Publications by authors named "Tzoulaki I"

South Asians are at higher risk of dyslipidaemia-a modifiable risk factor for cardiovascular diseases (CVDs). We aimed to identify protein targets for dyslipidaemia and CVDs in this population. We used a two-sample Mendelian randomization (MR) approach, supplemented with MR-Egger, weighted median, colocalization, and generalized MR (GMR), to evaluate the effect of 2,800 plasma proteins on high/low/non-high-density lipoprotein cholesterol (HDL-C/LDL-C/nonHDL-C), total cholesterol, and triglycerides.

View Article and Find Full Text PDF
Article Synopsis
  • A study investigated the metabolic signatures linked to systolic and diastolic blood pressure (BP) and their relationship with cardiovascular diseases (CVD) using data from 201,742 UK Biobank participants and external validation from the Epirus Health Study.
  • Researchers found specific metabolites associated with systolic and diastolic BP that correlated with an increased risk of myocardial infarction and CVD, indicating a positive association with elevated BP.
  • The study suggests that understanding these metabolic signatures could help elucidate the biological pathways connecting blood pressure to cardiovascular conditions.
View Article and Find Full Text PDF

Introduction: Polygenic Risk Scores (PRS) are an emerging tool for predicting an individual's genetic risk to a complex trait. Several methods have been proposed to construct and calculate these scores. Here, we develop a biologically driven PRS using the UK BioBank cohort through validated protein interactions (PPI) and network construction for psoriasis, incorporating variants mapped to the interacting genes of 14 psoriasis susceptibility (PSORS) loci, as identified from previous genetic linkage studies.

View Article and Find Full Text PDF

Several cardiovascular traits and diseases co-occur with Alzheimer's disease. We mapped their shared genetic architecture using multi-trait genome-wide association studies. Subsequent fine-mapping and colocalisation highlighted 16 genetic loci associated with both Alzheimer's and cardiovascular diseases.

View Article and Find Full Text PDF

Background And Aims: Glucagon-like peptide-1 receptor (GLP1R) agonists and glucose-dependent insulinotropic polypeptide receptor (GIPR) agonists may help treat metabolic dysfunction-associated steatotic liver disease (MASLD) and metabolic dysfunction-associated steatohepatitis (MASH). However, their definitive effects are still unclear. Our study aims to clarify this uncertainty.

View Article and Find Full Text PDF
Article Synopsis
  • - The AI-ECG risk estimator (AIRE) platform was developed to improve predictions of future disease and mortality risks from electrocardiograms (ECGs), addressing limitations in existing models related to individual actionability and biological plausibility.
  • - AIRE utilizes deep learning and survival analysis on a massive dataset of over 1.16 million ECGs to predict patient-specific mortality risks and timelines, validated across diverse international cohorts.
  • - The platform demonstrated high accuracy for predicting various health risks, such as all-cause mortality and heart failure, and identified biological pathways linked to cardiac health, making it a promising tool for clinical use globally.
View Article and Find Full Text PDF
Article Synopsis
  • Genetic research on Alzheimer's disease (AD) has largely concentrated on amyloid-β (Aβ), while this study focuses on understanding the genetic basis of tau pathology to uncover new pathways related to AD.
  • A genome-wide association study (GWAS) was conducted using data from the A4 and ADNI studies to analyze genetic variants linked to tau pathology, finding two significant loci and pinpointing certain genes associated with tau deposition.
  • Mendelian randomization analyses suggest that the LRRFIP1 protein may have a causal relationship with tau pathology, while the polygenic risk scores showed strong associations with amyloid pathology but not with tau pathology.
View Article and Find Full Text PDF

Background: The reported inverse association between cancer and subsequent Alzheimer's disease and related dementias (ADRD) remains uncertain.

Objectives: To investigate the association between these common conditions of old age and explore possible causal factors.

Design, Setting, Participants And Measurements: We conducted a large population-based cohort analysis using data from 3,021,508 individuals aged 60 and over in the UK Clinical Practice Research Datalink (CPRD), over a period up to 30 years (1988-2018).

