Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study

Abstract Background Atrial fibrillation (AF) and brain volume loss are prevalent in older individuals. We aimed to assess the causal effect of atrial fibrillation on brain volume phenotypes by Mendelian randomization (MR) analysis. Methods The genetic instrument for AF was constructed from a previou...

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Autores principales:	Sehoon Park, Soojin Lee, Yaerim Kim, Semin Cho, Kwangsoo Kim, Yong Chul Kim, Seung Seok Han, Hajeong Lee, Jung Pyo Lee, Soryoung Lee, Eue-Keun Choi, Kwon Wook Joo, Chun Soo Lim, Yon Su Kim, Dong Ki Kim
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Atrial fibrillation Brain Stroke Mendelian randomization Medicine R
Acceso en línea:	https://doaj.org/article/69e75ddb2e9149c98c4241c87dc7fd73
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spelling	oai:doaj.org-article:69e75ddb2e9149c98c4241c87dc7fd732021-11-28T12:15:24ZCausal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study10.1186/s12916-021-02152-91741-7015https://doaj.org/article/69e75ddb2e9149c98c4241c87dc7fd732021-11-01T00:00:00Zhttps://doi.org/10.1186/s12916-021-02152-9https://doaj.org/toc/1741-7015Abstract Background Atrial fibrillation (AF) and brain volume loss are prevalent in older individuals. We aimed to assess the causal effect of atrial fibrillation on brain volume phenotypes by Mendelian randomization (MR) analysis. Methods The genetic instrument for AF was constructed from a previous genome-wide association study (GWAS) meta-analysis (15,993 AF patients and 113,719 controls of European ancestry). The outcome summary statistics for head-size-normalized white or gray matter volume measured by magnetic resonance imaging were provided by a previous GWAS of 33,224 white British participants in the UK Biobank. Two-sample MR by the inverse variance–weighted method was performed, supported by pleiotropy-robust MR sensitivity analysis. The causal estimates for the effect of AF on ischemic stroke were also investigated in a dataset that included the findings from the MEGASTROKE study (34,217 stroke patients and 406,111 controls of European ancestry). The direct effects of AF on brain volume phenotypes adjusted for the mediating effect of ischemic stroke were studied by multivariable MR. Results A higher genetic predisposition for AF was significantly associated with lower grey matter volume [beta −0.040, standard error (SE) 0.017, P=0.017], supported by pleiotropy-robust MR sensitivity analysis. Significant causal estimates were identified for the effect of AF on ischemic stroke (beta 0.188, SE 0.026, P=1.03E−12). The total effect of AF on lower brain grey matter volume was attenuated by adjusting for the effect of ischemic stroke (direct effects, beta −0.022, SE 0.033, P=0.528), suggesting that ischemic stroke is a mediator of the identified causal pathway. The causal estimates were nonsignificant for effects on brain white matter volume as an outcome. Conclusions This study identified that genetic predisposition for AF is significantly associated with lower gray matter volume but not white matter volume. The results indicated that the identified total effect of AF on gray matter volume may be mediated by ischemic stroke.Sehoon ParkSoojin LeeYaerim KimSemin ChoKwangsoo KimYong Chul KimSeung Seok HanHajeong LeeJung Pyo LeeSoryoung LeeEue-Keun ChoiKwon Wook JooChun Soo LimYon Su KimDong Ki KimBMCarticleAtrial fibrillationBrainStrokeMendelian randomizationMedicineRENBMC Medicine, Vol 19, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Atrial fibrillation Brain Stroke Mendelian randomization Medicine R
spellingShingle	Atrial fibrillation Brain Stroke Mendelian randomization Medicine R Sehoon Park Soojin Lee Yaerim Kim Semin Cho Kwangsoo Kim Yong Chul Kim Seung Seok Han Hajeong Lee Jung Pyo Lee Soryoung Lee Eue-Keun Choi Kwon Wook Joo Chun Soo Lim Yon Su Kim Dong Ki Kim Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study
description	Abstract Background Atrial fibrillation (AF) and brain volume loss are prevalent in older individuals. We aimed to assess the causal effect of atrial fibrillation on brain volume phenotypes by Mendelian randomization (MR) analysis. Methods The genetic instrument for AF was constructed from a previous genome-wide association study (GWAS) meta-analysis (15,993 AF patients and 113,719 controls of European ancestry). The outcome summary statistics for head-size-normalized white or gray matter volume measured by magnetic resonance imaging were provided by a previous GWAS of 33,224 white British participants in the UK Biobank. Two-sample MR by the inverse variance–weighted method was performed, supported by pleiotropy-robust MR sensitivity analysis. The causal estimates for the effect of AF on ischemic stroke were also investigated in a dataset that included the findings from the MEGASTROKE study (34,217 stroke patients and 406,111 controls of European ancestry). The direct effects of AF on brain volume phenotypes adjusted for the mediating effect of ischemic stroke were studied by multivariable MR. Results A higher genetic predisposition for AF was significantly associated with lower grey matter volume [beta −0.040, standard error (SE) 0.017, P=0.017], supported by pleiotropy-robust MR sensitivity analysis. Significant causal estimates were identified for the effect of AF on ischemic stroke (beta 0.188, SE 0.026, P=1.03E−12). The total effect of AF on lower brain grey matter volume was attenuated by adjusting for the effect of ischemic stroke (direct effects, beta −0.022, SE 0.033, P=0.528), suggesting that ischemic stroke is a mediator of the identified causal pathway. The causal estimates were nonsignificant for effects on brain white matter volume as an outcome. Conclusions This study identified that genetic predisposition for AF is significantly associated with lower gray matter volume but not white matter volume. The results indicated that the identified total effect of AF on gray matter volume may be mediated by ischemic stroke.
format	article
author	Sehoon Park Soojin Lee Yaerim Kim Semin Cho Kwangsoo Kim Yong Chul Kim Seung Seok Han Hajeong Lee Jung Pyo Lee Soryoung Lee Eue-Keun Choi Kwon Wook Joo Chun Soo Lim Yon Su Kim Dong Ki Kim
author_facet	Sehoon Park Soojin Lee Yaerim Kim Semin Cho Kwangsoo Kim Yong Chul Kim Seung Seok Han Hajeong Lee Jung Pyo Lee Soryoung Lee Eue-Keun Choi Kwon Wook Joo Chun Soo Lim Yon Su Kim Dong Ki Kim
author_sort	Sehoon Park
title	Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study
title_short	Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study
title_full	Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study
title_fullStr	Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study
title_full_unstemmed	Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study
title_sort	causal effects of atrial fibrillation on brain white and gray matter volume: a mendelian randomization study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/69e75ddb2e9149c98c4241c87dc7fd73
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Causal effects of atrial fibrillation on brain white and gray matter volume: a Mendelian randomization study

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