The Association between Obstructive Sleep Apnea and Venous Thromboembolism: A Bidirectional Two-Sample Mendelian Randomization Study

Abstract: Background Despite previous observational studies linking obstructive sleep apnea (OSA) to venous thromboembolism (VTE), these findings remain controversial. This study aimed to explore the association between OSA and VTE, including pulmonary embolism (PE) and deep vein thrombosis (DVT), at a genetic level using a bidirectional two-sample Mendelian randomization (MR) analysis. Methods Utilizing summary-level data from large-scale genome-wide association studies in European individuals, we designed a bidirectional two-sample MR analysis to comprehensively assess the genetic association between OSA and VTE. The inverse variance weighted was used as the primary method for MR analysis. In addition, MR–Egger, weighted median, and MR pleiotropy residual sum and outlier (MR-PRESSO) were used for complementary analyses. Furthermore, a series of sensitivity analyses were performed to ensure the validity and robustness of the results. Results The initial and validation MR analyses indicated that genetically predicted OSA had no effects on the risk of VTE (including PE and DVT). Likewise, the reverse MR analysis did not find substantial support for a significant association between VTE (including PE and DVT) and OSA. Supplementary MR methods and sensitivity analyses provided additional confirmation of the reliability of the MR results. Conclusion Our bidirectional two-sample MR analysis did not find genetic evidence supporting a significant association between OSA and VTE in either direction.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
The Association between Obstructive Sleep Apnea and Venous Thromboembolism: A Bidirectional Two-Sample Mendelian Randomization Study ; day:23 ; month:05 ; year:2024
Thrombosis and haemostasis ; (23.05.2024)

Beteiligte Personen und Organisationen
Huang, Zhihai
Zheng, Zhenzhen
Pang, Lingpin
Fu, Kaili
Cheng, Junfen
Zhong, Ming
Song, Lingyue
Guo, Dingyu
Chen, Qiaoyun
Li, Yanxi
Lv, Yongting
Chen, Riken
Sun, Xishi

DOI
10.1055/a-2308-2290
URN
urn:nbn:de:101:1-2407111347341.319594373630
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:54 MESZ

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Beteiligte

  • Huang, Zhihai
  • Zheng, Zhenzhen
  • Pang, Lingpin
  • Fu, Kaili
  • Cheng, Junfen
  • Zhong, Ming
  • Song, Lingyue
  • Guo, Dingyu
  • Chen, Qiaoyun
  • Li, Yanxi
  • Lv, Yongting
  • Chen, Riken
  • Sun, Xishi

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