Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study

ObjectivesObservational studies have revealed that socioeconomic status is associated with neurological disorders and aging. However, the potential causal effect between the two remains unclear. We therefore aimed to investigate the causal relationship between household income status and genetic sus...

Full description

Bibliographic Details
Main Authors: Weidong Nong, Gui Mo, Chun Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1202747/full
_version_ 1797772165885460480
author Weidong Nong
Gui Mo
Chun Luo
author_facet Weidong Nong
Gui Mo
Chun Luo
author_sort Weidong Nong
collection DOAJ
description ObjectivesObservational studies have revealed that socioeconomic status is associated with neurological disorders and aging. However, the potential causal effect between the two remains unclear. We therefore aimed to investigate the causal relationship between household income status and genetic susceptibility to neurological diseases using a bidirectional Mendelian randomization (MR) study.MethodsAn MR study was conducted on a large-sample cohort of the European population pulled from a publicly available genome-wide association study dataset, using a random-effects inverse-variance weighting model as the main standard. MR-Egger regression, weighted median, and maximum likelihood estimation were also performed concurrently as supplements. A sensitivity analysis, consisting of a heterogeneity test and horizontal pleiotropy test, was performed using Cochran’s Q, MR-Egger intercept, and MR-PRESSO tests to ensure the reliability of the conclusion.ResultsThe results suggested that higher household income tended to lower the risk of genetic susceptibility to Alzheimer’s disease (odds ratio [OR]: 0.740, 95% confidence interval [CI] = 0.559–0.980, p-value = 0.036) and ischemic stroke (OR: 0.801, 95% CI = 0.662–0.968, p-value = 0.022). By contrast, higher household income tended to increase the risk of genetic susceptibility to Parkinson’s disease (OR: 2.605, 95% CI = 1.413–4.802, p-value = 0.002). No associations were evident for intracranial hemorrhage (OR: 1.002, 95% CI = 0.607–1.653, p-value = 0.993), cerebral aneurysm (OR: 0.597, 95% CI = 0.243–1.465, p-value = 0.260), subarachnoid hemorrhage (OR: 1.474, 95% CI = 0.699–3.110, p-value = 0.308), or epilepsy (OR: 1.029, 95% CI = 0.662–1.600, p-value = 0.899). The reverse MR study suggested no reverse causal relationship between neurological disorders and household income status. A sensitivity analysis verified the reliability of the results.ConclusionOur results revealed that the populations with a superior household income exhibit an increased predisposition of genetic susceptibility to Parkinson’s Disease, while demonstrating a potential decreased genetic susceptibility to ischemic stroke and Alzheimer’s disease.
first_indexed 2024-03-12T21:48:05Z
format Article
id doaj.art-4003d1130b274c46b156742b32a4f8bc
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-12T21:48:05Z
publishDate 2023-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-4003d1130b274c46b156742b32a4f8bc2023-07-26T07:27:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.12027471202747Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization studyWeidong NongGui MoChun LuoObjectivesObservational studies have revealed that socioeconomic status is associated with neurological disorders and aging. However, the potential causal effect between the two remains unclear. We therefore aimed to investigate the causal relationship between household income status and genetic susceptibility to neurological diseases using a bidirectional Mendelian randomization (MR) study.MethodsAn MR study was conducted on a large-sample cohort of the European population pulled from a publicly available genome-wide association study dataset, using a random-effects inverse-variance weighting model as the main standard. MR-Egger regression, weighted median, and maximum likelihood estimation were also performed concurrently as supplements. A sensitivity analysis, consisting of a heterogeneity test and horizontal pleiotropy test, was performed using Cochran’s Q, MR-Egger intercept, and MR-PRESSO tests to ensure the reliability of the conclusion.ResultsThe results suggested that higher household income tended to lower the risk of genetic susceptibility to Alzheimer’s disease (odds ratio [OR]: 0.740, 95% confidence interval [CI] = 0.559–0.980, p-value = 0.036) and ischemic stroke (OR: 0.801, 95% CI = 0.662–0.968, p-value = 0.022). By contrast, higher household income tended to increase the risk of genetic susceptibility to Parkinson’s disease (OR: 2.605, 95% CI = 1.413–4.802, p-value = 0.002). No associations were evident for intracranial hemorrhage (OR: 1.002, 95% CI = 0.607–1.653, p-value = 0.993), cerebral aneurysm (OR: 0.597, 95% CI = 0.243–1.465, p-value = 0.260), subarachnoid hemorrhage (OR: 1.474, 95% CI = 0.699–3.110, p-value = 0.308), or epilepsy (OR: 1.029, 95% CI = 0.662–1.600, p-value = 0.899). The reverse MR study suggested no reverse causal relationship between neurological disorders and household income status. A sensitivity analysis verified the reliability of the results.ConclusionOur results revealed that the populations with a superior household income exhibit an increased predisposition of genetic susceptibility to Parkinson’s Disease, while demonstrating a potential decreased genetic susceptibility to ischemic stroke and Alzheimer’s disease.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1202747/fullhousehold income statusneurological diseasescausal relationshipinstrumental variableMendelian randomization study
spellingShingle Weidong Nong
Gui Mo
Chun Luo
Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
Frontiers in Public Health
household income status
neurological diseases
causal relationship
instrumental variable
Mendelian randomization study
title Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
title_full Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
title_fullStr Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
title_full_unstemmed Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
title_short Exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases: findings from a Mendelian randomization study
title_sort exploring the bidirectional causal link between household income status and genetic susceptibility to neurological diseases findings from a mendelian randomization study
topic household income status
neurological diseases
causal relationship
instrumental variable
Mendelian randomization study
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1202747/full
work_keys_str_mv AT weidongnong exploringthebidirectionalcausallinkbetweenhouseholdincomestatusandgeneticsusceptibilitytoneurologicaldiseasesfindingsfromamendelianrandomizationstudy
AT guimo exploringthebidirectionalcausallinkbetweenhouseholdincomestatusandgeneticsusceptibilitytoneurologicaldiseasesfindingsfromamendelianrandomizationstudy
AT chunluo exploringthebidirectionalcausallinkbetweenhouseholdincomestatusandgeneticsusceptibilitytoneurologicaldiseasesfindingsfromamendelianrandomizationstudy