Proteome-wide mendelian randomization identifies causal plasma proteins in venous thromboembolism development

J Hum Genet. 2023 Dec;68(12):805-812. doi: 10.1038/s10038-023-01186-6. Epub 2023 Aug 3.

Abstract

Genome-wide association studies (GWAS) have identified numerous risk loci for venous thromboembolism (VTE), but it is challenging to decipher the underlying mechanisms. We employed an integrative analytical pipeline to transform genetic associations to identify novel plasma proteins for VTE. Proteome-wide association studies (PWAS) were determined by functional summary-based imputation leveraging data from a genome-wide association analysis (14,429 VTE patients, 267,037 controls), blood proteomes (1348 cases), followed by Mendelian randomization, Bayesian colocalization, protein-protein interaction, and pathway enrichment analysis. Twenty genetically regulated circulating protein abundances (F2, F11, ABO, PLCG2, LRP4, PLEK, KLKB1, PROC, KNG1, THBS2, SERPINA1, RARRES2, CEL, GP6, SERPINE2, SERPINA10, OBP2B, EFEMP1, F5, and MSR1) were associated with VTE. Of these 13 proteins demonstrated Mendelian randomized correlations. Six proteins (F2, F11, PLEK, SERPINA1, RARRES2, and SERPINE2) had strong support in colocalization analysis. Utilizing multidimensional data, this study suggests PLEK, SERPINA1, and SERPINE2 as compelling proteins that may provide key hints for future research and possible diagnostic and therapeutic targets for VTE.

MeSH terms

  • Bayes Theorem
  • Blood Proteins / genetics
  • Extracellular Matrix Proteins / genetics
  • Genome-Wide Association Study / methods
  • Humans
  • Mendelian Randomization Analysis
  • Polymorphism, Single Nucleotide
  • Proteome / genetics
  • Serpin E2 / genetics
  • Venous Thromboembolism* / genetics

Substances

  • Proteome
  • Serpin E2
  • Blood Proteins
  • EFEMP1 protein, human
  • Extracellular Matrix Proteins