No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis

ObjectivesPeriodontitis (PD) has been linked to arthritis in previous epidemiological observational studies; however, the results are inconclusive. It remains unclear whether the association between PD and arthritis is causal. The purpose of this study was to investigate the causal association of PD...

Full description

Bibliographic Details
Main Authors: Kang-Jia Yin, Ji-Xiang Huang, Peng Wang, Xiao-Ke Yang, Sha-Sha Tao, Hong-Miao Li, Jing Ni, Hai-Feng Pan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.808832/full
_version_ 1818333132707856384
author Kang-Jia Yin
Kang-Jia Yin
Ji-Xiang Huang
Ji-Xiang Huang
Peng Wang
Peng Wang
Xiao-Ke Yang
Sha-Sha Tao
Sha-Sha Tao
Hong-Miao Li
Hong-Miao Li
Jing Ni
Jing Ni
Hai-Feng Pan
Hai-Feng Pan
author_facet Kang-Jia Yin
Kang-Jia Yin
Ji-Xiang Huang
Ji-Xiang Huang
Peng Wang
Peng Wang
Xiao-Ke Yang
Sha-Sha Tao
Sha-Sha Tao
Hong-Miao Li
Hong-Miao Li
Jing Ni
Jing Ni
Hai-Feng Pan
Hai-Feng Pan
author_sort Kang-Jia Yin
collection DOAJ
description ObjectivesPeriodontitis (PD) has been linked to arthritis in previous epidemiological observational studies; however, the results are inconclusive. It remains unclear whether the association between PD and arthritis is causal. The purpose of this study was to investigate the causal association of PD with arthritis, including rheumatoid arthritis (RA) and osteoarthritis (OA).MethodsWe performed a two-sample bidirectional Mendelian randomization (MR) analysis using publicly released genome-wide association studies (GWAS) statistics. The inverse-variance weighted (IVW) method was used as the primary analysis. We applied four complementary methods, including weighted median, weighted mode, MR-Egger regression and MR pleiotropy residual sum and outlier (MR-PRESSO) to detect and correct for the effect of horizontal pleiotropy.ResultsGenetically determined PD did not have a causal effect on OA (OR = 1.06, 95% CI: 0.99-1.15, P = 0.09) and RA (OR = 0.99, 95% CI: 0.87-1.13, P = 0.89). Furthermore, we did not find a significant causal effect of arthritis on PD in the reverse MR analysis. The results of MR-Egger regression, Weighted Median, and Weighted Mode methods were consistent with those of the IVW method. Horizontal pleiotropy was unlikely to distort the causal estimates according to the sensitivity analysis.ConclusionsOur MR analysis reveals non-causal association of PD with arthritis, despite observational studies reporting an association between PD and arthritis.
first_indexed 2024-12-13T13:46:47Z
format Article
id doaj.art-bc0745b5e68441d6a85b0872cbc7ab46
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-12-13T13:46:47Z
publishDate 2022-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-bc0745b5e68441d6a85b0872cbc7ab462022-12-21T23:43:23ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-01-011310.3389/fimmu.2022.808832808832No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization AnalysisKang-Jia Yin0Kang-Jia Yin1Ji-Xiang Huang2Ji-Xiang Huang3Peng Wang4Peng Wang5Xiao-Ke Yang6Sha-Sha Tao7Sha-Sha Tao8Hong-Miao Li9Hong-Miao Li10Jing Ni11Jing Ni12Hai-Feng Pan13Hai-Feng Pan14Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Anhui Medical University, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Hefei, ChinaObjectivesPeriodontitis (PD) has been linked to arthritis in previous epidemiological observational studies; however, the results are inconclusive. It remains unclear whether the association between PD and arthritis is causal. The purpose of this study was to investigate the causal association of PD with arthritis, including rheumatoid arthritis (RA) and osteoarthritis (OA).MethodsWe performed a two-sample bidirectional Mendelian randomization (MR) analysis using publicly released genome-wide association studies (GWAS) statistics. The inverse-variance weighted (IVW) method was used as the primary analysis. We applied four complementary methods, including weighted median, weighted mode, MR-Egger regression and MR pleiotropy residual sum and outlier (MR-PRESSO) to detect and correct for the effect of horizontal pleiotropy.ResultsGenetically determined PD did not have a causal effect on OA (OR = 1.06, 95% CI: 0.99-1.15, P = 0.09) and RA (OR = 0.99, 95% CI: 0.87-1.13, P = 0.89). Furthermore, we did not find a significant causal effect of arthritis on PD in the reverse MR analysis. The results of MR-Egger regression, Weighted Median, and Weighted Mode methods were consistent with those of the IVW method. Horizontal pleiotropy was unlikely to distort the causal estimates according to the sensitivity analysis.ConclusionsOur MR analysis reveals non-causal association of PD with arthritis, despite observational studies reporting an association between PD and arthritis.https://www.frontiersin.org/articles/10.3389/fimmu.2022.808832/fullperiodontitisosteoarthritisrheumatoid arthritisMendelian randomizationcausal relationship
spellingShingle Kang-Jia Yin
Kang-Jia Yin
Ji-Xiang Huang
Ji-Xiang Huang
Peng Wang
Peng Wang
Xiao-Ke Yang
Sha-Sha Tao
Sha-Sha Tao
Hong-Miao Li
Hong-Miao Li
Jing Ni
Jing Ni
Hai-Feng Pan
Hai-Feng Pan
No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis
Frontiers in Immunology
periodontitis
osteoarthritis
rheumatoid arthritis
Mendelian randomization
causal relationship
title No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis
title_full No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis
title_fullStr No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis
title_full_unstemmed No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis
title_short No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis
title_sort no genetic causal association between periodontitis and arthritis a bidirectional two sample mendelian randomization analysis
topic periodontitis
osteoarthritis
rheumatoid arthritis
Mendelian randomization
causal relationship
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.808832/full
work_keys_str_mv AT kangjiayin nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT kangjiayin nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT jixianghuang nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT jixianghuang nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT pengwang nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT pengwang nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT xiaokeyang nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT shashatao nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT shashatao nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT hongmiaoli nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT hongmiaoli nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT jingni nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT jingni nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT haifengpan nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis
AT haifengpan nogeneticcausalassociationbetweenperiodontitisandarthritisabidirectionaltwosamplemendelianrandomizationanalysis