Causal relationships between circulating inflammatory cytokines and diabetic neuropathy : A Mendelian Randomization study

Copyright © 2024. Published by Elsevier Ltd..

BACKGROUND: Emerging evidence suggests systemic inflammation as a critical mechanism underlying diabetic neuropathy. This study aimed to investigate the causal relationship between 41 circulating inflammatory cytokines and diabetic neuropathy.

METHODS: Summary statistics from previous Genome-Wide Association studies (GWAS) included pooled data on 41 inflammatory cytokines and diabetic neuropathy. A two-sample Mendelian Randomization (MR) design was employed, and the robustness of the results was confirmed through comprehensive sensitivity analyses.

RESULTS: Our study reveals that the linkage between increased levels of IFN_G (OR = 1.31, 95 %CI: 1.06-1.63; P = 0.014), IP_10 (OR = 1.18, 95 %CI: 1.01-1.36; P = 0.031) and an elevated risk of diabetic neuropathy. Conversely, higher levels of IL_9 (OR = 0.86, 95 %CI: 0.75-1.00; P = 0.048) and SCF (OR = 0.83, 95 %CI: 0.73-0.94; P = 0.003) are genetically determined to protect against diabetic neuropathy. Furthermore, the sensitivity analysis affirmed the results' dependability, revealing no heterogeneity or pleiotropy.

CONCLUSION: Our MR research identified four upstream inflammatory cytokines implicated in diabetic neuropathy. Overall, these findings suggest the potential for innovative therapeutic strategies. Further large-scale cohort studies are required for validation.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:177

Enthalten in:

Cytokine - 177(2024) vom: 15. Apr., Seite 156548

Sprache:

Englisch

Beteiligte Personen:

Wang, Zhaoxiang [VerfasserIn]
Zhang, Li [VerfasserIn]
Lu, Bing [VerfasserIn]
Sun, Heping [VerfasserIn]
Zhong, Shao [VerfasserIn]

Links:

Volltext

Themen:

82115-62-6
Cytokines
Diabetic neuropathy
GWAS
Inflammatory cytokine
Interferon-gamma
Journal Article
Mendelian randomization analysis
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 13.03.2024

Date Revised 08.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cyto.2024.156548

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368849988