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  1. Article ; Online: Mitochondrial related genome-wide Mendelian randomization identifies putatively causal genes for multiple cancer types.

    Li, Yanni / Sundquist, Kristina / Zhang, Naiqi / Wang, Xiao / Sundquist, Jan / Memon, Ashfaque A

    EBioMedicine

    2023  Volume 88, Page(s) 104432

    Abstract: Background: Mitochondrial dysfunction is a hallmark of cancer. However, it is unclear whether it is a cause of cancer. This two-sample Mendelian randomization (MR) analyses, uses genetic instruments to proxy the exposure of mitochondrial dysfunction and ...

    Abstract Background: Mitochondrial dysfunction is a hallmark of cancer. However, it is unclear whether it is a cause of cancer. This two-sample Mendelian randomization (MR) analyses, uses genetic instruments to proxy the exposure of mitochondrial dysfunction and cancer summary statistics as outcomes, allowing for causal inferences.
    Methods: Summary statistics from 18 common cancers (2107-491,974 participants), gene expression, DNA methylation and protein expression quantitative trait loci (eQTL, mQTL and pQTL, respectively, 1000-31,684 participants) on individuals of European ancestry, were included. Genetic variants located within or close to the 1136 mitochondrial-related genes (in cis) and robustly associated with the mitochondrial molecular alterations were used as instrumental variables, and their causal associations with cancers were examined using summary-data-based MR (SMR) analyses. An additional five MR methods were used as sensitivity analyses to confirm the casual associations. A Bayesian test for colocalization between mitochondrial molecular QTLs and cancer risk loci was performed to provide insights into the potential regulatory mechanisms of risk variants on cancers.
    Findings: We identified potential causal relationships between mitochondrial-related genes and breast, prostate, gastric, lung cancer and melanoma by primary SMR analyses. The sensitivity and the colocalization analyses further refined four genes that have causal effects on three types of cancer. We found strong evidence of positive association of FDPS expression level with breast cancer risk (OR per SD, 0.66; 95% CI, 0.49-0.83; P = 9.77 × 10
    Interpretations: This data-driven MR study demonstrated the causal role of mitochondrial dysfunction in multiple cancers. Furthermore, this study identified candidate genes that can be the targets of potential pharmacological agents for cancer prevention.
    Funding: This work was supported by Styrelsen för Allmänna Sjukhusets i Malmö Stiftelse för bekämpande av cancer (20211025).
    MeSH term(s) Male ; Humans ; Mendelian Randomization Analysis/methods ; Bayes Theorem ; Genome-Wide Association Study/methods ; Lung Neoplasms/genetics ; Breast Neoplasms/genetics ; Prostatic Neoplasms/genetics ; Polymorphism, Single Nucleotide ; HLA Antigens ; Valine-tRNA Ligase/genetics ; Methyltransferases/genetics
    Chemical Substances VARS2 protein, human (144515-61-7) ; HLA Antigens ; Valine-tRNA Ligase (EC 6.1.1.9) ; NSUN4 protein, human (EC 2.1.1.-) ; Methyltransferases (EC 2.1.1.-)
    Language English
    Publishing date 2023-01-10
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2851331-9
    ISSN 2352-3964
    ISSN (online) 2352-3964
    DOI 10.1016/j.ebiom.2022.104432
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  2. Article ; Online: Examining the causal effect of type 2 diabetes on ischemic heart disease - A longitudinal study with four measurements (1980-2017).

    Jansåker, Filip / Ekström, Ola / Memon, Ashfaque A / Hansson, Ola / Johansson, Sven-Erik / Sundquist, Kristina

    Diabetes research and clinical practice

    2023  Volume 198, Page(s) 110595

    Abstract: Objective: This longitudinal study examines a possible causal effect between type 2 diabetes and ischemic heart disease (IHD) by using measurements on four occasions from the Swedish Statistics on Income and Living Conditions (SILC) together with ... ...

