%0 Journal Article %A Yoshiji, Satoshi %A Lu, Tianyuan %A Butler-Laporte, Guillaume %A Carrasco-Zanini-Sanchez, Julia %A Su, Chen-Yang %A Chen, Yiheng %A Liang, Kevin %A Willett, Julian Daniel Sunday %A Wang, Shidong %A Adra, Darin %A Ilboudo, Yann %A Sasako, Takayoshi %A Koyama, Satoshi %A Nakao, Tetsushi %A Forgetta, Vincenzo %A Farjoun, Yossi %A Zeberg, Hugo %A Zhou, Sirui %A Marks-Hultström, Michael %A Machiela, Mitchell J. %A Kaalia, Rama %A Dashti, Hesam %A Claussnitzer, Melina %A Flannick, Jason %A Wareham, Nicholas J. %A Mooser, Vincent %A Timpson, Nicholas J. %A Langenberg, Claudia %A Richards, J. Brent %+ Department of Evolutionary Genetics, Max Planck Institute for Evolutionary Anthropology, Max Planck Society %T Integrative proteogenomic analysis identifies COL6A3-derived endotrophin as a mediator of the effect of obesity on coronary artery disease : %G eng %U https://hdl.handle.net/21.11116/0000-0010-961B-7 %R 10.1038/s41588-024-02052-7 %7 2025-01-24 %D 2025 %* Review method: peer-reviewed %X Obesity strongly increases the risk of cardiometabolic diseases, yet the
underlying mediators of this relationship are not fully understood. Given that
obesity strongly influences circulating protein levels, we investigated proteins
mediating the effects of obesity on coronary artery disease, stroke and type 2
diabetes. By integrating two-step proteome-wide Mendelian randomization,
colocalization, epigenomics and single-cell RNA sequencing, we identified
five mediators and prioritized collagen type VI α3 (COL6A3). COL6A3 levels
were strongly increased by body mass index and increased coronary artery
disease risk. Notably, the carboxyl terminus product of COL6A3, endotrophin,
drove this effect. COL6A3 was highly expressed in disease-relevant cell types
and tissues. Finally, we found that body fat reduction could reduce plasma
levels of COL6A3-derived endotrophin, indicating a tractable way to modify
endotrophin levels. In summary, we provide actionable insights into how
circulating proteins mediate the effects of obesity on cardiometabolic
diseases and prioritize endotrophin as a potential therapeutic target. %K Cardiovascular diseases, Drug discovery, Obesity, Personalized medicine %J Nature Genetics %V 57 %N 2 %& 345 %P 345 - 357 %I Nature America, Inc. %C New York, NY %@ 1061-4036