Evidence map›Paper›PMID 40487072›Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2025

Metabolites and coronary heart disease: A two sample Mendelian randomization.

Yang Sheng, Feng Gao, Zhenyu Zhu, Tianjie Zhang, Wei Zhang

Abstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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.

Yang ShengDepartment of Cardiology, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, Zhejiang, China.
Feng GaoDepartment of Cardiology, The Second Affiliated Hospital, Zhejiang University School of Medical College, 88 Jiefang Road, Hangzhou, Zhejiang, China.
Zhenyu ZhuDepartment of Cardiology, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, Zhejiang, China.
Tianjie ZhangDepartment of Cardiology, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, Zhejiang, China.
Wei ZhangDepartment of Cardiology, Tongde Hospital of Zhejiang Province, 234 Gucui Road, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In observational studies, circulating metabolites were related to Coronary heart disease (CHD), but their causal relationship is unknown. In this study, we sought to determine a bidirectional causal relationship between circulating metabolites and CHD and to explore whether circulating metabolites are associated with a decreased risk of CHD. Methods: In our two-sample Mendelian randomization (MR) study, the top SNPs associated with circulating metabolites (n = 24, 925) as well as CHD (n = 86, 995) were acquired from publicly available genome-wide association studies (GWAS). The SNPs estimates were pooled using inverse variance weighted meta-analysis, with median weighted by sensitivity analyses, MR Egger and MR Pleiotropy Residual Sum and Outlier (PRESSO). Results: Free cholesterol in large LDL(p, 6.9E-07; OR, 2.2; 95%CI,1.6-3.0),total cholesterol in medium LDL(p, 1.0E-06; OR, 1.8; 95%CI,1.4-2.3)Total cholesterol in LDL (p,1.43083E-05; OR,1.7; 95%CI, 1.3-2.2). Phospholipids in medium LDL (p,0.0; OR,1.6; 95%CI, 1.2-2.1); Total cholesterol in small VLDL (p,0.0; OR, 1.8; 95%CI, 1.2-2.7); Triglycerides in small VLDL (p,0.0, OR, 1.3; 95%CI, 1.0-1.6); Free cholesterol in small VLDL (p,0.0; OR,1.3; 95%CI, 1.0-1.7); Phospholipids in small VLDL (p,0.0; OR,1.3, 95%CI,1.0-1.7); Triglycerides in small HDL (p,0.0, OR,1.3,95%CI,1.0-1.7); Alanine (0.0, OR,1.2,95%CI,1.0-1.6) were positively associated with CHD. Phospholipids in medium HDL (p,0.0, OR,0.8; 95%CI, 0.6-0.9) might have a protective effect on CHD, which were negatively associated with CHD. Conclusions: Our MR analysis demonstrated a protective effect of Phospholipids in medium HDL, and a potentially anti-protective effect of Free cholesterol in large LDL, Total cholesterol in medium LDL, Total cholesterol in LDL, Phospholipids in medium LDL, Total cholesterol in small VLDL, Triglycerides in small VLDL, Free cholesterol in small VLDL, Phospholipids in small VLDL, Triglycerides in small HDL, Alanine on the pathogenesis of CHD. Additional studies are required to translate the findings into practice.

Indexed as

Coronary heart diseaseMendelian randomizationMetabolites

Identifiers

PMID40487072
PMCPMC12141869

What Socratic holds

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Registered trials

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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 Socratic graph.