Key result
Indirect genetic effects at neurobehavioral loci link to lipids, with diet mediating ~18% of HDL-C associations.
Why the study?
Indirect genetic effects contribute substantially to human complex traits, but their genomic architecture and underlying mechanistic pathways remain poorly understood.
Observational
Lifestyle behaviors such as healthy food score may substantially mediate indirect genetic effects on blood lipid profiles, serving as modifiable factors to mitigate genetic susceptibility.
Answers are grounded in this paper and cite their sources.
Supports diet as partial mediator of genetic effects on HDL-C; leaves open whether interventions modify risk in trials.
Growing evidence reveals that indirect genetic effects (IGEs) contribute substantially to human complex traits. However, the genomic architecture and underlying mechanistic pathways of IGEs remain poorly understood. In this study, we employed a two-stage family study design to investigate IGEs and direct genetic effects (DGEs) on blood lipid profiles in the Fangshan Family-based Ischemic Stroke Study in China (FISSIC) cohort. We identified 16 IGE loci resulting in 14 candidate IGE genes, and 20 DGE loci resulting in 22 DGE genes, by an integrative functional mapping approach. The identified IGE genes were predominantly related to behavioral and neuropsychiatric phenotypes, while DGE genes were primarily involved in lipid metabolic pathways. To examine whether IGE genes are associated with lipids through behavioral factors in IGEs, we compared IGE estimates before and after adjusting for behavioral covariates, including healthy food score, drinking status, educational attainment, obesity, physical activity, sleep duration, and smoking status. Adjustment for behavioral factors attenuated the IGE associations, and mediation analysis further indicated that healthy food score partially mediated the association between IGE-GRS and HDL-C (mediation proportion: 17.9%), whereas the proportion mediated by behavioral mediators in the DGE pathway was negligible. Our results suggest that lifestyle behaviors may substantially mediate IGE effects, indicating that they could serve as modifiable factors to mitigate IGE-related genetic susceptibility for lipid or other complex traits.
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Zheng et al. (2026) conducted an observational in Blood lipid profiles. Indirect genetic effects (IGEs) vs. Direct genetic effects (DGEs) / Total genetic effects (TGEs) was evaluated on Identification of genetic variants with IGEs and DGEs on lipid profiles (HDL-C, LDL-C, TC, TG) (p=<5x10^-8). Indirect genetic effects on blood lipid profiles were identified at 16 loci involving neurobehavioral genes, with healthy food score mediating 17.9% of the association between IGE-GRS and HDL-C.
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