ENPP2/Autotaxin: The potential drug target for alcoholic liver disease identified through Mendelian randomization analysis

Abstract Background and Aims At present, there is still a lack of radical drug targets for intervention in alcoholic liver disease (ALD), and drug discovery through randomized controlled trials is a lengthy, risky, and expensive undertaking, so we aimed to identify effective drug targets based on human genetics. Methods We used Mendelian randomization (MR) and Bayesian colocalization analysis to investigate 2639 genes encoding druggable proteins and examined the causal effects on ALD (PMID 34737426: 456348 European with 451 cases and 455 897 controls). In addition, we conducted the mediation analysis to explore the potential mechanism using the genome‐wide association study (GWAS) data of blood biomarkers as mediators. Results We finally identified the drug target: ENPP2/Autotaxin and genetically proxied ENPP2/Autotaxin was causally associated with the risk of ALD (OR = 2.28, 95% CI: 1.64 to 3.16, p = 7.49E‐7). In addition, we found that the effect of ENPP2/Autotaxin on ALD may be partly mediated by effector memory CD8 + T cell (the proportion of mediation effect: 8.49%). Conclusions Our integrative analysis suggested that genetically determined levels of circulating ENPP2/Autotaxin have a causal effect on ALD risk and are a promising drug target.