View Article and Find Full Text PDF

We investigated the effects of 35 inflammatory cytokines on respiratory outcomes, including COVID-19, asthma (atopic and non-atopic), chronic obstructive pulmonary disease (COPD), and pulmonary function indices, using Mendelian randomization and colocalization analyses. The emerging associations were further explored using observational analyses in the UK Biobank. We found an inverse association between genetically predicted macrophage colony stimulating factor (MCSF), soluble intercellular adhesion molecule-1 (sICAM), and soluble vascular cell adhesion molecule-1 with risk of COVID-19 outcomes.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigates the relationship between plasma proteins and stroke risk specifically in South Asian individuals, utilizing genetic data from the UK Biobank and stroke data from the GIGASTROKE consortium.
  • Using advanced statistical methods, researchers identified a potential causal link between the glycoprotein GP6 levels and the likelihood of cardioembolic stroke, showing an odds ratio indicating a significant increase in risk.
  • Findings suggest that GP6 may not have the same effect on stroke risk in European populations, highlighting the importance of genetic ancestry in biomedical research.
View Article and Find Full Text PDF
Article Synopsis
  • - Early age at menarche (AAM) may lead to higher carotid artery intima-media thickness (cIMT), which is a sign of early vascular disease, and understanding this relationship could improve prevention and treatment strategies for cardiovascular issues.
  • - The study explored how AAM affects various cardiometabolic risk factors like body mass index (BMI) and blood pressure, using genetic analyses to determine these connections.
  • - Results indicated that AAM was negatively linked to cIMT and positively linked to cholesterol levels, with BMI and systolic blood pressure identified as partial mediators in this association.
View Article and Find Full Text PDF

Low concentrations of circulating 25-hydroxy-vitamin D are observationally associated with an increased risk of subclinical atherosclerosis and cardiovascular disease. However, randomized controlled trials have not reported the beneficial effects of vitamin D supplementation on atherosclerotic cardiovascular disease (ASCVD) outcomes. Whether genetically predicted vitamin D status confers protection against the development of carotid artery plaque, a powerful predictor of subclinical atherosclerosis, remains unknown.

View Article and Find Full Text PDF

Aims: Evaluate sex differences in cardiovascular disease (CVD) risk prediction, including use of (i) optimal sex-specific risk predictors and (ii) sex-specific risk thresholds.

Methods And Results: Prospective cohort study using UK Biobank, including 121 724 and 182 632 healthy men and women, respectively, aged 38-73 years at baseline. There were 11 899 (men) and 9110 (women) incident CVD cases (hospitalization or mortality) with a median of 12.

View Article and Find Full Text PDF

Variations in serum amino acid levels are linked to a multitude of complex disorders. We report the largest genome-wide association study (GWAS) on nine serum amino acids in the UK Biobank participants (117 944, European descent). We identified 34 genomic loci for circulatory levels of alanine, 48 loci for glutamine, 44 loci for glycine, 16 loci for histidine, 11 loci for isoleucine, 19 loci for leucine, 9 loci for phenylalanine, 32 loci for tyrosine and 20 loci for valine.

View Article and Find Full Text PDF
Article Synopsis
  • Urinary tract infections (UTIs) significantly contribute to hospitalizations and fatalities among individuals with dementia compared to matched controls and those with diabetes.
  • A large study analyzed data from over 2.4 million people aged 50+ in Wales between 2000-2021, finding that UTIs in dementia and diabetes were linked to increased mortality rates, especially in those with both conditions.
  • Delayed or untreated UTIs led to a notable increase in the risk of death, with 5.4% of untreated individuals with dementia dying within 60 days after diagnosis, rising to 5.9% for those also having diabetes.
View Article and Find Full Text PDF

Metabolomic age models have been proposed for the study of biological aging, however, they have not been widely validated. We aimed to assess the performance of newly developed and existing nuclear magnetic resonance spectroscopy (NMR) metabolomic age models for prediction of chronological age (CA), mortality, and age-related disease. Ninety-eight metabolic variables were measured in blood from nine UK and Finnish cohort studies (N ≈31,000 individuals, age range 24-86 years).

