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. 2020 Aug 25;9:e58567. doi: 10.7554/eLife.58567

Table 3. Multivariable Mendelian randomization estimates for effects of genetically mimicked statins (effect sizes of LDL-cholesterol) and of testosterone (effect size) together on IHD in men and women using the UK Biobank.

Mendelian randomization estimates
Sex Exposures Instrumented by Adjusted for Method OR 95% CI P value MR-Egger intercept p-value
Men Statin mimic 1 Statin SNP on LDL-cholesterol Testosterone Inverse variance weighted 1.05 0.74 to 1.47 0.79
Testosterone 125 SNPs on testosterone statin Inverse variance weighted 1.11 1.04 to 1.20 0.003
Statin mimic 1 Statin SNP on LDL-cholesterol Testosterone MR-Egger 0.73 0.48 to 1.11 0.14
Testosterone 125 SNPs on testosterone statin MR-Egger 1.09 1.02 to 1.17 0.02 0.005
Statin mimic 6 Statin SNPs on LDL-cholesterol Testosterone Inverse variance weighted 1.02 0.72 to 1.43 0.91
Testosterone 125 SNPs on testosterone statin Inverse variance weighted 1.11 1.04 to 1.20 0.003
Women Statin mimic 1 Statin SNP on LDL-cholesterol Testosterone Inverse variance weighted 0.98 0.75 to 1.16 0.53
Testosterone 254 SNPs on testosterone statin Inverse variance weighted 0.96 0.90 to 1.04 0.33
Statin mimic 1 Statin SNP on LDL-cholesterol Testosterone MR-Egger 0.72 0.55 to 0.94 0.02
Testosterone 254 SNPs on testosterone statin MR-Egger 0.96 0.89 to 1.03 0.27 0.001
Statin mimic 6 Statin SNPs on LDL-cholesterol Testosterone Inverse variance weighted 0.92 0.74 to 1.16 0.49
Testosterone 254 SNPs on testosterone statin Inverse variance weighted 0.97 0.90 to 1.04 0.36

One statin SNP is rs12916, and six statin SNPs additionally included rs5909, rs10066707, rs17238484, rs2006760 and rs2303152 taking into account all their correlations. The unit of LDL-cholesterol is approximately 0.83 mm/L. An effect size of testosterone is approximately, 0.23 nmol/L in women (Haring et al., 2012) and 3.1 nmol/L in men (Mohr et al., 2005).