Evidence mapPaperPMID 40053301Full record

ArticleInternational journal of clinical pharmacy2025

Investigating the controversy surrounding statin therapy and Achilles tendinopathy using Mendelian randomization analysis.

Jie Zhou, Haitao Wang, Chao Chen, Kun Wang, Yixin Xu

Abstract read
In one paragraph

Article in International journal of clinical pharmacy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Jie ZhouDepartment of General Surgery, The Wujin Hospital Affiliated With Jiangsu University, No. 2, Yongning North Road, Changzhou, 213003, Jiangsu Province, China.
Haitao WangDepartment of General Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, 213003, China.
Chao ChenDepartment of General Surgery, The Wujin Hospital Affiliated With Jiangsu University, No. 2, Yongning North Road, Changzhou, 213003, Jiangsu Province, China.
Kun WangDepartment of General Surgery, The Wujin Hospital Affiliated With Jiangsu University, No. 2, Yongning North Road, Changzhou, 213003, Jiangsu Province, China.
Yixin XuDepartment of General Surgery, The Wujin Hospital Affiliated With Jiangsu University, No. 2, Yongning North Road, Changzhou, 213003, Jiangsu Province, China. xyxdoctor@sina.com.

Funding

Jiangsu University Medical Education Collaborative Innovation Fund Project No. JDY2023018Medical Research Project of the Jiangsu Health Commission No. Z2021010
6 · The paper itself

Abstract

backgroundThe relationship between statin therapy and tendon injuries, particularly Achilles tendinopathy, which is the body's largest and strongest tendon, remains controversial.

aimThis study employed Mendelian Randomization (MR) analysis to explore the causal link between statin therapy and Achilles tendinopathy (ATP).

methodSummary statistics were obtained from genome-wide association studies on statin medication and four specific statin drugs from public databases, as well as data related to two ATP phenotypes, namely Achilles tendinitis and Achilles tendon injury. Furthermore, a two-sample bidirectional MR analysis was conducted to investigate the association between statin therapy and ATP. The primary method used was the inverse variance weighted (IVW) method, supplemented by four other validation methods. Heterogeneity analysis, pleiotropy assessment, and leave-one-out sensitivity analysis were further conducted to validate the robustness of the results.

resultsBased on our comprehensive investigation, all MR analyses in this study found no significant causal relationship between statin therapy and ATP (IVW, p > 0.05). Notably, the MR findings regarding pravastatin, rosuvastatin, and ATP were limited by a small pool of instrumental variables, necessitating further research. Moreover, no association was observed between the two in the reverse MR analysis (IVW, p > 0.05). All results passed heterogeneity tests, pleiotropy tests, and sensitivity analyses.

conclusionOur results do not establish a causal connection between statin therapy and ATP, indicating that individuals with ATP should consider alternative pathogenic contributors. Moreover, these findings highlight the safety profile of statin medications.

Indexed as

Achilles TendonHydroxymethylglutaryl-CoA Reductase InhibitorsMendelian Randomization AnalysisTendinopathyGenome-Wide Association StudyHumansHydroxymethylglutaryl-CoA Reductase InhibitorsCausal relationshipGenetically predictedGWASOrthopedicsSingle nucleotide polymorphismStatin

Identifiers

PMID40053301
PMCPMC12432074

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.