Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study

PurposeThe incidence of primary liver cancer is increasing year by year, with environmental factors playing a non-negligible role. At present, many studies are still disputing whether air pollution is associated with primary liver cancer incidence, and it is difficult to draw causal inferences. Ther...

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Main Authors: Mengting Sun, Ming Gao, Manjun Luo, Tingting Wang, Taowei Zhong, Jiabi Qin
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.2023.1212301/full
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author Mengting Sun
Ming Gao
Manjun Luo
Tingting Wang
Tingting Wang
Taowei Zhong
Jiabi Qin
Jiabi Qin
Jiabi Qin
author_facet Mengting Sun
Ming Gao
Manjun Luo
Tingting Wang
Tingting Wang
Taowei Zhong
Jiabi Qin
Jiabi Qin
Jiabi Qin
author_sort Mengting Sun
collection DOAJ
description PurposeThe incidence of primary liver cancer is increasing year by year, with environmental factors playing a non-negligible role. At present, many studies are still disputing whether air pollution is associated with primary liver cancer incidence, and it is difficult to draw causal inferences. Therefore, in this study, we used two-sample Mendelian randomization (MR) to assess the causal relationship between air pollution (including PM2.5, PM2.5–10, PM10, nitrogen dioxide and nitrogen oxides) and primary liver cancer risk and its related biomarkers (Alpha-fetoprotein, Osteopontin, Glypican-3 and Arginase-1).Patients and methodsWe used large-scale publicly available genome-wide association studies (GWAS) summary data to conduct MR analyses of European and East Asian populations. Inverse variance weighted (IVW) method was used as the main analysis method, and weighted median model, MR-Egger, simple model and weighted model methods were selected for quality control. Heterogeneity was checked by the Cochran’s Q test. The MR-Egger regression and the MR-PRESSO global test detect pleiotropy. The sensitivity analysis was performed using the leave-one-out method.ResultsBetween air pollution and primary liver cancer in either European (PM2.5: p = 0.993; PM2.5–10: p = 0.833; PM10: p = 0.257; nitrogen dioxide: p = 0.215; nitrogen oxides: p = 0.614) or East Asian (PM2.5: p = 0.718; PM2.5–10: p = 0.362; PM10: p = 0.720; nitrogen dioxide: p = 0.101; nitrogen oxides: p = 0.760) populations were found no statistical association. Notably, there was a causal relationship between nitrogen oxides and Arginase-1, a biomarker associated with hepatocellular differentiation, statistically significant associations remained after deletion for single nucleotide polymorphisms (SNPs) associated with alcohol intake frequency, Body mass index (BMI) and cancers (Beta: 4.46; 95%CI: 0.83–8.08; p = 0.015). There was no heterogeneity or pleiotropy in the results.ConclusionThis MR study found no evidence to support a causality between air pollution and primary liver cancer in European and East Asian populations, but nitrogen oxides may affect hepatocellular differentiation.
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spelling doaj.art-6045b6aae0ea4cf4b6a7b8923379b1bb2023-07-27T21:58:07ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.12123011212301Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization studyMengting Sun0Ming Gao1Manjun Luo2Tingting Wang3Tingting Wang4Taowei Zhong5Jiabi Qin6Jiabi Qin7Jiabi Qin8Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Geriatric Medicine, Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha, Hunan, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaNational Health Committee (NHC) Key Laboratory of Birth Defect for Research and Prevention, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, ChinaNational Health Committee (NHC) Key Laboratory of Birth Defect for Research and Prevention, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, ChinaHunan Provincial Key Laboratory of Clinical Epidemiology, Changsha, Hunan, ChinaPurposeThe incidence of primary liver cancer is increasing year by year, with environmental factors playing a non-negligible role. At present, many studies are still disputing whether air pollution is associated with primary liver cancer incidence, and it is difficult to draw causal inferences. Therefore, in this study, we used two-sample Mendelian randomization (MR) to assess the causal relationship between air pollution (including PM2.5, PM2.5–10, PM10, nitrogen dioxide and nitrogen oxides) and primary liver cancer risk and its related biomarkers (Alpha-fetoprotein, Osteopontin, Glypican-3 and Arginase-1).Patients and methodsWe used large-scale publicly available genome-wide association studies (GWAS) summary data to conduct MR analyses of European and East Asian populations. Inverse variance weighted (IVW) method was used as the main analysis method, and weighted median model, MR-Egger, simple model and weighted model methods were selected for quality control. Heterogeneity was checked by the Cochran’s Q test. The MR-Egger regression and the MR-PRESSO global test detect pleiotropy. The sensitivity analysis was performed using the leave-one-out method.ResultsBetween air pollution and primary liver cancer in either European (PM2.5: p = 0.993; PM2.5–10: p = 0.833; PM10: p = 0.257; nitrogen dioxide: p = 0.215; nitrogen oxides: p = 0.614) or East Asian (PM2.5: p = 0.718; PM2.5–10: p = 0.362; PM10: p = 0.720; nitrogen dioxide: p = 0.101; nitrogen oxides: p = 0.760) populations were found no statistical association. Notably, there was a causal relationship between nitrogen oxides and Arginase-1, a biomarker associated with hepatocellular differentiation, statistically significant associations remained after deletion for single nucleotide polymorphisms (SNPs) associated with alcohol intake frequency, Body mass index (BMI) and cancers (Beta: 4.46; 95%CI: 0.83–8.08; p = 0.015). There was no heterogeneity or pleiotropy in the results.ConclusionThis MR study found no evidence to support a causality between air pollution and primary liver cancer in European and East Asian populations, but nitrogen oxides may affect hepatocellular differentiation.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1212301/fullair pollutionprimary liver cancerparticulate matternitrogen oxidesbiomarkers
spellingShingle Mengting Sun
Ming Gao
Manjun Luo
Tingting Wang
Tingting Wang
Taowei Zhong
Jiabi Qin
Jiabi Qin
Jiabi Qin
Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study
Frontiers in Public Health
air pollution
primary liver cancer
particulate matter
nitrogen oxides
biomarkers
title Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study
title_full Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study
title_fullStr Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study
title_full_unstemmed Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study
title_short Association between air pollution and primary liver cancer in European and east Asian populations: a Mendelian randomization study
title_sort association between air pollution and primary liver cancer in european and east asian populations a mendelian randomization study
topic air pollution
primary liver cancer
particulate matter
nitrogen oxides
biomarkers
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1212301/full
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