Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study

ObjectiveThis study aims to identify circulating proteins causally associated with erectile dysfunction (ED) using Mendelian randomization (MR) analysis.MethodsWe utilized two of the largest multi-center proteomics databases as exposures and the FinnGen database as the outcome source. A large-scale...

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Main Authors: Junhao Chen, Junxian Zhao, Zhi Zhang, Xingcheng Zhu, Jieming Zuo, Zuqing Nie, Yuanzhi Fu, Haifeng Wang, Mengjun Tang, Shi Fu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1568780/full
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author Junhao Chen
Junxian Zhao
Zhi Zhang
Xingcheng Zhu
Jieming Zuo
Zuqing Nie
Yuanzhi Fu
Haifeng Wang
Mengjun Tang
Shi Fu
author_facet Junhao Chen
Junxian Zhao
Zhi Zhang
Xingcheng Zhu
Jieming Zuo
Zuqing Nie
Yuanzhi Fu
Haifeng Wang
Mengjun Tang
Shi Fu
author_sort Junhao Chen
collection DOAJ
description ObjectiveThis study aims to identify circulating proteins causally associated with erectile dysfunction (ED) using Mendelian randomization (MR) analysis.MethodsWe utilized two of the largest multi-center proteomics databases as exposures and the FinnGen database as the outcome source. A large-scale two-sample MR analysis, including coloc colocalization analysis and SMR (Summary data-based Mendelian Randomization) analysis, was conducted to evaluate the reliability of proteomic effects on ED outcomes. Additionally, MR mediation analysis involving 1,400 blood metabolites was performed to investigate how these proteins mediate the effect of blood metabolites on ED. Finally, protein-protein interaction analysis, pathway enrichment analysis, druggability assessments, and molecular docking were employed to further elucidate the mechanisms of ED and identify potential therapeutic targets.ResultsEight circulating proteins (AMN, ESM1, KIR2DL2, PIGR, SPINT1, SPP1, TNFRSF6B, TMEM9) were identified as causally associated with ED based on two-sample MR and coloc colocalization criteria. Among these, five proteins (AMN, ESM1, KIR2DL2, PIGR, TNFRSF6B) satisfied SMR validation, while SPINT1, TMEM9, and SPP1 were excluded. Several of these proteins were found to mediate the relationship between metabolites and ED. These proteins are recognized as either druggable targets or existing drug targets, with molecular docking results demonstrating favorable interactions with various drug candidates.ConclusionUsing MR analysis, we identified five proteins associated with ED, clarified protein-mediated mechanisms, and proposed promising therapeutic targets for ED.
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spelling doaj-art-5ce0a8fb3f5d4e94a24df70f9a135a772025-08-20T03:34:56ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-06-011610.3389/fphar.2025.15687801568780Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic studyJunhao Chen0Junxian Zhao1Zhi Zhang2Xingcheng Zhu3Jieming Zuo4Zuqing Nie5Yuanzhi Fu6Haifeng Wang7Mengjun Tang8Shi Fu9Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Urology, 920th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army, Kunming, Yunnan, ChinaDepartment of Urology, The Central Hospital of Yongzhou, Yongzhou, Hunan Province, ChinaDepartment of Clinical Laboratory, The Second People’s Hospital of Qujing City, Qujing, Yunnan, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of central lab, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaKunming University of Science and Technology, Kunming, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaOrthopedic Department, The 967th Hospital of Joint Logistic Support Force of PLA, Dalian, ChinaDepartment of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaObjectiveThis study aims to identify circulating proteins causally associated with erectile dysfunction (ED) using Mendelian randomization (MR) analysis.MethodsWe utilized two of the largest multi-center proteomics databases as exposures and the FinnGen database as the outcome source. A large-scale two-sample MR analysis, including coloc colocalization analysis and SMR (Summary data-based Mendelian Randomization) analysis, was conducted to evaluate the reliability of proteomic effects on ED outcomes. Additionally, MR mediation analysis involving 1,400 blood metabolites was performed to investigate how these proteins mediate the effect of blood metabolites on ED. Finally, protein-protein interaction analysis, pathway enrichment analysis, druggability assessments, and molecular docking were employed to further elucidate the mechanisms of ED and identify potential therapeutic targets.ResultsEight circulating proteins (AMN, ESM1, KIR2DL2, PIGR, SPINT1, SPP1, TNFRSF6B, TMEM9) were identified as causally associated with ED based on two-sample MR and coloc colocalization criteria. Among these, five proteins (AMN, ESM1, KIR2DL2, PIGR, TNFRSF6B) satisfied SMR validation, while SPINT1, TMEM9, and SPP1 were excluded. Several of these proteins were found to mediate the relationship between metabolites and ED. These proteins are recognized as either druggable targets or existing drug targets, with molecular docking results demonstrating favorable interactions with various drug candidates.ConclusionUsing MR analysis, we identified five proteins associated with ED, clarified protein-mediated mechanisms, and proposed promising therapeutic targets for ED.https://www.frontiersin.org/articles/10.3389/fphar.2025.1568780/fullmendelian randomizationproteomicserectile dysfunctionblood metabolitesprecision therapy
spellingShingle Junhao Chen
Junxian Zhao
Zhi Zhang
Xingcheng Zhu
Jieming Zuo
Zuqing Nie
Yuanzhi Fu
Haifeng Wang
Mengjun Tang
Shi Fu
Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study
Frontiers in Pharmacology
mendelian randomization
proteomics
erectile dysfunction
blood metabolites
precision therapy
title Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study
title_full Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study
title_fullStr Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study
title_full_unstemmed Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study
title_short Blood metabolites as mediators in erectile dysfunction: insights from a multi-center proteomics and genetic study
title_sort blood metabolites as mediators in erectile dysfunction insights from a multi center proteomics and genetic study
topic mendelian randomization
proteomics
erectile dysfunction
blood metabolites
precision therapy
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1568780/full
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