Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study

BackgroundSome evidence suggests abnormalities in fatty acids in patients with atopic dermatitis (AD), and benefits of supplementation with these fatty acids have been reported. However, there is still substantial controversy on the correlation between fatty acids and AD. Therefore, the aim of this...

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Main Authors: Jia-Ying Lin, Liang-Juan Ma, Jin-Ping Yuan, Pei Yu, Bing-Xue Bai
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2023.1083455/full
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author Jia-Ying Lin
Liang-Juan Ma
Jin-Ping Yuan
Pei Yu
Bing-Xue Bai
author_facet Jia-Ying Lin
Liang-Juan Ma
Jin-Ping Yuan
Pei Yu
Bing-Xue Bai
author_sort Jia-Ying Lin
collection DOAJ
description BackgroundSome evidence suggests abnormalities in fatty acids in patients with atopic dermatitis (AD), and benefits of supplementation with these fatty acids have been reported. However, there is still substantial controversy on the correlation between fatty acids and AD. Therefore, the aim of this study was to determine whether fatty acid levels are causally related to AD using a Mendelian randomization approach.MethodsWe evaluated the data about the fatty acids levels and AD with various methods from Genome-Wide Association Study (GWAS). GWAS results were available both from European ancestry. Mendelian randomization methods were used to analysis the casual inference of fatty acids on AD. MR Egger and MR-PRESSO were used to determine pleiotropy and heterogeneity. Further analysis was conducted using instruments associated with the FADS genes to address mechanisms involved. We also used Multivariate MR (MVMR) to show the independent casual inference of omega-3 (n-3) fatty acids on AD.ResultsMendelian randomization (MR) analysis suggests that n-3 fatty acid levels are associated with a lower risk of AD (n-3 ORIVW: 0.92, 95% confidence interval [CI]: 0.87–0.98; p = 0.01). Moreover, docosahexaenoic acids (DHA) levels, which is a kind of long-chain, highly unsaturated omega-3 (n-3) fatty acid, and its higher level was associated with a lower risk of AD (DHA ORIVW: 0.91, 95% CI: 0.84–0.98; p = 0.02). We ran multivariable MR analysis while controlling for variables within the other types of fatty acids. The effect estimates agreed with the preliminary MR analysis indicating the effect of n-3 fatty acids levels on AD was robust. MR-egger suggest no significant pleiotropy and heterogeneity on genetic instrumental variants. Outliers-corrected MR analyses after controlling horizontal pleiotropy were still robust. The single-SNP analyses revealed that n-3 fatty acids are likely linked to a decreased risk of AD through FADS cluster, highlighting the significance of the FADS gene in the fatty acids synthesis pathway in the development of AD.ConclusionOur studies suggest that n-3 fatty acids may reduce the risk of AD. Risk prediction tools based on n-3 fatty acid levels may be valuable methods for improving AD screening and primary prevention. To reduce the risk of AD, individuals could enhance n-3 fatty acids intake through supplement or diet.
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spelling doaj.art-bd62031ee395467193c08312583f81942023-02-23T12:42:47ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-02-011010.3389/fnut.2023.10834551083455Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization studyJia-Ying LinLiang-Juan MaJin-Ping YuanPei YuBing-Xue BaiBackgroundSome evidence suggests abnormalities in fatty acids in patients with atopic dermatitis (AD), and benefits of supplementation with these fatty acids have been reported. However, there is still substantial controversy on the correlation between fatty acids and AD. Therefore, the aim of this study was to determine whether fatty acid levels are causally related to AD using a Mendelian randomization approach.MethodsWe evaluated the data about the fatty acids levels and AD with various methods from Genome-Wide Association Study (GWAS). GWAS results were available both from European ancestry. Mendelian randomization methods were used to analysis the casual inference of fatty acids on AD. MR Egger and MR-PRESSO were used to determine pleiotropy and heterogeneity. Further analysis was conducted using instruments associated with the FADS genes to address mechanisms involved. We also used Multivariate MR (MVMR) to show the independent casual inference of omega-3 (n-3) fatty acids on AD.ResultsMendelian randomization (MR) analysis suggests that n-3 fatty acid levels are associated with a lower risk of AD (n-3 ORIVW: 0.92, 95% confidence interval [CI]: 0.87–0.98; p = 0.01). Moreover, docosahexaenoic acids (DHA) levels, which is a kind of long-chain, highly unsaturated omega-3 (n-3) fatty acid, and its higher level was associated with a lower risk of AD (DHA ORIVW: 0.91, 95% CI: 0.84–0.98; p = 0.02). We ran multivariable MR analysis while controlling for variables within the other types of fatty acids. The effect estimates agreed with the preliminary MR analysis indicating the effect of n-3 fatty acids levels on AD was robust. MR-egger suggest no significant pleiotropy and heterogeneity on genetic instrumental variants. Outliers-corrected MR analyses after controlling horizontal pleiotropy were still robust. The single-SNP analyses revealed that n-3 fatty acids are likely linked to a decreased risk of AD through FADS cluster, highlighting the significance of the FADS gene in the fatty acids synthesis pathway in the development of AD.ConclusionOur studies suggest that n-3 fatty acids may reduce the risk of AD. Risk prediction tools based on n-3 fatty acid levels may be valuable methods for improving AD screening and primary prevention. To reduce the risk of AD, individuals could enhance n-3 fatty acids intake through supplement or diet.https://www.frontiersin.org/articles/10.3389/fnut.2023.1083455/fullfatty acidsatopic dermatitisomega-3 fatty acidsFADS geneMendelian randomization study
spellingShingle Jia-Ying Lin
Liang-Juan Ma
Jin-Ping Yuan
Pei Yu
Bing-Xue Bai
Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study
Frontiers in Nutrition
fatty acids
atopic dermatitis
omega-3 fatty acids
FADS gene
Mendelian randomization study
title Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study
title_full Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study
title_fullStr Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study
title_full_unstemmed Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study
title_short Causal effects of fatty acids on atopic dermatitis: A Mendelian randomization study
title_sort causal effects of fatty acids on atopic dermatitis a mendelian randomization study
topic fatty acids
atopic dermatitis
omega-3 fatty acids
FADS gene
Mendelian randomization study
url https://www.frontiersin.org/articles/10.3389/fnut.2023.1083455/full
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