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. 2024 Apr 22;116(8):1303–1312. doi: 10.1093/jnci/djae089

Table 1.

Summary results from Mendelian randomization, meta-analysis, and colocalization for metabolome-wide Mendelian randomization identified metabolites

Mendelian randomization discovery
Mendelian randomization replication
Meta-analysis
Colocalization
Tissue Metabolite Odds ratio P Odds ratio P Odds ratio (95% confidence interval) P PP4 > 80%a Subpathway Category
Plasma 1-Stearoyl-2-arachidonoyl-GPC (18:0/20:4) 1.10 4.09E-22 1.10 1.05E-03 1.10 (1.08 to 1.12) 1.81E-24 Yes Phosphatidylcholine Tier1
Plasma 1-Palmitoyl-2-arachidonoyl-GPC (16:0/20:4n6) 1.11 4.64E-22 1.11 1.74E-03 1.11 (1.09 to 1.13) 3.31E-24 Yes Phosphatidylcholine Tier1
Plasma 1,2-Dilinoleoyl-GPC (18:2/18:2) 0.80 1.86E-21 0.81 1.62E-03 0.80 (0.77 to 0.84) 1.23E-23 Yes Phosphatidylcholine Tier1
Plasma 1-Linoleoyl-2-linolenoyl-GPC (18:2/18:3)* 0.76 1.86E-21 0.77 1.62E-03 0.76 (0.72 to 0.80) 1.23E-23 Yes Phosphatidylcholine Tier1
Plasma 1-Palmitoyl-2-docosahexaenoyl-GPC (16:0/22:6) 1.47 1.86E-21 1.46 1.62E-03 1.47 (1.37 to 1.59) 1.23E-23 Yes Phosphatidylcholine Tier1
Plasma Adrenate (22:4n6) 1.42 1.86E-21 1.41 1.62E-03 1.42 (1.33 to 1.52) 1.23E-23 Yes Long chain polyunsaturated fatty acid Tier1
Plasma EPA (20:5n3) 1.37 1.86E-21 1.36 1.62E-03 1.37 (1.29 to 1.45) 1.23E-23 Yes Long chain polyunsaturated fatty acid Tier1
Plasma 1-Arachidonylglycerol (20:4) 1.27 2.16E-21 1.27 1.09E-03 1.27 (1.21 to 1.33) 9.87E-24 Yes Monoacylglycerol Tier1
Plasma Docosatrienoate (22:3n6)* 1.39 2.58E-21 1.36 2.71E-03 1.39 (1.30 to 1.48) 2.81E-23 Yes Long chain polyunsaturated fatty acid Tier1
Plasma 1-(1-Enyl-stearoyl)-2-arachidonoyl-GPE (P-18:0/20:4)* 1.25 2.59E-21 1.24 1.79E-03 1.25 (1.19 to 1.30) 1.88E-23 Yes Plasmalogen Tier1
Plasma 1-Arachidonoyl-GPC (20:4n6)* 1.12 2.59E-21 1.12 1.79E-03 1.12 (1.10 to 1.15) 1.87E-23 Yes Lysophospholipid Tier1
Plasma Arachidonate (20:4n6) 1.23 2.59E-21 1.22 1.79E-03 1.23 (1.18 to 1.27) 1.88E-23 Yes Long chain polyunsaturated fatty acid Tier1
Plasma Nisinate (24:6n3) 1.50 4.48E-21 1.47 2.60E-03 1.50 (1.38 to 1.63) 4.65E-23 Yes Long chain polyunsaturated fatty acid Tier1
Plasma Stearidonate (18:4n3) 1.69 4.48E-21 1.64 2.60E-03 1.69 (1.52 to 1.87) 4.65E-23 Yes Long chain polyunsaturated fatty acid Tier1
Plasma Arachidonoylcholine 1.39 6.23E-21 1.39 1.63E-03 1.39 (1.30 to 1.48) 4.14E-23 Yes Fatty acid metabolism (acyl choline) Tier1
