease in LDL-C due to the six significant SNPs in the HMGCR gene (OR = 0.90, 95% CI: 0.86-0.94). Due to the two significant SNPs in the gene LDLR, the risk of CAD decreased by approximately 26% for every 10 mg/dl decrease in LDL-C (OR = 0.74, 95% CI: 0.66-0.82). The combined effect on CAD showed the largest effect size for the PCSK9 gene and LDLR gene, and the reduced CAD risk induced by these two genes together was OR = 0.78 (95%CI, 0.74-0.83). Finally, the combined effect of all three genes (PCSK9, HMGCR, and LDLR) was OR = 0.85 (95%CI, 0.79-0.91).

conclusionLDL-C reduction estimated by SNPs in LDL-C lowering drug target genes significantly reduced the risk of CAD. We found the potential of using of proxy research design for clinical trials using LDL-C lowering drugs.

Indexed as

Cholesterol, LDLCoronary Artery DiseaseAnticholesteremic AgentsHumansHydroxymethylglutaryl CoA ReductasesJapanMaleMembrane ProteinsMembrane Transport ProteinsMendelian Randomization AnalysisPolymorphism, Single NucleotideProprotein Convertase 9Receptors, LDLRepublic of KoreaRisk FactorsAnticholesteremic AgentsCholesterol, LDLHMGCR protein, humanHydroxymethylglutaryl CoA ReductasesLDLR protein, humanMembrane ProteinsMembrane Transport ProteinsNPC1L1 protein, humanPCSK9 protein, humanProprotein Convertase 9Receptors, LDLCoronary artery diseaseDurg target geneLDL-cholesterolMendelian randomization

Identifiers

PMID40082904
PMCPMC11905656

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