Table 3 Summary of network regulators, including findings from the present study, previously known biological links, effect directions, if druggable or status as a target of an available compound

From: Circulating causal protein networks linked to future risk of myocardial infarction

Regulator

Evidence from MR/Colocalization in AGES, and prior known biology related to ACVD*

Effect direction on ACVD and/or survival (Supplementary Data 15)

Druggable / available compound (Supplementary Data 16)

ITIH3

Gain-of-function variant increases risk of MI. Highly expressed in atherosclerotic lesion

Risk

Druggable

HSPA1B

Causally linked to T2D and microvascular complications

Risk

Available compound

DDX39B

Causally related to T2D and MetS (AGES)

Risk

Not druggable

HSPA1A

Causally related to MetS (AGES). Causally linked to T2D and microvascular complications

Risk

Available compound

KEAP1

Cardiomyocyte-specific knockout mice show improved cardiac function

Protective

Available compound

C2

Deficiency increases atherosclerosis

Risk

Druggable

PCDH8

None

Risk

Not druggable

GABARAP

Genetic links to hypertension and CVD

Risk

Not druggable

CSH1/CSH2

None

Protective

Druggable

RFC4

Genetic links to diabetes and venous thromboembolism

Risk

Not druggable

IZUMO1

None

Risk

Not druggable

CSF3

Promotes cardiomyocyte survival after MI

Risk

Druggable

FABP3

Contributes to ischemic heart injury

Risk

Not druggable

KLKB1

Causally protective against calcific aortic valve disease; influences cholesterol efflux

Protective

Available compound

DCTN2

None

Risk

Not druggable

AFM

Positively associated with the metabolic syndrome, but lower levels in MI patients

Protective

Druggable

AIPL1

None

Protective

Not druggable

MRRF

None

Protective

Not druggable

APOA5

Causally protective against MI and MetS (AGES). Knockout leads to elevated plasma triglycerides

Protective

Druggable

PTPN11

Gain-of-function mutations cause heart defects in oonan syndrome

Risk

Available compound

CFB

Knock-out mice show improved metabolic and cardiovascular features

Risk

Available compound

GAL3ST1

None

Risk

Not druggable

NUDT21

None

Risk

Not druggable

COL28A1

Positively associated with HF and its subtypes

Risk

Druggable

C11orf49

Causally linked to MI (AGES)

Protective

Not druggable

LRP4

Causally linked to MI (AGES)

Inconclusive

Not druggable

  1. *Background on previously characterized biological roles of network regulators: ITIH344; HSPA1A/B43; KEAP147; C248; GABARAP94; RFC494; CSF349; FABP395; KLKB145,96; AFM53,54; APOA541; PTPN1197;CFB98; COL28A199. The Supplementary Text summarizes prior literature on the roles of many network regulators in ACVD-related etiology.