Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis

Objective We aim to test whether leukocyte telomere length (LTL) is causally associated with the risk of bipolar disorder (BD) using the Mendelian randomization (MR) method. Methods Results of a genome-wide association study (GWAS) conducted with 472,174 individuals of European descent were used to...

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Main Authors: Likui Lu, Hongtao Zeng, Bangbei Wan, Miao Sun
Format: Article
Language:English
Published: PeerJ Inc. 2023-03-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/15129.pdf
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author Likui Lu
Hongtao Zeng
Bangbei Wan
Miao Sun
author_facet Likui Lu
Hongtao Zeng
Bangbei Wan
Miao Sun
author_sort Likui Lu
collection DOAJ
description Objective We aim to test whether leukocyte telomere length (LTL) is causally associated with the risk of bipolar disorder (BD) using the Mendelian randomization (MR) method. Methods Results of a genome-wide association study (GWAS) conducted with 472,174 individuals of European descent were used to screen for single-nucleotide polymorphisms (SNPs) related with LTL traits. Summary-level data for BD (7,647 cases and 27,303 controls) were obtained from UK Biobank. An inverse-variance-weighted (IVW) method was employed as the primary MR analysis. Sensitivity analyses were conducted via MR-Egger, maximum likelihood, MR-pleiotropy residual sum outlier (MR-PRESSO), and MR-robust adjusted profile score (MR-RAPS) methods. Finally, the MR Steiger test was utilized to validate the hypothesized relationship between exposure and outcome. Results Two-sample MR analysis revealed inverse relationships between genetically predicted LTL and BD risk (IVW OR [odds ratio] = 0.800, 95% CI [0.647–0.989] P = 0.039). Genetically predicted LTL exhibits a consistent connection with BD across five MR methods. Sensitivity analyses showed that the genetically determined effect of LTL on BD was stable and reliable. Furthermore, the MR Steiger test demonstrated that LTL was causal for BD rather than the opposite (P < 0.001). Conclusion Our findings show that genetically determined LTL reduces the risk of BD. More research is required to clarify the mechanisms underlying this apparent causal connection. In addition, these findings may be useful for developing strategies for the prevention and treatment of BD.
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spelling doaj.art-30357b54ea814391ba26e9be8ae847f02023-12-03T11:09:38ZengPeerJ Inc.PeerJ2167-83592023-03-0111e1512910.7717/peerj.15129Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysisLikui Lu0Hongtao Zeng1Bangbei Wan2Miao Sun3The First Affiliated Hospital of Soochow University, Institute for Fetology, Suzhou, Jiangsu, ChinaThe First Affiliated Hospital of Soochow University, Institute for Fetology, Suzhou, Jiangsu, ChinaHainan Women and Children’s Medical Center, Reproductive Medical Center, Haikou, Hainan, ChinaThe First Affiliated Hospital of Soochow University, Institute for Fetology, Suzhou, Jiangsu, ChinaObjective We aim to test whether leukocyte telomere length (LTL) is causally associated with the risk of bipolar disorder (BD) using the Mendelian randomization (MR) method. Methods Results of a genome-wide association study (GWAS) conducted with 472,174 individuals of European descent were used to screen for single-nucleotide polymorphisms (SNPs) related with LTL traits. Summary-level data for BD (7,647 cases and 27,303 controls) were obtained from UK Biobank. An inverse-variance-weighted (IVW) method was employed as the primary MR analysis. Sensitivity analyses were conducted via MR-Egger, maximum likelihood, MR-pleiotropy residual sum outlier (MR-PRESSO), and MR-robust adjusted profile score (MR-RAPS) methods. Finally, the MR Steiger test was utilized to validate the hypothesized relationship between exposure and outcome. Results Two-sample MR analysis revealed inverse relationships between genetically predicted LTL and BD risk (IVW OR [odds ratio] = 0.800, 95% CI [0.647–0.989] P = 0.039). Genetically predicted LTL exhibits a consistent connection with BD across five MR methods. Sensitivity analyses showed that the genetically determined effect of LTL on BD was stable and reliable. Furthermore, the MR Steiger test demonstrated that LTL was causal for BD rather than the opposite (P < 0.001). Conclusion Our findings show that genetically determined LTL reduces the risk of BD. More research is required to clarify the mechanisms underlying this apparent causal connection. In addition, these findings may be useful for developing strategies for the prevention and treatment of BD.https://peerj.com/articles/15129.pdfLeukocyte telomere lengthBipolar disorderMendelian randomizationGenome-wide association studySingle-nucleotide polymorphismsSpinal stenosis
spellingShingle Likui Lu
Hongtao Zeng
Bangbei Wan
Miao Sun
Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis
PeerJ
Leukocyte telomere length
Bipolar disorder
Mendelian randomization
Genome-wide association study
Single-nucleotide polymorphisms
Spinal stenosis
title Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis
title_full Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis
title_fullStr Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis
title_full_unstemmed Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis
title_short Leukocyte telomere length and bipolar disorder risk: evidence from Mendelian randomization analysis
title_sort leukocyte telomere length and bipolar disorder risk evidence from mendelian randomization analysis
topic Leukocyte telomere length
Bipolar disorder
Mendelian randomization
Genome-wide association study
Single-nucleotide polymorphisms
Spinal stenosis
url https://peerj.com/articles/15129.pdf
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AT hongtaozeng leukocytetelomerelengthandbipolardisorderriskevidencefrommendelianrandomizationanalysis
AT bangbeiwan leukocytetelomerelengthandbipolardisorderriskevidencefrommendelianrandomizationanalysis
AT miaosun leukocytetelomerelengthandbipolardisorderriskevidencefrommendelianrandomizationanalysis