Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design

Asthma is a common chronic respiratory disease. In the past 10 years, genome-wide association study (GWAS) has been widely used to identify the common asthma genetic variants. Importantly, these publicly available asthma GWAS datasets provide important data support to investigate the causal associat...

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Main Authors: Yunxia Li, Wenhao Chen, Shiyao Tian, Shuyue Xia, Biao Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2021.716364/full
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author Yunxia Li
Wenhao Chen
Shiyao Tian
Shuyue Xia
Biao Yang
author_facet Yunxia Li
Wenhao Chen
Shiyao Tian
Shuyue Xia
Biao Yang
author_sort Yunxia Li
collection DOAJ
description Asthma is a common chronic respiratory disease. In the past 10 years, genome-wide association study (GWAS) has been widely used to identify the common asthma genetic variants. Importantly, these publicly available asthma GWAS datasets provide important data support to investigate the causal association of kinds of risk factors with asthma by a Mendelian randomization (MR) design. It is known that socioeconomic status is associated with asthma. However, it remains unclear about the causal association between socioeconomic status and asthma. Here, we selected 162 independent educational attainment genetic variants as the potential instruments to evaluate the causal association between educational attainment and asthma using large-scale GWAS datasets of educational attainment (n = 405,072) and asthma (n = 30,810). We conducted a pleiotropy analysis using the MR-Egger intercept test and the MR pleiotropy residual sum and outlier (MR-PRESSO) test. We performed an MR analysis using inverse-variance weighted, weighted median, MR-Egger, and MR-PRESSO. The main analysis method inverse-variance weighted indicated that each 1 standard deviation increase in educational attainment (3.6 years) could reduce 35% asthma risk [odds ratio (OR) = 0.65, 95% confidence interval (CI) 0.51–0.85, P = 0.001]. Importantly, evidence from other MR methods further supported this finding, including weighted median (OR = 0.55, 95% CI 0.38–0.80, P = 0.001), MR-Egger (OR = 0.48, 95% CI 0.16–1.46, P = 0.198), and MR-PRESSO (OR = 0.65, 95% CI 0.51–0.85, P = 0.0015). Meanwhile, we provide evidence to support that educational attainment protects against asthma risk dependently on cognitive performance using multivariable MR analysis. In summary, we highlight the protective role of educational attainment against asthma. Our findings may have public health applications and deserve further investigation.
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spelling doaj.art-afa65f3df63b4d62b6c1967f542441df2022-12-21T18:52:01ZengFrontiers Media S.A.Frontiers in Genetics1664-80212021-08-011210.3389/fgene.2021.716364716364Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization DesignYunxia Li0Wenhao Chen1Shiyao Tian2Shuyue Xia3Biao Yang4Department of Respiratory and Critical Care Medicine, Affiliated Central Hospital, Shenyang Medical College, Shenyang, ChinaDepartment of Respiratory and Critical Care Medicine, Affiliated Central Hospital, Shenyang Medical College, Shenyang, ChinaDepartment of Respiratory and Critical Care Medicine, Affiliated Central Hospital, Shenyang Medical College, Shenyang, ChinaDepartment of Respiratory and Critical Care Medicine, Affiliated Central Hospital, Shenyang Medical College, Shenyang, ChinaDepartment of Pathogen Biology, Shenyang Medical College, Shenyang, ChinaAsthma is a common chronic respiratory disease. In the past 10 years, genome-wide association study (GWAS) has been widely used to identify the common asthma genetic variants. Importantly, these publicly available asthma GWAS datasets provide important data support to investigate the causal association of kinds of risk factors with asthma by a Mendelian randomization (MR) design. It is known that socioeconomic status is associated with asthma. However, it remains unclear about the causal association between socioeconomic status and asthma. Here, we selected 162 independent educational attainment genetic variants as the potential instruments to evaluate the causal association between educational attainment and asthma using large-scale GWAS datasets of educational attainment (n = 405,072) and asthma (n = 30,810). We conducted a pleiotropy analysis using the MR-Egger intercept test and the MR pleiotropy residual sum and outlier (MR-PRESSO) test. We performed an MR analysis using inverse-variance weighted, weighted median, MR-Egger, and MR-PRESSO. The main analysis method inverse-variance weighted indicated that each 1 standard deviation increase in educational attainment (3.6 years) could reduce 35% asthma risk [odds ratio (OR) = 0.65, 95% confidence interval (CI) 0.51–0.85, P = 0.001]. Importantly, evidence from other MR methods further supported this finding, including weighted median (OR = 0.55, 95% CI 0.38–0.80, P = 0.001), MR-Egger (OR = 0.48, 95% CI 0.16–1.46, P = 0.198), and MR-PRESSO (OR = 0.65, 95% CI 0.51–0.85, P = 0.0015). Meanwhile, we provide evidence to support that educational attainment protects against asthma risk dependently on cognitive performance using multivariable MR analysis. In summary, we highlight the protective role of educational attainment against asthma. Our findings may have public health applications and deserve further investigation.https://www.frontiersin.org/articles/10.3389/fgene.2021.716364/fullasthmaeducational attainmentgenome-wide association studyMendelian randomizationinverse-variance weighted
spellingShingle Yunxia Li
Wenhao Chen
Shiyao Tian
Shuyue Xia
Biao Yang
Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design
Frontiers in Genetics
asthma
educational attainment
genome-wide association study
Mendelian randomization
inverse-variance weighted
title Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design
title_full Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design
title_fullStr Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design
title_full_unstemmed Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design
title_short Evaluating the Causal Association Between Educational Attainment and Asthma Using a Mendelian Randomization Design
title_sort evaluating the causal association between educational attainment and asthma using a mendelian randomization design
topic asthma
educational attainment
genome-wide association study
Mendelian randomization
inverse-variance weighted
url https://www.frontiersin.org/articles/10.3389/fgene.2021.716364/full
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