Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study

PurposeIn recent years, the relationship between malignant tumors and atrial fibrillation has attracted more and more attention. Atrial fibrillation can also cause a series of adverse events, such as the risk of thromboembolism. Also, Warfarin is often used here. But, the relationship between cutane...

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Main Authors: Wang Xiaowu, Zhou Qiang, Han Yike, Zhixuan Wu, Jin Yiheng, Chen Xuemei, Lin Sen, Chen Jiong
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1336849/full
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author Wang Xiaowu
Zhou Qiang
Han Yike
Zhixuan Wu
Jin Yiheng
Chen Xuemei
Lin Sen
Chen Jiong
author_facet Wang Xiaowu
Zhou Qiang
Han Yike
Zhixuan Wu
Jin Yiheng
Chen Xuemei
Lin Sen
Chen Jiong
author_sort Wang Xiaowu
collection DOAJ
description PurposeIn recent years, the relationship between malignant tumors and atrial fibrillation has attracted more and more attention. Atrial fibrillation can also cause a series of adverse events, such as the risk of thromboembolism. Also, Warfarin is often used here. But, the relationship between cutaneous melanoma and atrial fibrillation, and between cutaneous melanoma and warfarin is still unclear. Therefore, we used a two-sample Mendelian randomization to assess the causal relationship between atrial fibrillation/warfarin and cutaneous melanoma (cM).MethodsFirstly, atrial fibrillation (ukb-b-11550; nCase = 3,518, nControl = 459,415) and warfarin (ukb-b-13248; nCase = 4,623, nControl = 458,310) as exposures, with genome-wide association studies (GWAS) data from the United Kingdom Biobank. And cM (ieu-b-4969; nCase = 3,751, nControl = 372,016) as outcome, with GWAS data from the IEU Open GWAS project. Subsequently, single-nucleotide polymorphisms (SNPs) were filtered from GWAS studies using quality control measures. In addition, two-sample Mendelian randomization (MR) analysis was performed to explore the causal relationship between atrial fibrillation or warfarin and cM and used inverse variance weighting (IVW) as the primary analytical method. Finally, relevant heterogeneity and sensitivity analysis were performed to ensure the accuracy of the results.ResultsA causal relationship between atrial fibrillation and cutaneous melanoma was observed, and between warfarin and cutaneous melanoma.ConclusionThe atrial fibrillation may play a causal role in the development of cutaneous melanoma, but the mechanism and the causal relationship between warfarin and cutaneous melanoma needs to be further elucidated.
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spelling doaj.art-9c941ff0c62f4e5d8b7271caa12801ed2024-03-05T05:07:27ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-03-011110.3389/fmed.2024.13368491336849Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization studyWang Xiaowu0Zhou Qiang1Han Yike2Zhixuan Wu3Jin Yiheng4Chen Xuemei5Lin Sen6Chen Jiong7Department of Burns and Skin Repair Surgery, The Third Affiliated Hospital of Wenzhou Medical University (Ruian People’s Hospital), Wenzhou, ChinaDepartment of Otolaryngology, The Third Affiliated Hospital of Wenzhou Medical University (Ruian People’s Hospital), Wenzhou, ChinaDepartment of Gynaecology and Obstetrics, The Third Affiliated Hospital of Wenzhou Medical University (Ruian People’s Hospital), Wenzhou, ChinaDepartment of Nail and Breast Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaCollege of Public Health and Management, Wenzhou Medical University, Wenzhou, ChinaSchool of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, ChinaDepartment of Otolaryngology, The Third Affiliated Hospital of Wenzhou Medical University (Ruian People’s Hospital), Wenzhou, ChinaDepartment of Burns and Skin Repair Surgery, The Third Affiliated Hospital of Wenzhou Medical University (Ruian People’s Hospital), Wenzhou, ChinaPurposeIn recent years, the relationship between malignant tumors and atrial fibrillation has attracted more and more attention. Atrial fibrillation can also cause a series of adverse events, such as the risk of thromboembolism. Also, Warfarin is often used here. But, the relationship between cutaneous melanoma and atrial fibrillation, and between cutaneous melanoma and warfarin is still unclear. Therefore, we used a two-sample Mendelian randomization to assess the causal relationship between atrial fibrillation/warfarin and cutaneous melanoma (cM).MethodsFirstly, atrial fibrillation (ukb-b-11550; nCase = 3,518, nControl = 459,415) and warfarin (ukb-b-13248; nCase = 4,623, nControl = 458,310) as exposures, with genome-wide association studies (GWAS) data from the United Kingdom Biobank. And cM (ieu-b-4969; nCase = 3,751, nControl = 372,016) as outcome, with GWAS data from the IEU Open GWAS project. Subsequently, single-nucleotide polymorphisms (SNPs) were filtered from GWAS studies using quality control measures. In addition, two-sample Mendelian randomization (MR) analysis was performed to explore the causal relationship between atrial fibrillation or warfarin and cM and used inverse variance weighting (IVW) as the primary analytical method. Finally, relevant heterogeneity and sensitivity analysis were performed to ensure the accuracy of the results.ResultsA causal relationship between atrial fibrillation and cutaneous melanoma was observed, and between warfarin and cutaneous melanoma.ConclusionThe atrial fibrillation may play a causal role in the development of cutaneous melanoma, but the mechanism and the causal relationship between warfarin and cutaneous melanoma needs to be further elucidated.https://www.frontiersin.org/articles/10.3389/fmed.2024.1336849/fullatrial fibrillationwarfarincutaneous melanomaMendelian randomization studysensitivity analysis
spellingShingle Wang Xiaowu
Zhou Qiang
Han Yike
Zhixuan Wu
Jin Yiheng
Chen Xuemei
Lin Sen
Chen Jiong
Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study
Frontiers in Medicine
atrial fibrillation
warfarin
cutaneous melanoma
Mendelian randomization study
sensitivity analysis
title Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study
title_full Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study
title_fullStr Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study
title_full_unstemmed Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study
title_short Causal relationship between atrial fibrillation/warfarin and cutaneous melanoma: a two-sample Mendelian randomization study
title_sort causal relationship between atrial fibrillation warfarin and cutaneous melanoma a two sample mendelian randomization study
topic atrial fibrillation
warfarin
cutaneous melanoma
Mendelian randomization study
sensitivity analysis
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1336849/full
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