Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer

BackgroundIt was reported that educational attainment and household income are associated with oropharyngeal cancer. However, whether such an association is causal is still unknown.MethodsThe Mendelian randomization (MR) design was performed to disentangle their causal relationship. Initially, genet...

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Main Authors: Li Qi, Wenzhao Bao, Sai Wang, Xiaoxu Ding, Wei Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.930940/full
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author Li Qi
Li Qi
Wenzhao Bao
Sai Wang
Xiaoxu Ding
Wei Li
author_facet Li Qi
Li Qi
Wenzhao Bao
Sai Wang
Xiaoxu Ding
Wei Li
author_sort Li Qi
collection DOAJ
description BackgroundIt was reported that educational attainment and household income are associated with oropharyngeal cancer. However, whether such an association is causal is still unknown.MethodsThe Mendelian randomization (MR) design was performed to disentangle their causal relationship. Initially, genetic variants proxied for educational attainment and household income were extracted from the largest genome-wide association studies (GWAS), and two oropharyngeal GWAS datasets were used in the discovery and validation stages separately. A reverse MR analysis was carried out to judge whether oropharyngeal cancer affects educational attainment and household income. The results from the two stages were combined using meta-analysis. The heterogeneity and horizontal pleiotropy were appraised using several methods.ResultsAll selected genetic variants were valid. In the discovery stage, genetically elevated years of education might decrease the risk of oropharyngeal cancer (IVW OR = 0.148 [0.025, 0.872], p-value = 0.035), while such a result became insignificant in the validation stage (IVW p-value >0.05). Household income cannot change the risk of oropharyngeal cancer at both stages. The reverse MR suggested that oropharyngeal cancer should slightly alter household income (IVW OR = 1.001 [1.000, 1.003], p-value = 0.036) in the discovery set, but the result cannot be replicated in the validation stage. The meta-analysis did not find any significant results either. The results were also assessed by sensitivity analyses, and there was no heterogeneity or horizontal pleiotropy in the analyses. The statistical powers were all above 80% at the discovery stage.ConclusionsThere should be no causal association between educational attainment, household income, and oropharyngeal cancer.
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spelling doaj.art-2f269a6287e1450889a47860c14cc49b2023-03-02T04:44:50ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-03-011310.3389/fonc.2023.930940930940Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancerLi Qi0Li Qi1Wenzhao Bao2Sai Wang3Xiaoxu Ding4Wei Li5Department of Otorhinolaryngology, The Affiliated Hospital of Inner Mongolia University for the Nationalities, Tongliao, ChinaDepartment of Otorhinolaryngology, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Anesthesiology, The Affiliated Hospital of Inner Mongolia University for the Nationalities, Tongliao, ChinaDepartment of Otorhinolaryngology, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Otorhinolaryngology, The First Hospital of China Medical University, Shenyang, ChinaDepartment of Otorhinolaryngology, The First Hospital of China Medical University, Shenyang, ChinaBackgroundIt was reported that educational attainment and household income are associated with oropharyngeal cancer. However, whether such an association is causal is still unknown.MethodsThe Mendelian randomization (MR) design was performed to disentangle their causal relationship. Initially, genetic variants proxied for educational attainment and household income were extracted from the largest genome-wide association studies (GWAS), and two oropharyngeal GWAS datasets were used in the discovery and validation stages separately. A reverse MR analysis was carried out to judge whether oropharyngeal cancer affects educational attainment and household income. The results from the two stages were combined using meta-analysis. The heterogeneity and horizontal pleiotropy were appraised using several methods.ResultsAll selected genetic variants were valid. In the discovery stage, genetically elevated years of education might decrease the risk of oropharyngeal cancer (IVW OR = 0.148 [0.025, 0.872], p-value = 0.035), while such a result became insignificant in the validation stage (IVW p-value >0.05). Household income cannot change the risk of oropharyngeal cancer at both stages. The reverse MR suggested that oropharyngeal cancer should slightly alter household income (IVW OR = 1.001 [1.000, 1.003], p-value = 0.036) in the discovery set, but the result cannot be replicated in the validation stage. The meta-analysis did not find any significant results either. The results were also assessed by sensitivity analyses, and there was no heterogeneity or horizontal pleiotropy in the analyses. The statistical powers were all above 80% at the discovery stage.ConclusionsThere should be no causal association between educational attainment, household income, and oropharyngeal cancer.https://www.frontiersin.org/articles/10.3389/fonc.2023.930940/fulloropharyngeal cancereducation attainmenthousehold incomeMendelian randomizationrisk factors
spellingShingle Li Qi
Li Qi
Wenzhao Bao
Sai Wang
Xiaoxu Ding
Wei Li
Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer
Frontiers in Oncology
oropharyngeal cancer
education attainment
household income
Mendelian randomization
risk factors
title Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer
title_full Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer
title_fullStr Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer
title_full_unstemmed Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer
title_short Mendelian randomization eradicates the causal relationship between educational attainment, household income, and oropharyngeal cancer
title_sort mendelian randomization eradicates the causal relationship between educational attainment household income and oropharyngeal cancer
topic oropharyngeal cancer
education attainment
household income
Mendelian randomization
risk factors
url https://www.frontiersin.org/articles/10.3389/fonc.2023.930940/full
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