Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease

Abstract Glucose 6-phosphate dehydrogenase deficiency (G6PD-d) is the most common enzymopathy in the world, occurring in 5–8% of the global population (half a billion people). Recent epidemiological evidence suggests that G6PD-d may be associated with increased cardiovascular disease (CVD). Atherosc...

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Main Authors: Patrick H. Andrews, James C. Zimring, Coleen A. McNamara
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:npj Metabolic Health and Disease
Online Access:https://doi.org/10.1038/s44324-025-00061-6
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author Patrick H. Andrews
James C. Zimring
Coleen A. McNamara
author_facet Patrick H. Andrews
James C. Zimring
Coleen A. McNamara
author_sort Patrick H. Andrews
collection DOAJ
description Abstract Glucose 6-phosphate dehydrogenase deficiency (G6PD-d) is the most common enzymopathy in the world, occurring in 5–8% of the global population (half a billion people). Recent epidemiological evidence suggests that G6PD-d may be associated with increased cardiovascular disease (CVD). Atherosclerosis is the dominant cause of CVD, including myocardial infarction, heart failure, stroke, and peripheral artery disease. Atherosclerosis, in turn, is a chronic inflammatory disease, fueled by oxidized lipids and influenced by various immune and nonimmune cells including vascular endothelial and smooth muscle cells, monocytes and macrophages, T cells, B cells, and red blood cells. Here, we review the existing epidemiological evidence supporting a role for G6PD-d in CVD in humans and explore the data on potential cellular mechanisms by which G6PD-d may exacerbate atherosclerosis.
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spelling doaj-art-7554ccdebf974588b00a84151e868dac2025-08-20T02:19:07ZengNature Portfolionpj Metabolic Health and Disease2948-28282025-04-013111510.1038/s44324-025-00061-6Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular diseasePatrick H. Andrews0James C. Zimring1Coleen A. McNamara2Beirne B. Carter Center for Immunology ResearchBeirne B. Carter Center for Immunology ResearchBeirne B. Carter Center for Immunology ResearchAbstract Glucose 6-phosphate dehydrogenase deficiency (G6PD-d) is the most common enzymopathy in the world, occurring in 5–8% of the global population (half a billion people). Recent epidemiological evidence suggests that G6PD-d may be associated with increased cardiovascular disease (CVD). Atherosclerosis is the dominant cause of CVD, including myocardial infarction, heart failure, stroke, and peripheral artery disease. Atherosclerosis, in turn, is a chronic inflammatory disease, fueled by oxidized lipids and influenced by various immune and nonimmune cells including vascular endothelial and smooth muscle cells, monocytes and macrophages, T cells, B cells, and red blood cells. Here, we review the existing epidemiological evidence supporting a role for G6PD-d in CVD in humans and explore the data on potential cellular mechanisms by which G6PD-d may exacerbate atherosclerosis.https://doi.org/10.1038/s44324-025-00061-6
spellingShingle Patrick H. Andrews
James C. Zimring
Coleen A. McNamara
Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease
npj Metabolic Health and Disease
title Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease
title_full Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease
title_fullStr Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease
title_full_unstemmed Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease
title_short Clinical associations and potential cellular mechanisms linking G6PD deficiency and atherosclerotic cardiovascular disease
title_sort clinical associations and potential cellular mechanisms linking g6pd deficiency and atherosclerotic cardiovascular disease
url https://doi.org/10.1038/s44324-025-00061-6
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