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January 3, 2024JAMA CardiologyOpen Access

Genetically predicted levels of six cardiovascular proteins are linked to gestational hypertension and preeclampsia.

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Why the study?

Hypertensive disorders of pregnancy contribute significantly to maternal morbidity, mortality, and long-term cardiovascular disease risk, motivating the identification of circulating proteins associated with them.

Do genetic instruments for cardiovascular disease-related proteins associate with the risk of gestational hypertension and preeclampsia?

Population

European-ancestry females from GWAS meta-analyses for gestational hypertension and preeclampsia and 21 758 SCALLOP participants

Comparison

Genetic instruments for 90 cardiovascular disease-related candidate proteins vs outcomes

Design

Two-sample mendelian randomization study

Key result

Genetically predicted levels of four cardiovascular proteins (CD40, ECP, Gal-3, NT-proBNP) were robustly associated with gestational hypertension, and two (CSTB, HSP27) with preeclampsia.

Authors

ASArt SchuermansBTBuu TruongMAMaddalena Ardissino

Discussion

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Member takes

Overview

Circulating protein associations with HDPs via MR need validation; leaves open causal roles in pregnancy hypertension.

Study Design

Type

Observational (n=606,903)

Multicenter

Yes

Structured PICO

Do genetic instruments for cardiovascular disease-related proteins associate with the risk of gestational hypertension and preeclampsia?

P
Population
Over 600,000 female participants from genome-wide association study meta-analyses were evaluated to identify genetic associations between circulating cardiovascular proteins and hypertensive disorders of pregnancy.
E
Exposure
Genetic instruments for 90 candidate proteins implicated in cardiovascular diseases, constructed using cis-protein quantitative trait loci (cis-pQTLs)
O
Outcome
Gestational hypertension and preeclampsiahard clinical

Genetic instruments for specific cardiovascular proteins, including NT-proBNP and HSP27, are associated with the risk of gestational hypertension and preeclampsia, suggesting potential therapeutic targets.

Limitations

  • Future studies are required to test the efficacy of targeting the corresponding pathways to reduce HDP risk

Cite This Study

Schuermans et al. (2024) conducted an observational in Gestational hypertension and preeclampsia (n=606,903). Genetically predicted circulating cardiovascular disease-related proteins vs. Unexposed/reference genetic profile was evaluated on Gestational hypertension and preeclampsia. Genetically predicted levels of four cardiovascular proteins (CD40, ECP, Gal-3, NT-proBNP) were robustly associated with gestational hypertension, and two (CSTB, HSP27) with preeclampsia.

synapsesocial.com/papers/6a5bc2b0557884ecb3f7a0d8https://doi.org/10.1001/jamacardio.2023.4994
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