    Abstract Objective: This longitudinal study examines a possible causal effect between type 2 diabetes and ischemic heart disease (IHD) by using measurements on four occasions from the Swedish Statistics on Income and Living Conditions (SILC) together with nationwide healthcare registers.
    Methods: This was a longitudinal study based on a random sample of men and women (n = 2014) from the Swedish population with four measurements in the SILC every eight years. Baseline was 1980/81 and the participants were followed for up to 37 years. The mean age and age range at baseline were 36.5 and 20-59 years, respectively. The study used Marginal Structural Modeling (MSM-Cox) to account for time-varying exposures by implementing inverse probability weighting (IPTW). MSM-Cox with IPTW was compared with Cox proportional hazard modelling.
    Results: The hazard ratio (HR) for IHD (369 cases) with 95% confidence interval (CI) in participants with type 2 diabetes (11.1%) compared to participants without type 2 diabetes (88.9%) was significantly higher (1.99; CI = 1.15 - 3.44) when using MSM-Cox with IPTW after adjustments for clinical and sociodemographic risk factors. When applying Cox proportional hazard models adjusted for the same variables, the HR was lower and non-significant at 1.34 (CI = 0.94 - 1.98).
    Conclusions: This longitudinal study with four measurements assessed a possible causal association between type 2 diabetes and IHD by applying MSM-Cox with IPTW. Although causality cannot be determined due to the remaining risk of residual bias, the results may help to elucidate a potential causal relationship between type 2 diabetes and IHD. Further causal studies on possible underlying mechanisms are, however, needed.
    MeSH term(s) Male ; Humans ; Female ; Diabetes Mellitus, Type 2/epidemiology ; Longitudinal Studies ; Myocardial Ischemia/epidemiology ; Myocardial Ischemia/etiology ; Risk Factors ; Proportional Hazards Models
    Language English
    Publishing date 2023-02-24
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632523-3
    ISSN 1872-8227 ; 0168-8227
    ISSN (online) 1872-8227
    ISSN 0168-8227
    DOI 10.1016/j.diabres.2023.110595
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  3. Article ; Online: Circulating mitochondrial long non-coding 7S RNA in primary health care patients with depression/anxiety.

    Wang, Xiao / Memon, Ashfaque A / Hedelius, Anna / Grundberg, Anton / Sundquist, Jan / Sundquist, Kristina

    Journal of affective disorders

    2023  Volume 349, Page(s) 101–106

    Abstract: Background: The significant role of long non-coding 7S RNA in controlling mitochondrial transcription highlights its importance in mitochondrial function. Considering the suggested connection between mitochondrial dysfunction and the onset of mental ... ...

    Abstract Background: The significant role of long non-coding 7S RNA in controlling mitochondrial transcription highlights its importance in mitochondrial function. Considering the suggested connection between mitochondrial dysfunction and the onset of mental disorders, this study aimed to explore the potential involvement of 7S RNA in the context of depression/anxiety.
    Results: A total of 181 patients in primary health care (age 20-64 years) with depression/anxiety and 59 healthy controls were included in the study. 7S RNA was measured using quantitative real-time PCR in plasma samples collected before (baseline) and after 8 weeks of treatment (mindfulness or cognitive-based behavioral therapy). Upon adjustment for age and sex, the baseline plasma levels of 7S RNA were significantly higher in patients than in healthy controls (p < 0.001). Notably, post-treatment, there was a significant reduction in 7S RNA levels (p = 0.03). These changes in 7S RNA were related to the treatment response, as indicated by HADS-D (Hospital Anxiety and Depression Scale) scores (ß = -0.04, p = 0.04), even after accounting for baseline scores and other cofounders.
    Conclusion: The findings of this study indicate an association between plasma 7S RNA levels and depression/anxiety, as well as treatment response. While further confirmatory analyses are necessary, plasma 7S RNA holds promise as a potential predictive biomarker for both depression/anxiety and the treatment response within these disorders.
    MeSH term(s) Humans ; Young Adult ; Adult ; Middle Aged ; Depression/genetics ; Depression/therapy ; Anxiety/therapy ; Mitochondria/genetics ; Primary Health Care ; Signal Recognition Particle ; RNA, Small Cytoplasmic
    Chemical Substances 7SL RNA ; Signal Recognition Particle ; RNA, Small Cytoplasmic
    Language English
    Publishing date 2023-12-30
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2023.12.053
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  4. Article ; Online: Role of mitochondrial DNA copy number in incident cardiovascular diseases and the association between cardiovascular disease and type 2 diabetes: A follow-up study on middle-aged women.

    Sundquist, Kristina / Sundquist, Jan / Palmer, Karolina / Memon, Ashfaque A

    Atherosclerosis

    2021  Volume 341, Page(s) 58–62

    Abstract: Background and aims: Mitochondrial DNA copy number (mtDNA-CN) is a surrogate biomarker of mitochondrial dysfunction and is associated with type 2 diabetes (T2D) and cardiovascular disease (CVD). However, despite being associated with both CVD and T2D, ... ...

