TY - JOUR
T1 - Plasma urate, lung function and chronic obstructive pulmonary disease
T2 - A Mendelian randomisation study in 114 979 individuals from the general population
AU - Kobylecki, Camilla J.
AU - Vedel-Krogh, Signe
AU - Afzal, Shoaib
AU - Nielsen, Sune F.
AU - Nordestgaard, Børge G.
PY - 2018
Y1 - 2018
N2 - Background Urate is a strong antioxidant in plasma and may protect against lung function impairment. We tested the hypothesis that high plasma urate is causally associated with better lung function and low risk of respiratory symptoms and COPD. Methods We measured lung function and plasma urate in 114 979 individuals from the Copenhagen City Heart Study and the Copenhagen General Population Study and genotyped for SLC2A9 rs7442295 and ABCG2 rs2231142 variants, previously associated with high plasma urate, in 110 152 individuals. Results In the two studies combined, multivariable-adjusted 100 μmol/L higher plasma urate was associated with -1.54% (95% CI -1.67 to -1.40) lower FEV 1 % predicted and -1.57% (95% CI -1.69 to -1.44) lower FVC % predicted observationally; the corresponding estimates for genetically determined 100 μmol/L higher plasma urate were -0.46% (95% CI -1.17 to 0.25) and -0.40% (95% CI -1.03 to 0.23). High plasma urate was also associated with higher risk of respiratory symptoms; however, genetically determined high plasma urate was not associated with respiratory symptoms. Finally, we identified 14 151 individuals with COPD and found ORs of 1.08 (95% CI 1.06 to 1.11) for COPD observationally and 1.01 (95% CI 0.88 to 1.15) genetically per 100 μmol/L higher plasma urate. Conclusion High plasma urate was associated with worse lung function and higher risk of respiratory symptoms and COPD in observational analyses; however, genetically high plasma urate was not associated with any of these outcomes. Thus, our data do not support a direct causal relationship.
AB - Background Urate is a strong antioxidant in plasma and may protect against lung function impairment. We tested the hypothesis that high plasma urate is causally associated with better lung function and low risk of respiratory symptoms and COPD. Methods We measured lung function and plasma urate in 114 979 individuals from the Copenhagen City Heart Study and the Copenhagen General Population Study and genotyped for SLC2A9 rs7442295 and ABCG2 rs2231142 variants, previously associated with high plasma urate, in 110 152 individuals. Results In the two studies combined, multivariable-adjusted 100 μmol/L higher plasma urate was associated with -1.54% (95% CI -1.67 to -1.40) lower FEV 1 % predicted and -1.57% (95% CI -1.69 to -1.44) lower FVC % predicted observationally; the corresponding estimates for genetically determined 100 μmol/L higher plasma urate were -0.46% (95% CI -1.17 to 0.25) and -0.40% (95% CI -1.03 to 0.23). High plasma urate was also associated with higher risk of respiratory symptoms; however, genetically determined high plasma urate was not associated with respiratory symptoms. Finally, we identified 14 151 individuals with COPD and found ORs of 1.08 (95% CI 1.06 to 1.11) for COPD observationally and 1.01 (95% CI 0.88 to 1.15) genetically per 100 μmol/L higher plasma urate. Conclusion High plasma urate was associated with worse lung function and higher risk of respiratory symptoms and COPD in observational analyses; however, genetically high plasma urate was not associated with any of these outcomes. Thus, our data do not support a direct causal relationship.
KW - chronic obstructive pulmonary disease
KW - lung function
KW - Mendelian randomisation
KW - urate
U2 - 10.1136/thoraxjnl-2017-210273
DO - 10.1136/thoraxjnl-2017-210273
M3 - Journal article
C2 - 29187594
AN - SCOPUS:85048045318
SN - 0040-6376
VL - 73
SP - 748
EP - 757
JO - Thorax
JF - Thorax
IS - 8
ER -