Evidence map›Paper›PMID 41117297›Full record

SynthesisClinical cardiology2025

Mapping Gastroesophageal Reflux Disease and Coronary Artery Disease: A Comprehensive Analysis of Multivariable Mendelian Randomization and Shared Genetic Etiology.

Yiying Zhen, Xiang Yuan, Min Ruan, Huan Lu, Dakai Liang, Dehua Huang, Fengyang Deng, Haozhang Huang, Jiaman Ou

Abstract readMeta-Analysis
In one paragraph

Synthesis in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Yiying ZhenDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Xiang YuanDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Min RuanDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Huan LuDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Dakai LiangDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Dehua HuangDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Fengyang DengDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.
Haozhang HuangDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0000-0001-7524-2854
Jiaman OuDepartment of Cardiology, People's Hospital of Yangjiang, Yangjiang, China.

Funding

This study was supported by the Science and Technology Planning Project of Yangjiang Municipal Health Commission (2022001); the Philosophy and Social Sciences Planning Project of Yangjiang Municipal Planning Office of Philosophy and Social Sciences YJ2024A02); and the High-Level Key Medical and Health Research Project of Yangjiang Municipal Health Commission (2024021).
6 · The paper itself

Abstract

aimsWe employed a robust genetic approach to provide a better understanding of whether Gastroesophageal reflux disease (GERD) contributes to coronary artery disease (CAD) risk from a genetic perspective.

methodsMultivariable Mendelian Randomization (MVMR) was applied to explore causal links between GERD and CAD using genetic instruments derived from genome-wide association studies (GWAS). The MVMR models were adjusted for key metabolic confounders, including low-density lipoprotein cholesterol (LDL-C), body mass index (BMI), systolic blood pressure (SBP), and glycated hemoglobin (HbA1c). Genetic correlations were estimated using linkage disequilibrium score regression. Cross-trait meta-analyses, Heritability Estimation from Summary Statistics (ρ-HESS) and colocalization analyses were performed to identify pleiotropic genes and shared genetic loci, elucidating the genetic relationship between GERD and CAD.

resultsGenetically predicted GERD was found to be causally linked with CAD (rg = 0.38, P = 2.37E-52), independent of metabolic risk factors, including LDL-C, BMI, SBP, and HbA1c (odds ratio: 1.24, 95% CI: 1.02-1.52, p < 0.05). Cross-trait meta-analyses identified eight novel pleiotropic single nucleotide polymorphisms, four of which were independent of metabolic confounders, including rs11764337 in MAD1L1, rs2240326 in RBM5, rs9615905 in FAM19A5, and rs9837341 in BSN. ρ-HESS and colocalization analysis further revealed shared genetic loci for GERD and CAD, specifically rs4643373 in IGF2BP1 (located in chr17: 45876022-47517400 and posterior probability for H4 > 0.75).

conclusionsGERD is identified as an independent risk factor for CAD. The discovery of shared genetic loci provides novel insights into the genetic mechanisms underlying GERD and CAD, with IGF2BP1 emerging as a potential therapeutic target for intervention.

Indexed as

Coronary Artery DiseaseGastroesophageal RefluxMendelian Randomization AnalysisPolymorphism, Single NucleotideGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansPhenotypeRisk Factorscolocalizationcoronary artery diseasegastroesophageal reflux diseasegenetic correlationmultivariable Mendelian randomization

Identifiers

PMID41117297
PMCPMC12538509

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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.