    Abstract Background and aims: Mitochondrial DNA copy number (mtDNA-CN) is a surrogate biomarker of mitochondrial dysfunction and is associated with type 2 diabetes (T2D) and cardiovascular disease (CVD). However, despite being associated with both CVD and T2D, it is not known what role mtDNA-CN has in the association between T2D and CVD. Our aims were to investigate whether, (1) baseline mtDNA-CN is associated with CVD incidence and (2) mtDNA-CN has a role as a mediator between T2D and CVD.
    Method: We quantified absolute mtDNA-CN by droplet digital PCR method in a population-based follow-up study of middle aged (52-65 years) women (n = 3062). The median follow-up period was 17 years.
    Results: Our results show that low baseline levels of mtDNA-CN (<111 copies/μL) were associated with an increased risk of CVD (HR = 1.32, 95% CI = 1.08; 1.63) as well as with specific CVDs: coronary heart disease (HR = 1.28, 95% CI = 0.99; 1.66), stroke (HR = 1.26, 95% CI = 0.87; 1.84) and abdominal aortic aneurysm (HR = 2.61, 95% CI = 1.03; 6.62). The associations decreased but persisted even after adjustment for potential confounders. Furthermore, our results show that the total effect of T2D on future risk of CVD was reduced after controlling for mtDNA-CN and the proportion mediated by mtDNA-CN was estimated to be 4.9%.
    Conclusions: Lower baseline mtDNA-CN is associated with incident CVD and may have a mediating effect on the association between T2D and CVD; however, this novel observation needs to be confirmed in future studies.
    MeSH term(s) Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/genetics ; DNA Copy Number Variations ; DNA, Mitochondrial/genetics ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/genetics ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Mitochondria ; Risk Factors
    Chemical Substances DNA, Mitochondrial
    Language English
    Publishing date 2021-12-01
    Publishing country Ireland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80061-2
    ISSN 1879-1484 ; 0021-9150
    ISSN (online) 1879-1484
    ISSN 0021-9150
    DOI 10.1016/j.atherosclerosis.2021.11.020
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  5. Article: Baseline mitochondrial DNA copy number and heart failure incidence and its role in overall and heart failure mortality in middle-aged women.

    Sundquist, Kristina / Sundquist, Jan / Wang, Xiao / Palmer, Karolina / Memon, Ashfaque A

    Frontiers in cardiovascular medicine

    2022  Volume 9, Page(s) 1012403

    Abstract: Heart failure (HF) is a leading cause of death in both men and women. However, risk factors seem to differ for men and women and significant gaps in sex-specific knowledge exist. Mitochondria are critical for cardiomyocytes and in this study, we ... ...

    Abstract Heart failure (HF) is a leading cause of death in both men and women. However, risk factors seem to differ for men and women and significant gaps in sex-specific knowledge exist. Mitochondria are critical for cardiomyocytes and in this study, we investigated the role of baseline mitochondrial DNA copy number (mtDNA-CN) in HF incidence in middle-aged women and its possible role in the association between myocardial infarction (MI) and HF. Finally, we also investigated whether baseline mtDNA-CN was associated with overall and HF mortality. Baseline levels of mtDNA-CN were quantified by droplet digital PCR in a population-based follow-up study of middle-aged (50-59 years) Swedish women (
    Language English
    Publishing date 2022-11-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2022.1012403
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  6. Article ; Online: The association of zonulin-related proteins with prevalent and incident inflammatory bowel disease.

    Wang, Xiao / Memon, Ashfaque A / Palmér, Karolina / Hedelius, Anna / Sundquist, Jan / Sundquist, Kristina

    BMC gastroenterology

    2022  Volume 22, Issue 1, Page(s) 3

    Abstract: Background: Current evidence regarding the association of serum zonulin-related proteins (ZRP) levels with prevalent inflammatory bowel disease (IBD) is contradictory. Moreover, the association with the subsequent risk of incident IBD is still ... ...

