Investigating the shared genetic architecture between primary sclerosing cholangitis and inflammatory bowel diseases : a Mendelian randomization study

© 2024. The Author(s)..

BACKGROUND: Several studies have found that primary sclerosing cholangitis (PSC) and inflammatory bowel disease (IBD) are closely associated. However, the direction and causality of their interactions remain unclear. Thus, this study employs Mendelian Randomization to explore whether there are causal associations of genetically predicted PSC with IBD.

METHODS: Genetic variants associated with the genome-wide association study (GWAS) of PSC were used as instrumental variables. The statistics for IBD, including ulcerative colitis (UC), and Crohn's disease (CD) were derived from GWAS. Then, five methods were used to estimate the effects of genetically predicted PSC on IBD, including MR Egger, Weighted median (WM), Inverse variance weighted (IVW), Simple mode, and Weighted mode. Last, we also evaluated the pleiotropic effects, heterogeneity, and a leave-one-out sensitivity analysis that drives causal associations to confirm the validity of the analysis.

RESULTS: Genetically predicted PSC was significantly associated with an increased risk of UC, according to the study (odds ratio [OR] IVW= 1.0014, P<0.05). However, none of the MR methods found significant causal evidence of genetically predicted PSC in CD (All P>0.05). The sensitivity analysis results showed that the causal effect estimations of genetically predicted PSC on IBD were robust, and there was no horizontal pleiotropy or statistical heterogeneity.

CONCLUSIONS: Our study corroborated a causal association between genetically predicted PSC and UC but did not between genetically predicted PSC and CD. Then, we identification of shared SNPs for PSC and UC, including rs3184504, rs9858213, rs725613, rs10909839, and rs4147359. More animal experiments and clinical observational studies are required to further clarify the underlying mechanisms of PSC and IBD.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC gastroenterology - 24(2024), 1 vom: 19. Feb., Seite 77

Sprache:

Englisch

Beteiligte Personen:

Dong, Xuan [VerfasserIn]
Gong, Li-Li [VerfasserIn]
Hong, Mei-Zhu [VerfasserIn]
Pan, Jin-Shui [VerfasserIn]

Links:

Volltext

Themen:

Crohn’s disease
Journal Article
Mendelian randomization
Primary sclerosing cholangitis
Ulcerative colitis

Anmerkungen:

Date Completed 21.02.2024

Date Revised 22.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12876-024-03162-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368639517