Evidence map›Paper›PMID 42363547›Full record

ArticleMedicine2026

Genetically predicted lower FLT3L levels increase the risk of hypertrophic cardiomyopathy partly mediated by phosphate: Evidence from a 2-step Mendelian randomization analysis.

Yanhui Li, Rumeng Chen, Chunyan Hou, Zhiwei Zheng, Shuling Xu, Xiaoqian Zheng, Menghua Liu, Xueqi Liao, Meihua Bao, Chunxia Huang and 1 more

Abstract read
In one paragraph

Article in Medicine, 2026. 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

11 authors.

Yanhui LiHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, School of Pharmaceutical Science, Changsha Medical University, Changsha, China.ORCID 0009-0006-8783-4738
Rumeng ChenSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Chunyan HouSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Zhiwei ZhengSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Shuling XuSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Xiaoqian ZhengSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Menghua LiuSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.
Xueqi LiaoHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, School of Pharmaceutical Science, Changsha Medical University, Changsha, China.
Meihua BaoHunan Key Laboratory of the Research and Development of Novel Pharmaceutical Preparations, School of Pharmaceutical Science, Changsha Medical University, Changsha, China.
Chunxia HuangSchool of Stomatology, Changsha Medical University, Changsha, China.
Sen LiSchool of Life Sciences, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0003-4496-5050

Funding

Research Projects of Hunan Provincial Department of Education 23A0665
6 · The paper itself

Abstract

We performed a 2-step Mendelian randomization (MR) study to investigate the associations of Fms-related tyrosine kinase 3 ligand (FLT3L) and phosphate levels with the risk of hypertrophic cardiomyopathy (HCM). Genetic instruments for 75 circulating inflammatory factors were obtained from the NHGRI-EBI GWAS Catalog, while summary statistics for circulating phosphate and HCM were derived from the UK Biobank and FinnGen, respectively. Univariable MR analysis using the inverse-variance weighted method indicated that genetically predicted higher phosphate levels were associated with an increased risk of HCM (OR = 1.36, P = 4.82 × 10-2). Among the inflammatory markers, FLT3L emerged as a significant candidate and showed inverse associations with phosphate levels (β = -0.05, P = 1.70 × 10-9) and HCM (OR = 0.79, P = 4.10 × 10-2). Bidirectional MR analyses did not support a causal effect of phosphate on FLT3L. Mediation analysis suggested that phosphate levels accounted for an estimated 12.05% of the total effect of FLT3L on HCM. Genetic liability to lower FLT3L levels is associated with a higher risk of HCM, and this relationship may be partially mediated through circulating phosphate levels.

Indexed as

Cardiomyopathy, HypertrophicMembrane ProteinsPhosphatesGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMendelian Randomization AnalysisPolymorphism, Single NucleotideRisk Factorsflt3 ligand proteinMembrane ProteinsPhosphates2-step Mendelian randomizationcausal mediation analysisFLT3Lhypertrophic cardiomyopathyphosphate metabolism

Identifiers

PMID42363547
PMCPMC13313697

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.