Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study

AbstractBackground The aim was to assess the causal relationship between depression and anxiety disorders and endometrial cancer.Method We performed two-sample Mendelian randomisation analysis using summary statistics from genome-wide association studies to assess associations of major depressive di...

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Main Authors: Yewu Sun, Shuo Geng, Chunmeng Fu, Xiaoyan Song, Hua Lin, Yidan Xu
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Obstetrics and Gynaecology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2024.2321321
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author Yewu Sun
Shuo Geng
Chunmeng Fu
Xiaoyan Song
Hua Lin
Yidan Xu
author_facet Yewu Sun
Shuo Geng
Chunmeng Fu
Xiaoyan Song
Hua Lin
Yidan Xu
author_sort Yewu Sun
collection DOAJ
description AbstractBackground The aim was to assess the causal relationship between depression and anxiety disorders and endometrial cancer.Method We performed two-sample Mendelian randomisation analysis using summary statistics from genome-wide association studies to assess associations of major depressive disorder, anxiety and stress-related disorders with endometrial cancer. The genome-wide association studies(GWASs) data were derived from participants of predominantly European ancestry included in the Genome-wide Association Research Collaboration. Inverse variance-weighted, MR-Egger and weighted median MR analyses were performed, together with a range of sensitivity analyses.Results Mendelian randomisation analysis showed no statistically significant genetic responsibility effect of anxiety and stress-related disorders on any pathological type of endometrial cancer. Only the effect of major depressive disorder under the inverse variance weighting method increasing the risk of endometrial endometrial cancer (effect 0.004 p = 0.047) and the effect of major depressive disorder under the MR-Egger method decreasing endometrial cancer of all pathology types (effect −0.691 p = 0.015) were statistically significant. Other Mendelian randomisation analyses did not show a statistically significant effect.Conclusion Major depressive disorder(MDD), anxiety and stress-related disorders(ASRD) are not genetically responsible for endometrial cancer. We consider that emotional disorders may affect endometrial cancer indirectly by affecting body mass index. This study provides us with new insights to better understand the aetiology of endometrial cancer and inform prevention strategies.
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spelling doaj.art-989ab4ff2941416e8ea003d707473ff82024-03-01T05:56:53ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2321321Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation studyYewu Sun0Shuo Geng1Chunmeng Fu2Xiaoyan Song3Hua Lin4Yidan Xu5Department of Gynaecology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Clinical Psychology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Gynaecology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Endocrinology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, ChinaAbstractBackground The aim was to assess the causal relationship between depression and anxiety disorders and endometrial cancer.Method We performed two-sample Mendelian randomisation analysis using summary statistics from genome-wide association studies to assess associations of major depressive disorder, anxiety and stress-related disorders with endometrial cancer. The genome-wide association studies(GWASs) data were derived from participants of predominantly European ancestry included in the Genome-wide Association Research Collaboration. Inverse variance-weighted, MR-Egger and weighted median MR analyses were performed, together with a range of sensitivity analyses.Results Mendelian randomisation analysis showed no statistically significant genetic responsibility effect of anxiety and stress-related disorders on any pathological type of endometrial cancer. Only the effect of major depressive disorder under the inverse variance weighting method increasing the risk of endometrial endometrial cancer (effect 0.004 p = 0.047) and the effect of major depressive disorder under the MR-Egger method decreasing endometrial cancer of all pathology types (effect −0.691 p = 0.015) were statistically significant. Other Mendelian randomisation analyses did not show a statistically significant effect.Conclusion Major depressive disorder(MDD), anxiety and stress-related disorders(ASRD) are not genetically responsible for endometrial cancer. We consider that emotional disorders may affect endometrial cancer indirectly by affecting body mass index. This study provides us with new insights to better understand the aetiology of endometrial cancer and inform prevention strategies.https://www.tandfonline.com/doi/10.1080/01443615.2024.2321321Affect disorderdepressionanxietyrisk factorMendelian randomisation
spellingShingle Yewu Sun
Shuo Geng
Chunmeng Fu
Xiaoyan Song
Hua Lin
Yidan Xu
Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study
Journal of Obstetrics and Gynaecology
Affect disorder
depression
anxiety
risk factor
Mendelian randomisation
title Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study
title_full Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study
title_fullStr Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study
title_full_unstemmed Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study
title_short Causal relationship between affect disorders and endometrial cancer: a Mendelian randomisation study
title_sort causal relationship between affect disorders and endometrial cancer a mendelian randomisation study
topic Affect disorder
depression
anxiety
risk factor
Mendelian randomisation
url https://www.tandfonline.com/doi/10.1080/01443615.2024.2321321
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