The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization

Abstract Background It remains controversial whether lipids affect osteoporosis (OP) or bone mineral density (BMD), and causality has not been established. This study aimed to investigate the genetic associations between lipids, novel non-statin lipid-lowering drug target genes, and OP and BMD. Meth...

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Main Authors: Qingcong Zheng, Rongjie Lin, Du Wang, Rongsheng Chen, Weihong Xu
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-024-08160-z
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author Qingcong Zheng
Rongjie Lin
Du Wang
Rongsheng Chen
Weihong Xu
author_facet Qingcong Zheng
Rongjie Lin
Du Wang
Rongsheng Chen
Weihong Xu
author_sort Qingcong Zheng
collection DOAJ
description Abstract Background It remains controversial whether lipids affect osteoporosis (OP) or bone mineral density (BMD), and causality has not been established. This study aimed to investigate the genetic associations between lipids, novel non-statin lipid-lowering drug target genes, and OP and BMD. Methods Mendelian randomization (MR) method was used to explore the genetic associations between 179 lipid species and OP, BMD. Drug-target MR analysis was used to explore the causal associations between angiopoietin-like protein 3 (ANGPTL3) and apolipoprotein C3 (APOC3) inhibitors on BMD. Results The IVW results with Bonferroni correction indicated that triglyceride (TG) (51:3) (OR = 1.0029; 95% CI: 1.0014–1.0045; P = 0.0002) and TG (56:6) (OR = 1.0021; 95% CI: 1.0008–1.0033; P = 0.0011) were associated with an increased risk of OP; TG (51:2) (OR = 0.9543; 95% CI: 0.9148–0.9954; P = 0.0298) was associated with decreased BMD; and ANGPTL3 inhibitor (OR = 1.1342; 95% CI: 1.0393–1.2290; P = 0.0093) and APOC3 inhibitor (OR = 1.0506; 95% CI: 1.0155–1.0857; P = 0.0058) was associated with increased BMD. Conclusions MR analysis indicated causal associations between genetically predicted TGs and OP and BMD. Drug-target MR analysis showed that ANGPTL3 and APOC3 have the potential to serve as novel non-statin lipid-lowering drug targets to treat or prevent OP.
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spelling doaj-art-0e8aeee9cb0b4744ad7b33b3d4c94dcf2025-02-02T12:05:23ZengBMCBMC Musculoskeletal Disorders1471-24742025-02-0126111210.1186/s12891-024-08160-zThe association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomizationQingcong Zheng0Rongjie Lin1Du Wang2Rongsheng Chen3Weihong Xu4Department of Spinal Surgery, the First Affiliated Hospital of Fujian Medical UniversityDepartment of Orthopedic Surgery, Fujian Medical University Union HospitalArthritis Clinical and Research Center, Peking University People’s HospitalDepartment of Spinal Surgery, the First Affiliated Hospital of Fujian Medical UniversityDepartment of Spinal Surgery, the First Affiliated Hospital of Fujian Medical UniversityAbstract Background It remains controversial whether lipids affect osteoporosis (OP) or bone mineral density (BMD), and causality has not been established. This study aimed to investigate the genetic associations between lipids, novel non-statin lipid-lowering drug target genes, and OP and BMD. Methods Mendelian randomization (MR) method was used to explore the genetic associations between 179 lipid species and OP, BMD. Drug-target MR analysis was used to explore the causal associations between angiopoietin-like protein 3 (ANGPTL3) and apolipoprotein C3 (APOC3) inhibitors on BMD. Results The IVW results with Bonferroni correction indicated that triglyceride (TG) (51:3) (OR = 1.0029; 95% CI: 1.0014–1.0045; P = 0.0002) and TG (56:6) (OR = 1.0021; 95% CI: 1.0008–1.0033; P = 0.0011) were associated with an increased risk of OP; TG (51:2) (OR = 0.9543; 95% CI: 0.9148–0.9954; P = 0.0298) was associated with decreased BMD; and ANGPTL3 inhibitor (OR = 1.1342; 95% CI: 1.0393–1.2290; P = 0.0093) and APOC3 inhibitor (OR = 1.0506; 95% CI: 1.0155–1.0857; P = 0.0058) was associated with increased BMD. Conclusions MR analysis indicated causal associations between genetically predicted TGs and OP and BMD. Drug-target MR analysis showed that ANGPTL3 and APOC3 have the potential to serve as novel non-statin lipid-lowering drug targets to treat or prevent OP.https://doi.org/10.1186/s12891-024-08160-zOsteoporosisBone mineral densityLipidsANGPTL3APOC3Drug target Mendelian randomization
spellingShingle Qingcong Zheng
Rongjie Lin
Du Wang
Rongsheng Chen
Weihong Xu
The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization
BMC Musculoskeletal Disorders
Osteoporosis
Bone mineral density
Lipids
ANGPTL3
APOC3
Drug target Mendelian randomization
title The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization
title_full The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization
title_fullStr The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization
title_full_unstemmed The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization
title_short The association of lipids and novel non-statin lipid-lowering drug target with osteoporosis: evidence from genetic correlations and Mendelian randomization
title_sort association of lipids and novel non statin lipid lowering drug target with osteoporosis evidence from genetic correlations and mendelian randomization
topic Osteoporosis
Bone mineral density
Lipids
ANGPTL3
APOC3
Drug target Mendelian randomization
url https://doi.org/10.1186/s12891-024-08160-z
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