AUTHOR=Peng Liqi , Cai Huzhi , Tang Yanping , Zhou Fang , Liu Yuemei , Xu Zelin , Chen Qingyang , Chen Xinyu 

TITLE=Causal associations between chronic heart failure and the cerebral cortex: results from Mendelian randomization study and integrated bioinformatics analysis

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1396311

DOI=10.3389/fcvm.2024.1396311

ISSN=2297-055X

ABSTRACT=<sec><title>Background</title><p>Chronic heart failure (CHF) patients exhibit alterations in cerebral cortical structure and cognitive function. However, the mechanisms by which CHF affects cortical structure and functional regions remain unknown. This study aims to investigate potential causal relationship between CHF and cerebral cortical structure through Mendelian randomization (MR).</p></sec><sec><title>Methods</title><p>The research utilized genome-wide association studies (GWAS) to explore the causal association between CHF and cerebral cortical structure. The results were primarily analyzed using the inverse-variance weighted (IVW). The reliability of the data was verified through horizontal pleiotropy and heterogeneity analysis by MR-Egger intercept test and Cochran's <italic>Q</italic>-test, respectively. Replication analysis was conducted in the Integrative Epidemiology Unit (IEU) OpenGWAS project for further validation. In addition, we collected mediator genes that mediate causality to reveal potential mechanisms. Integrated bioinformatics analysis was conducted using the Open Target Genetics platform, the STRING database, and Cytoscape software.</p></sec><sec><title>Results</title><p>The IVW results did not reveal any significant causal association between genetically predicted CHF and the overall structure of the cerebral cortex or the surface area (SA) of the 34 functional regions of the cerebral cortex (<italic>P</italic> &gt; 0.05). However, the results revealed that CHF increased the thickness (TH) of pars opercularis (IVW: <italic>β </italic>= 0.015, 95% CI: 0.005–0.025, <italic>P</italic> <italic>= </italic>3.16E-03). Replication analysis supported the causal association between CHF and pars opercularis TH (IVW: <italic>β </italic>= 0.02, 95% CI: 0.010–0.033, <italic>P </italic>= 1.84E-04). We examined the degree centrality values of the top 10 mediator genes, namely CDKN1A, CELSR2, NME5, SURF4, PSMA5, TSC1, RPL7A, SURF6, PRDX3, and FTO.</p></sec><sec><title>Conclusion</title><p>Genetic evidence indicates a positive correlation between CHF and pars opercularis TH.</p></sec>