    Abstract Background: Current evidence regarding the association of serum zonulin-related proteins (ZRP) levels with prevalent inflammatory bowel disease (IBD) is contradictory. Moreover, the association with the subsequent risk of incident IBD is still unexplored. This study aimed to investigate the association of serum ZRP levels with both prevalent and incident IBD.
    Method: The study included a total of 130 women (51-61 years) from the Women's Health in Lund Area (WHILA) study, which included 18 prevalent IBD (diagnosed before baseline) and 47 incident IBD diagnosed during the 17 years (median) follow-up and age- and sampling time-matched controls. Serum ZRP was tested in all participants by ELISA.
    Results: The serum ZRP levels were significantly higher in prevalent IBD compared to their matched controls (63.2 ng/ml vs 57.0 ng/ml, p = 0.02), however, no evidence of a difference in ZRP levels was found between the women who developed IBD during the follow-up period and their matched controls (61.2 ng/ml vs 59.7 ng/ml, p = 0.34). Using linear mixed models, we found that the association between serum ZRP levels and prevalent IBD (β = 6.2, p = 0.01), remained after adjusting for potential confounders. Conditional logistic regression models showed no evidence of an association between ZRP level and incident IBD (OR 1.03, p = 0.34).
    Conclusion: Higher serum ZRP levels were associated with prevalent IBD, but not with incident IBD in our study samples.
    MeSH term(s) Colitis ; Colitis, Ulcerative ; Female ; Haptoglobins ; Humans ; Inflammatory Bowel Diseases/epidemiology ; Logistic Models ; Protein Precursors
    Chemical Substances Haptoglobins ; Protein Precursors ; zonulin
    Language English
    Publishing date 2022-01-03
    Publishing country England
    Document type Journal Article
    ISSN 1471-230X
    ISSN (online) 1471-230X
    DOI 10.1186/s12876-021-02075-y
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  7. Article ; Online: The association of mitochondrial DNA copy number with incident mental disorders in women: A population-based follow-up study.

    Wang, Xiao / Memon, Ashfaque A / Palmér, Karolina / Hedelius, Anna / Sundquist, Jan / Sundquist, Kristina

    Journal of affective disorders

    2022  Volume 308, Page(s) 111–115

    Abstract: Background: Available evidence suggests that mitochondrial DNA copy number (mtDNA-CN) may differ among patients with mental disorders compared to the general population. However, whether mtDNA-CN is independently associated with the subsequent incidence ...

    Abstract Background: Available evidence suggests that mitochondrial DNA copy number (mtDNA-CN) may differ among patients with mental disorders compared to the general population. However, whether mtDNA-CN is independently associated with the subsequent incidence of mental disorders remains unclear.
    Material and methods: We used droplet digital PCR to measure the absolute mtDNA-CN in DNA samples obtained from a population-based follow-up study, which included a total of 2354 middle-aged women (52-63 years) who were free of mental disorders at baseline. After 17 years (median) of follow-up, 727 participants were diagnosed with mental disorders.
    Results: In the univariate Cox regression, lower baseline mtDNA-CN (mtDNA-CN < 117) was associated with a higher risk of mental disorders (HR = 1.16, p = 0.047). In addition, smoking, marital status and sleeping quality were associated with both mtDNA-CN and mental disorders. After adjusting for these variables, the association between mtDNA-CN and mental disorders decreased and became non-significant (HR = 1.07, p = 0.36). Stratification of data according to the subtype of mental disorders, showed that low mtDNA-CN was associated with a higher risk of alcohol or drug use disorders (HR = 1.82, p = 0.045 after adjusting).
    Conclusion: In the present study, we could not find any independent association between mtDNA-CN blood and the most common mental disorders in a population-based follow-up study of Swedish women, except for alcohol and drug use disorders. The use of blood mtDNA-CN as a biomarker of mental disorders, in addition to other risk factors, needs to be further examined in future studies.
    MeSH term(s) DNA Copy Number Variations/genetics ; DNA, Mitochondrial/genetics ; Female ; Follow-Up Studies ; Humans ; Mental Disorders/epidemiology ; Mental Disorders/genetics ; Middle Aged ; Mitochondria
    Chemical Substances DNA, Mitochondrial
    Language English
    Publishing date 2022-04-13
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2022.04.064
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  8. Article ; Online: Role of multiple risk factors in mental disorders diagnosed in middle-aged women: A population-based follow-up study.

    Wang, Xiao / Memon, Ashfaque A / Palmér, Karolina / Hedelius, Anna / Sundquist, Jan / Sundquist, Kristina

    Journal of psychiatric research

    2022  Volume 156, Page(s) 414–421

    Abstract: The aims of the study were 1). to investigate the association between the potential risk factors including socio-demographic, lifestyle and DNA methylation and mental disorders in middle-aged women from a large population-based follow-up study, and 2). ... ...

