Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis

IntroductionOver the past few years, multiple observational studies have speculated a potential association between inflammatory bowel disease (IBD), which includes ulcerative colitis (UC) and Crohn’s disease (CD), and osteoporosis. However, no consensus has been reached regarding their interdepende...

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Main Authors: Zhujiang Dai, Weimin Xu, Rui Ding, Xiang Peng, Xia Shen, Jinglue Song, Peng Du, Zhongchuan Wang, Yun Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1151837/full
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author Zhujiang Dai
Zhujiang Dai
Weimin Xu
Weimin Xu
Rui Ding
Rui Ding
Xiang Peng
Xiang Peng
Xia Shen
Xia Shen
Jinglue Song
Jinglue Song
Peng Du
Peng Du
Zhongchuan Wang
Zhongchuan Wang
Yun Liu
Yun Liu
author_facet Zhujiang Dai
Zhujiang Dai
Weimin Xu
Weimin Xu
Rui Ding
Rui Ding
Xiang Peng
Xiang Peng
Xia Shen
Xia Shen
Jinglue Song
Jinglue Song
Peng Du
Peng Du
Zhongchuan Wang
Zhongchuan Wang
Yun Liu
Yun Liu
author_sort Zhujiang Dai
collection DOAJ
description IntroductionOver the past few years, multiple observational studies have speculated a potential association between inflammatory bowel disease (IBD), which includes ulcerative colitis (UC) and Crohn’s disease (CD), and osteoporosis. However, no consensus has been reached regarding their interdependence and pathogenesis. Herein, we sought to further explore the causal associations between them.MethodsWe validated the association between IBD and reduced bone mineral density in humans based on genome-wide association studies (GWAS) data. To investigate the causal relationship between IBD and osteoporosis, we performed a two-sample Mendelian randomization study using training and validation sets. Genetic variation data for IBD, CD, UC, and osteoporosis were derived from published genome-wide association studies in individuals of European ancestry. After a series of robust quality control steps, we included eligible instrumental variables (SNPs) significantly associated with exposure (IBD/CD/UC). We adopted five algorithms, including MR Egger, Weighted median, Inverse variance weighted, Simple mode, and Weighted mode, to infer the causal association between IBD and osteoporosis. In addition, we evaluated the robustness of Mendelian randomization analysis by heterogeneity test, pleiotropy test, leave-one-out sensitivity test, and multivariate Mendelian randomization.ResultsGenetically predicted CD was positively associated with osteoporosis risk, with ORs of 1.060 (95% CIs 1.016, 1.106; p = 0.007) and 1.044 (95% CIs 1.002, 1.088; p = 0.039) for CD in the training and validation sets, respectively. However, Mendelian randomization analysis did not reveal a significant causal relationship between UC and osteoporosis (p > 0.05). Furthermore, we found that overall IBD was associated with osteoporosis prediction, with ORs of 1.050 (95% CIs 0.999, 1.103; p = 0.055) and 1.063 (95% CIs 1.019, 1.109; p = 0.005) in the training and validation sets, respectively.ConclusionWe demonstrated the causal association between CD and osteoporosis, complementing the framework for genetic variants that predispose to autoimmune disease.
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spelling doaj.art-43f97ce4f28b45e88d941b47a98bd1df2023-05-26T04:59:41ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-05-011110.3389/fpubh.2023.11518371151837Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosisZhujiang Dai0Zhujiang Dai1Weimin Xu2Weimin Xu3Rui Ding4Rui Ding5Xiang Peng6Xiang Peng7Xia Shen8Xia Shen9Jinglue Song10Jinglue Song11Peng Du12Peng Du13Zhongchuan Wang14Zhongchuan Wang15Yun Liu16Yun Liu17Department of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaDepartment of Colorectal Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaShanghai Colorectal Cancer Research Center, Shanghai, ChinaIntroductionOver the past few years, multiple observational studies have speculated a potential association between inflammatory bowel disease (IBD), which includes ulcerative colitis (UC) and Crohn’s disease (CD), and osteoporosis. However, no consensus has been reached regarding their interdependence and pathogenesis. Herein, we sought to further explore the causal associations between them.MethodsWe validated the association between IBD and reduced bone mineral density in humans based on genome-wide association studies (GWAS) data. To investigate the causal relationship between IBD and osteoporosis, we performed a two-sample Mendelian randomization study using training and validation sets. Genetic variation data for IBD, CD, UC, and osteoporosis were derived from published genome-wide association studies in individuals of European ancestry. After a series of robust quality control steps, we included eligible instrumental variables (SNPs) significantly associated with exposure (IBD/CD/UC). We adopted five algorithms, including MR Egger, Weighted median, Inverse variance weighted, Simple mode, and Weighted mode, to infer the causal association between IBD and osteoporosis. In addition, we evaluated the robustness of Mendelian randomization analysis by heterogeneity test, pleiotropy test, leave-one-out sensitivity test, and multivariate Mendelian randomization.ResultsGenetically predicted CD was positively associated with osteoporosis risk, with ORs of 1.060 (95% CIs 1.016, 1.106; p = 0.007) and 1.044 (95% CIs 1.002, 1.088; p = 0.039) for CD in the training and validation sets, respectively. However, Mendelian randomization analysis did not reveal a significant causal relationship between UC and osteoporosis (p > 0.05). Furthermore, we found that overall IBD was associated with osteoporosis prediction, with ORs of 1.050 (95% CIs 0.999, 1.103; p = 0.055) and 1.063 (95% CIs 1.019, 1.109; p = 0.005) in the training and validation sets, respectively.ConclusionWe demonstrated the causal association between CD and osteoporosis, complementing the framework for genetic variants that predispose to autoimmune disease.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1151837/fullinflammatory bowel diseaseosteoporosisMendelian randomizationcausal associationGWAS
spellingShingle Zhujiang Dai
Zhujiang Dai
Weimin Xu
Weimin Xu
Rui Ding
Rui Ding
Xiang Peng
Xiang Peng
Xia Shen
Xia Shen
Jinglue Song
Jinglue Song
Peng Du
Peng Du
Zhongchuan Wang
Zhongchuan Wang
Yun Liu
Yun Liu
Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
Frontiers in Public Health
inflammatory bowel disease
osteoporosis
Mendelian randomization
causal association
GWAS
title Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
title_full Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
title_fullStr Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
title_full_unstemmed Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
title_short Two-sample Mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
title_sort two sample mendelian randomization analysis evaluates causal associations between inflammatory bowel disease and osteoporosis
topic inflammatory bowel disease
osteoporosis
Mendelian randomization
causal association
GWAS
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1151837/full
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