PMID- 27624874 OWN - NLM STAT- MEDLINE DCOM- 20180531 LR - 20240325 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Sep 14 TI - Associations of the MCM6-rs3754686 proxy for milk intake in Mediterranean and American populations with cardiovascular biomarkers, disease and mortality: Mendelian randomization. PG - 33188 LID - 10.1038/srep33188 [doi] LID - 33188 AB - Controversy persists on the association between dairy products, especially milk, and cardiovascular diseases (CVD). Genetic proxies may improve dairy intake estimations, and clarify diet-disease relationships through Mendelian randomization. We meta-analytically (n T (nonpersistence>persistence), dairy intake, and CVD biomarkers in American (Hispanics, African-American and Whites) and Mediterranean populations. Moreover, we analyzed longitudinal associations with milk, CVD and mortality in PREDIMED), a randomized Mediterranean diet (MedDiet) intervention trial (n = 7185). The MCM6-rs3754686/MCM6-rs309180 (as proxy), LP-allele (T) was strongly associated with higher milk intake, but inconsistently associated with glucose and lipids, and not associated with CVD or total mortality in the whole population. Heterogeneity analyses suggested some sex-specific associations. The T-allele was associated with higher CVD and mortality risk in women but not in men (P-sex interaction:0.005 and 0.032, respectively), mainly in the MedDiet group. However, milk intake was not associated with CVD biomarkers, CVD or mortality either generally or in sub-groups. Although MCM6-rs3754686 is a good milk intake proxy in these populations, attributing its associations with CVD and mortality in Mediterranean women to milk is unwarranted, as other factors limiting the assumption of causality in Mendelian randomization may exist. FAU - Smith, Caren E AU - Smith CE AD - Nutrition and Genomics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA. FAU - Coltell, Oscar AU - Coltell O AD - Department of Computer Languages and Systems, School of Technology and Experimental Sciences. University Jaume I, Castellon, Spain. AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. FAU - Sorli, Jose V AU - Sorli JV AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain. FAU - Estruch, Ramon AU - Estruch R AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Department of Internal Medicine, Hospital Clinic, IDIBAPS, Barcelona, Spain. FAU - Martinez-Gonzalez, Miguel Angel AU - Martinez-Gonzalez MA AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Department of Preventive Medicine and Public Health, University of Navarra-Navarra Institute for Health Research (IdisNa), Pamplona, Navarra, Spain. FAU - Salas-Salvado, Jordi AU - Salas-Salvado J AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Human Nutrition Unit, Biochemistry and Biotechnology Department, IISPV, University Rovira i Virgili, Reus, Spain. FAU - Fito, Montserrat AU - Fito M AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Cardiovascular Epidemiology Unit, Municipal Institut for Medical Research (IMIM), Barcelona, Spain. FAU - Aros, Fernando AU - Aros F AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Department of Cardiology, Hospital Txagorritxu, Vitoria, Spain. FAU - Dashti, Hassan S AU - Dashti HS AD - Nutrition and Genomics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA. FAU - Lai, Chao Q AU - Lai CQ AD - Nutrition and Genomics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA. FAU - Miro, Leticia AU - Miro L AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Department of Family Medicine, Research Unit. Distrito Sanitario Atencion Primaria Sevilla, Spain. FAU - Serra-Majem, Lluis AU - Serra-Majem L AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain. FAU - Gomez-Gracia, Enrique AU - Gomez-Gracia E AD - Department of Epidemiology, School of Medicine, University of Malaga, Malaga, Spain. FAU - Fiol, Miquel AU - Fiol M AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Palma Institute of Health Research (IdISPa). Hospital Son Espases. Palma de Mallorca, Spain. FAU - Ros, Emilio AU - Ros E AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Lipid Clinic, Endocrinology and Nutrition Service, Institut d'Investigacions Biomediques August Pi Sunyer (IDIBAPS), Hospital Clinic, Barcelona, Spain. FAU - Aslibekyan, Stella AU - Aslibekyan S AD - Department of Epidemiology, School of Public Health, University of Alabama, Birmingham, Alabama, USA. FAU - Hidalgo, Bertha AU - Hidalgo B AD - Department of Epidemiology, School of Public Health, University of Alabama, Birmingham, Alabama, USA. FAU - Neuhouser, Marian L AU - Neuhouser ML AD - Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Di, Chongzhi AU - Di C AD - Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Tucker, Katherine L AU - Tucker KL AD - Department of Clinical Laboratory &Nutritional Sciences, University of Massachusetts Lowell, Massachusetts, USA. FAU - Arnett, Donna K AU - Arnett DK AD - Department of Epidemiology, School of Public Health, University of Alabama, Birmingham, Alabama, USA. FAU - Ordovas, Jose M AU - Ordovas JM AD - Nutrition and Genomics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA, USA. AD - Department of Epidemiology and Population Genetics, Centro Nacional Investigacion Cardiovasculares (CNIC), Madrid, Spain. AD - Instituto Madrileno de Estudios Avanzados en Alimentacion, Madrid, Spain. FAU - Corella, Dolores AU - Corella D AD - CIBER Fisiopatologia de la Obesidad y Nutricion, Instituto de Salud Carlos III, Madrid, Spain. AD - Department of Preventive Medicine and Public Health, School of Medicine, University of Valencia, Valencia, Spain. 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DEP - 20160914 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Genetic Markers) RN - EC 3.6.4.12 (MCM6 protein, human) RN - EC 3.6.4.12 (Minichromosome Maintenance Complex Component 6) SB - IM MH - Aged MH - *Alleles MH - Animals MH - *Cardiovascular Diseases/genetics/mortality MH - *Diet, Mediterranean MH - Female MH - Genetic Markers MH - Humans MH - Male MH - Mediterranean Region MH - *Mendelian Randomization Analysis MH - Middle Aged MH - *Milk MH - Minichromosome Maintenance Complex Component 6/*genetics MH - Sex Factors MH - United States PMC - PMC5021998 COIS- ER is a non-paid member of the Scientific Advisory Committee of the California Walnut Commission, Sacramento, CA. The other authors declare no competing financial interests. EDAT- 2016/09/15 06:00 MHDA- 2018/06/01 06:00 PMCR- 2016/09/14 CRDT- 2016/09/15 06:00 PHST- 2016/01/06 00:00 [received] PHST- 2016/08/23 00:00 [accepted] PHST- 2016/09/15 06:00 [entrez] PHST- 2016/09/15 06:00 [pubmed] PHST- 2018/06/01 06:00 [medline] PHST- 2016/09/14 00:00 [pmc-release] AID - srep33188 [pii] AID - 10.1038/srep33188 [doi] PST - epublish SO - Sci Rep. 2016 Sep 14;6:33188. doi: 10.1038/srep33188.