    Abstract The aims of the study were 1). to investigate the association between the potential risk factors including socio-demographic, lifestyle and DNA methylation and mental disorders in middle-aged women from a large population-based follow-up study, and 2). to estimate the risk score by combining the potential risk factors to examine the mental disorder's incidence. A total of 6461 women, aged 50-65 years, were included in the study. After a median follow-up of 17 years, 2026 (31%) women were diagnosed with mental disorders. The association between these factors and the risk of mental disorders was analyzed using Cox regression models. Harrell's concordance index (C-index) was used to quantify models' predictive performance for future mental disorders. Blood-based global DNA methylation was assessed by an enzyme-linked immunosorbent assay. We found that smoking (HR = 1.38, 95% CI: 1.24-1.54), less physical activity (HR = 1.33, 95% CI: 1.10-1.60), being single (HR = 1.16, 95% CI: 1.04-1.29) and unemployment (HR = 1.50, 95% CI: 1.33-1.70) were independently associated with an increased risk of overall mental disorders. Risk score models combining all these observed factors showed an increased risk, but the prediction ability was low, except for the risk of alcohol use disorders (AUD) and drug use disorders (DUD) (C-index = 0.8). Finally, women who developed MDD/anxiety during follow-up had significantly higher global DNA methylation at baseline than women who did not develop MDD/anxiety (p = 0.005). In conclusion, our results indicate that the studied risk factors were associated with mental disorders in a type-specific manner. The predictive model showed that smoking, alcohol consumption, education and physical activity may predict future AUD/DUD. Global DNA methylation may be a potential risk factor for MDD/anxiety incidence.
    MeSH term(s) Humans ; Female ; Middle Aged ; Male ; Follow-Up Studies ; Alcoholism ; Exercise ; Risk Factors
    Language English
    Publishing date 2022-10-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2022.10.040
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  9. Article ; Online: Mitochondrial DNA Copy Number: Linking Diabetes and Cancer.

    Memon, Ashfaque A / Vats, Sakshi / Sundquist, Jan / Li, Yanni / Sundquist, Kristina

    Antioxidants & redox signaling

    2022  Volume 37, Issue 16-18, Page(s) 1168–1190

    Abstract: Recent Advances: ...

    Abstract Recent Advances:
    MeSH term(s) Humans ; DNA, Mitochondrial/genetics ; Diabetes Mellitus, Type 2/genetics ; Exercise ; Mitochondria/genetics ; Neoplasms/genetics
    Chemical Substances DNA, Mitochondrial
    Language English
    Publishing date 2022-09-28
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 1483836-9
    ISSN 1557-7716 ; 1523-0864
    ISSN (online) 1557-7716
    ISSN 1523-0864
    DOI 10.1089/ars.2022.0100
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  10. Article ; Online: Characterization of the Mitochondrial Genetic Landscape in Abdominal Aortic Aneurysm.

    Vats, Sakshi / Sundquist, Kristina / Li, Yanni / Wang, Xiao / Hong, Mun-Gwan / Sundquist, Jan / Zarrouk, Moncef / Gottsäter, Anders / Memon, Ashfaque A

    Journal of the American Heart Association

    2023  Volume 12, Issue 8, Page(s) e029248

    Abstract: Background Abdominal aortic aneurysm (AAA) is a vascular disease with a mortality rate of >80% if ruptured. Mitochondrial dysfunction has been previously implicated in AAA pathogenesis. In this study, we aimed to characterize the mitochondrial genetic ... ...

    Abstract Background Abdominal aortic aneurysm (AAA) is a vascular disease with a mortality rate of >80% if ruptured. Mitochondrial dysfunction has been previously implicated in AAA pathogenesis. In this study, we aimed to characterize the mitochondrial genetic landscape in AAA. Methods and Results Whole mitochondrial genome sequencing and bioinformatics analysis were performed in comorbidity matched 48 cases without AAA and 48 cases with AAA, objectively diagnosed, and selected from a cohort of 65-year-old men recruited for a screening program. We identified differential mutational landscapes in men with and without AAA, with errors in mitochondrial DNA replication or repair as potential sources. Heteroplasmic insertions and overall heteroplasmy of structural rearrangements were significantly elevated in AAA cases. Three heteroplasmic variants were associated with risk factors of AAA: leukocyte concentration, plasma glucose, and cholesterol levels, respectively. Interestingly, mutations were more prevalent in regulatory part of the mitochondria, the displacement loop region, in AAA as compared with controls (
    MeSH term(s) Male ; Humans ; Aged ; Aortic Aneurysm, Abdominal/epidemiology ; Aortic Aneurysm, Abdominal/genetics ; Aortic Aneurysm, Abdominal/diagnosis ; Risk Factors ; Odds Ratio ; Comorbidity ; DNA, Mitochondrial/genetics
    Chemical Substances DNA, Mitochondrial
    Language English
    Publishing date 2023-04-07
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.122.029248
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