View Article and Find Full Text PDF
Article Synopsis
  • Caffeine is widely consumed globally, but its clinical effects and how individual metabolism influences these effects are not fully understood; this study explores the impact of genetically determined caffeine metabolism levels.
  • Using genetic markers, researchers performed a phenome-wide association study to identify the clinical effects of plasma caffeine and investigated mechanisms through advanced statistical methods, including Mendelian randomization.
  • The results indicated that higher genetically predicted circulating caffeine levels are linked to a reduced risk of obesity and osteoarthritis, primarily due to lower body weight and associated biological changes like reduced inflammation and improved lipid profiles.
View Article and Find Full Text PDF

Objective: The association of cerebrospinal fluid (CSF) protein levels with cognitive function in the general population remains largely unexplored. We performed Mendelian randomization (MR) analyses to query which CSF proteins may have potential causal effects on cognitive performance.

Methods And Analysis: Genetic associations with CSF proteins were obtained from a genome-wide association study conducted in up to 835 European-ancestry individuals and for cognitive performance from a meta-analysis of GWAS including 257,841 European-ancestry individuals.

View Article and Find Full Text PDF

Biological pathways between alcohol consumption and alcohol liver disease (ALD) are not fully understood. We selected genes with known effect on (1) alcohol consumption, (2) liver function, and (3) gene expression. Expression of the orthologs of these genes in Caenorhabditis elegans and Drosophila melanogaster was suppressed using mutations and/or RNA interference (RNAi).

View Article and Find Full Text PDF

Metabolomic age models have been proposed for the study of biological aging, however they have not been widely validated. We aimed to assess the performance of newly developed and existing nuclear magnetic resonance spectroscopy (NMR) metabolomic age models for prediction of chronological age (CA), mortality, and age-related disease. 98 metabolic variables were measured in blood from nine UK and Finnish cohort studies (N ≈ 31,000 individuals, age range 24-86 years).

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between psoriasis and coexisting long-term conditions (LTCs) to identify distinct comorbidity clusters in patients with psoriasis.* -
  • Using data from the UK Biobank, researchers found five different clusters of LTCs and demonstrated genetic correlations between psoriasis and conditions like heart failure, depression, coronary artery disease, and type 2 diabetes.* -
  • The analysis suggests that there may be a causal link where genetic predisposition to coronary artery disease increases the risk of developing psoriasis, supported by various statistical approaches.*
View Article and Find Full Text PDF

BACKGROUND Mendelian randomization (MR) offers a powerful approach to study potential causal associations between exposures and health outcomes by using genetic variants associated with an exposure as instrumental variables. In this systematic review, we aimed to summarize previous MR studies and to evaluate the evidence for causality for a broad range of exposures in relation to coronary artery disease and stroke. METHODS AND RESULTS MR studies investigating the association of any genetically predicted exposure with coronary artery disease or stroke were identified.

View Article and Find Full Text PDF

Aims: Diet quality might influence cardiometabolic health through epigenetic changes, but this has been little investigated in adults. Our aims were to identify cytosine-phosphate-guanine (CpG) dinucleotides associated with diet quality by conducting an epigenome-wide association study (EWAS) based on blood DNA methylation (DNAm) and to assess how diet-related CpGs associate with inherited susceptibility to cardiometabolic traits: body mass index (BMI), systolic blood pressure (SBP), triglycerides, type 2 diabetes (T2D), and coronary heart disease (CHD).

Methods And Results: Meta-EWAS including 5274 participants in four cohorts from Spain, the USA, and the UK.

View Article and Find Full Text PDF

Conventional measurements of fasting and postprandial blood glucose levels investigated in genome-wide association studies (GWAS) cannot capture the effects of DNA variability on 'around the clock' glucoregulatory processes. Here we show that GWAS meta-analysis of glucose measurements under nonstandardized conditions (random glucose (RG)) in 476,326 individuals of diverse ancestries and without diabetes enables locus discovery and innovative pathophysiological observations. We discovered 120 RG loci represented by 150 distinct signals, including 13 with sex-dimorphic effects, two cross-ancestry and seven rare frequency signals.

View Article and Find Full Text PDF