Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study

Abstract Background The causal relationship between work‐related factors and amyotrophic lateral sclerosis (ALS) is unclear. We used a Mendelian randomization (MR) analysis to investigate the unconfounded association between work‐related factors and ALS. Methods Univariable MR analyses were conducte...

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Main Authors: Ming Li, Yile Liao, Zhangkun Luo, Hongfei Song, Zhi Yang
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.3317
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author Ming Li
Yile Liao
Zhangkun Luo
Hongfei Song
Zhi Yang
author_facet Ming Li
Yile Liao
Zhangkun Luo
Hongfei Song
Zhi Yang
author_sort Ming Li
collection DOAJ
description Abstract Background The causal relationship between work‐related factors and amyotrophic lateral sclerosis (ALS) is unclear. We used a Mendelian randomization (MR) analysis to investigate the unconfounded association between work‐related factors and ALS. Methods Univariable MR analyses were conducted to evaluate the causal effects of work‐related factors on ALS. Instrumental variables from the UK Biobank on work‐related factors (n = 263,615) were used as proxies. The outcome dataset used ALS (n case = 20,806, n control = 59,804) summary‐level data from a large‐scale genome‐wide association study based on European ancestry. MR analysis used inverse variance weighted (IVW), MR‐Egger, and weighted median (WM) to assess causal effects and other methods of MR for sensitivity analysis. Further multivariable MR analyses were performed to explore potential mediating effects. Results In univariable MR, IVW methods support evidence that genetically determined job involves heavy manual or physical work (OR = 2.04, 95% CI: 1.26–3.31; p = .004) was associated with an increased risk of ALS, and the WM methods also confirm this result (OR = 2.36, 95% CI: 1.30–4.28; p = .005). No evidence of heterogeneity or horizontal pleiotropy was found in the results. In multivariable MR, the association was absent after adjusting for smoking and blood pressure. Conclusions Our MR analysis results demonstrate the potential causal relationship between jobs that involve heavy manual or physical work and ALS, which might be mediated by smoking and high systolic blood pressure.
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spelling doaj.art-b7afdde801144b9da9f43b756681d78e2024-02-01T07:45:36ZengWileyBrain and Behavior2162-32792023-12-011312n/an/a10.1002/brb3.3317Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization studyMing Li0Yile Liao1Zhangkun Luo2Hongfei Song3Zhi Yang4Department of Neurology Changning County Hospital of Traditional Chinese Medicine Yibin ChinaState Key Laboratory of Southwestern Chinese Medicine Resources School of Basic Medical Sciences Chengdu University of Traditional Chinese Medicine Chengdu ChinaDepartment of Neurology Changning County Hospital of Traditional Chinese Medicine Yibin ChinaSchool of Basic Medical Sciences Chengdu University of Traditional Chinese Medicine Chengdu ChinaDepartment of Respiratory and Critical Care Medicine Changning County Hospital of Traditional Chinese Medicine Yibin ChinaAbstract Background The causal relationship between work‐related factors and amyotrophic lateral sclerosis (ALS) is unclear. We used a Mendelian randomization (MR) analysis to investigate the unconfounded association between work‐related factors and ALS. Methods Univariable MR analyses were conducted to evaluate the causal effects of work‐related factors on ALS. Instrumental variables from the UK Biobank on work‐related factors (n = 263,615) were used as proxies. The outcome dataset used ALS (n case = 20,806, n control = 59,804) summary‐level data from a large‐scale genome‐wide association study based on European ancestry. MR analysis used inverse variance weighted (IVW), MR‐Egger, and weighted median (WM) to assess causal effects and other methods of MR for sensitivity analysis. Further multivariable MR analyses were performed to explore potential mediating effects. Results In univariable MR, IVW methods support evidence that genetically determined job involves heavy manual or physical work (OR = 2.04, 95% CI: 1.26–3.31; p = .004) was associated with an increased risk of ALS, and the WM methods also confirm this result (OR = 2.36, 95% CI: 1.30–4.28; p = .005). No evidence of heterogeneity or horizontal pleiotropy was found in the results. In multivariable MR, the association was absent after adjusting for smoking and blood pressure. Conclusions Our MR analysis results demonstrate the potential causal relationship between jobs that involve heavy manual or physical work and ALS, which might be mediated by smoking and high systolic blood pressure.https://doi.org/10.1002/brb3.3317amyotrophic lateral sclerosisjob involves heavy manual or physical workMendelian randomizationsingle‐nucleotide polymorphisms
spellingShingle Ming Li
Yile Liao
Zhangkun Luo
Hongfei Song
Zhi Yang
Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study
Brain and Behavior
amyotrophic lateral sclerosis
job involves heavy manual or physical work
Mendelian randomization
single‐nucleotide polymorphisms
title Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study
title_full Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study
title_fullStr Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study
title_full_unstemmed Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study
title_short Work‐related factors and risk of amyotrophic lateral sclerosis: A multivariable Mendelian randomization study
title_sort work related factors and risk of amyotrophic lateral sclerosis a multivariable mendelian randomization study
topic amyotrophic lateral sclerosis
job involves heavy manual or physical work
Mendelian randomization
single‐nucleotide polymorphisms
url https://doi.org/10.1002/brb3.3317
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AT zhangkunluo workrelatedfactorsandriskofamyotrophiclateralsclerosisamultivariablemendelianrandomizationstudy
AT hongfeisong workrelatedfactorsandriskofamyotrophiclateralsclerosisamultivariablemendelianrandomizationstudy
AT zhiyang workrelatedfactorsandriskofamyotrophiclateralsclerosisamultivariablemendelianrandomizationstudy