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Association of Disease-Modifying Antirheumatic Drugs (DMARDs) with Cardiovascular Diseases: Evidence from a Drug Target Mendelian Randomization Study Cover

Association of Disease-Modifying Antirheumatic Drugs (DMARDs) with Cardiovascular Diseases: Evidence from a Drug Target Mendelian Randomization Study

Open Access
|Feb 2026

Figures & Tables

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Figure 1

Flowchart depicting the systematic framework used to investigate the associations between DMARD target genes and cardiovascular diseases. Abbreviations: IVs, instrumental variables; CRP, C-reactive protein; GWAS, genome-wide association studies; HDL cholesterol, high-density lipoprotein cholesterol; LDL cholesterol, low-density lipoprotein cholesterol; MR, Mendelian randomization; IVW, inverse-variance weighted; SMR, summary-based Mendelian randomization.

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Figure 2

Forest plots showing the causal effects of the 12 DMARD target genes on cardiovascular diseases, with blue indicating odds ratios (OR) < 1 (protective effects) and orange denoting OR > 1 (harmful effects). * indicates P < 0.05 in the MR-Egger intercept test. Abbreviations: AF, atrial fibrillation; CAD, coronary artery disease; MI, myocardial infarction; HF, heart failure; IS, ischemic stroke; HTN, hypertension; TC, total cholesterol; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; TG, triglycerides; AS, aortic stenosis.

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Figure 3

Gene expression analysis of DMARD target genes in relation to cardiovascular diseases. Positive associations are shown in red, negative associations in blue, and ORs with 95% CIs are presented for results that are statistically significant and meet the HEIDI test criteria.

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Figure 4

A colocalization analysis of DMARD target gene expression with cardiovascular diseases. ***Indicates strong evidence of colocalization (PPH4 ≥ 0.9), while **denotes moderate evidence (0.8 ≤ PPH4 < 0.9), and *denotes weak evidence (0.5 ≤ PPH4 < 0.8).

DOI: https://doi.org/10.5334/gh.1526 | Journal eISSN: 2211-8179
Language: English
Submitted on: Sep 23, 2025
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Accepted on: Jan 30, 2026
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Published on: Feb 26, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Chengui Zhuo, Lei Chen, Xiangjie Sun, Ting Chen, Haipeng Cai, Xiaosheng Hu, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.