Plasma Hydroxypalmitoyl sphingomyelin (d18:1/16:0(OH))** 0.80 8.23E-21 0.80 1.87E-03 0.80 (0.76 to 0.84) 6.20E-23 Yes Sphingomyelins Tier1
Plasma Docosapentaenoate (n3 DPA; 22:5n3) 1.54 5.14E-20 1.39 1.87E-02 1.52 (1.40 to 1.66) 4.08E-21 Yes Long chain polyunsaturated fatty acid Tier1
Plasma 1-Lignoceroyl-GPC (24:0) 1.56 3.25E-18 1.65 7.58E-04 1.57 (1.43 to 1.72) 1.12E-20 Yes Lysophospholipid Tier1
Plasma γ-Glutamylthreonine 1.38 1.66E-07 1.74 4.57E-03 1.44 (1.20 to 1.72) 6.18E-05 Yes γ-Glutamyl amino acid Tier1
Plasma Mannonate* 1.18 1.66E-07 1.32 4.57E-03 1.20 (1.10 to 1.31) 6.18E-05 Yes Food component/plant Tier1
Plasma Mannose 1.14 1.66E-07 1.25 4.57E-03 1.16 (1.08 to 1.25) 6.17E-05 Yes Fructose, mannose, and galactose metabolism Tier1
Plasma Docosapentaenoate (n6 DPA; 22:5n6) 1.65 1.13E-21 1.28 8.37E-02 1.51 (1.19 to 1.91) 6.83E-04 Yes Long chain polyunsaturated fatty acid Tier2
Plasma Sphingomyelin (d18:2/14:0, d18:1/14:1)* 1.85 3.34E-18 1.97 1.01E-03 1.86 (1.63 to 2.13) 1.47E-20 No Sphingomyelins Tier2
Plasma 1-(1-Enyl-palmitoyl)-2-arachidonoyl-GPC (P-16:0/20:4)* 1.13 5.96E-07 1.09 3.14E-01 1.13 (1.08 to 1.18) 3.77E-07 Yes Plasmalogen Tier2
Plasma Galactonate 0.73 4.71E-06 0.62 5.44E-03 0.71 (0.62 to 0.81) 1.22E-07 No Fructose, mannose, and galactose metabolism Tier2
Plasma Deoxycholic acid glucuronide 0.96 7.14E-06 0.95 1.59E-02 0.96 (0.94 to 0.97) 4.17E-07 No Secondary bile acid metabolism Tier2
Plasma Cholic acid glucuronide 0.90 1.06E-05 0.87 1.96E-02 0.89 (0.86 to 0.94) 7.15E-07 No Primary bile acid metabolism Tier2
Plasma X-19141 0.95 1.06E-05 0.94 1.95E-02 0.95 (0.93 to 0.97) 7.08E-07 No Unknown Tier2
Plasma X-25790 1.32 1.22E-07 1.17 3.54E-01 1.30 (1.18 to 1.44) 9.81E-08 No Unknown Tier3
Plasma X-17357 0.91 5.77E-05 1.02 7.66E-01 0.95 (0.85 to 1.05) 3.25E-01 No Unknown Tier3
Urine Lactose 1.14 4.40E-05 1.27 1.31E-03 1.18 (1.06 to 1.30) 1.50E-03 Yes Disaccharides and oligosaccharides Tier1
Urine X-19141 0.94 9.97E-06 0.92 1.90E-02 0.94 (0.91 to 0.96) 6.56E-07 No Unknown Tier2
Urine X-19434 retired for cholic acid glucuronide 0.96 1.12E-05 0.95 3.20E-02 0.95 (0.94 to 0.97) 1.09E-06 No Unknown Tier2
Urine 11-Ketoetiocholanolone sulfate 1.06 1.16E-05 1.08 1.94E-02 1.06 (1.04 to 1.09) 7.77E-07 No Androgenic steroids Tier2
a

PP4 values were all higher than 80% under different windows (±250 kilobase, kb or ±500 kb). PP4 = posterior probability for H4; E = exponent.