Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study

Recent studies have suggested an association between iritis or uveitis and glaucoma. This study investigated the causal relationship between glaucoma and iritis and uveitis as exposures in a multi-ethnic population. Single-nucleotide polymorphisms associated with exposures to iritis and uveitis from...

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Main Authors: Je Hyun Seo, Young Lee
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/14/3/642
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author Je Hyun Seo
Young Lee
author_facet Je Hyun Seo
Young Lee
author_sort Je Hyun Seo
collection DOAJ
description Recent studies have suggested an association between iritis or uveitis and glaucoma. This study investigated the causal relationship between glaucoma and iritis and uveitis as exposures in a multi-ethnic population. Single-nucleotide polymorphisms associated with exposures to iritis and uveitis from the genome-wide association study (GWAS) data of Biobank Japan (BBJ) and the meta-analysis data from BBJ and UK Biobank (UKB) were used as instrumental variables (IVs). The GWAS dataset for glaucoma was extracted from the meta-analysis data (<i>n</i> = 240,302) of Genetic Epidemiology Research in Adult Health and Aging and UKB. The casual estimates were assessed with a two-sample Mendelian randomisation (MR) test using the inverse-variance-weighted (IVW) method, weighted median method, MR–Egger method, and MR-Pleiotropy Residual Sum and Outlier test. The IVW method revealed a significant causal association between iritis and glaucoma using IVs (<i>p</i> < 5.0 ×<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mo> </mo><msup><mrow><mn>10</mn></mrow><mrow><mo>−</mo><mn>8</mn></mrow></msup></mrow></semantics></math></inline-formula>) from the East Asian population (<i>n</i> = 2) (odds ratio [OR] = 1.01, <i>p</i> = 0.017), a significant association between iritis exposures (<i>p</i> < 5.0 × <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><msup><mrow><mn>10</mn></mrow><mrow><mo>−</mo><mn>8</mn></mrow></msup></mrow></semantics></math></inline-formula>) in the multi-ethnic population (<i>n</i> = 11) (OR = 1.04, <i>p</i> = 0.001), and a significant causal association between uveitis exposures (<i>n</i> = 10 with <i>p</i> < 5.0 ×<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mo> </mo><msup><mrow><mn>10</mn></mrow><mrow><mo>−</mo><mn>8</mn></mrow></msup></mrow></semantics></math></inline-formula>) and glaucoma in the multi-ethnic population (OR = 1.04, <i>p</i> = 0.001). Iritis and uveitis had causal effects on glaucoma risk based on IVs from the multi-ethnic population. These findings imply that the current classifications of uveitic glaucoma and open-angle glaucoma overlap, indicating the need for further investigating these complex relationships.
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spelling doaj.art-cb8176912ca04538b4a1c46d2b1ec3ef2023-11-17T11:17:25ZengMDPI AGGenes2073-44252023-03-0114364210.3390/genes14030642Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation StudyJe Hyun Seo0Young Lee1Veterans Medical Research Institute, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaVeterans Medical Research Institute, Veterans Health Service Medical Center, Seoul 05368, Republic of KoreaRecent studies have suggested an association between iritis or uveitis and glaucoma. This study investigated the causal relationship between glaucoma and iritis and uveitis as exposures in a multi-ethnic population. Single-nucleotide polymorphisms associated with exposures to iritis and uveitis from the genome-wide association study (GWAS) data of Biobank Japan (BBJ) and the meta-analysis data from BBJ and UK Biobank (UKB) were used as instrumental variables (IVs). The GWAS dataset for glaucoma was extracted from the meta-analysis data (<i>n</i> = 240,302) of Genetic Epidemiology Research in Adult Health and Aging and UKB. The casual estimates were assessed with a two-sample Mendelian randomisation (MR) test using the inverse-variance-weighted (IVW) method, weighted median method, MR–Egger method, and MR-Pleiotropy Residual Sum and Outlier test. The IVW method revealed a significant causal association between iritis and glaucoma using IVs (<i>p</i> < 5.0 ×<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mo> </mo><msup><mrow><mn>10</mn></mrow><mrow><mo>−</mo><mn>8</mn></mrow></msup></mrow></semantics></math></inline-formula>) from the East Asian population (<i>n</i> = 2) (odds ratio [OR] = 1.01, <i>p</i> = 0.017), a significant association between iritis exposures (<i>p</i> < 5.0 × <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><msup><mrow><mn>10</mn></mrow><mrow><mo>−</mo><mn>8</mn></mrow></msup></mrow></semantics></math></inline-formula>) in the multi-ethnic population (<i>n</i> = 11) (OR = 1.04, <i>p</i> = 0.001), and a significant causal association between uveitis exposures (<i>n</i> = 10 with <i>p</i> < 5.0 ×<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mo> </mo><msup><mrow><mn>10</mn></mrow><mrow><mo>−</mo><mn>8</mn></mrow></msup></mrow></semantics></math></inline-formula>) and glaucoma in the multi-ethnic population (OR = 1.04, <i>p</i> = 0.001). Iritis and uveitis had causal effects on glaucoma risk based on IVs from the multi-ethnic population. These findings imply that the current classifications of uveitic glaucoma and open-angle glaucoma overlap, indicating the need for further investigating these complex relationships.https://www.mdpi.com/2073-4425/14/3/642glaucomaMendelian randomisationiritisuveitissingle-nucleotide polymorphisms
spellingShingle Je Hyun Seo
Young Lee
Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study
Genes
glaucoma
Mendelian randomisation
iritis
uveitis
single-nucleotide polymorphisms
title Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study
title_full Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study
title_fullStr Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study
title_full_unstemmed Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study
title_short Causal Association between Iritis or Uveitis and Glaucoma: A Two-Sample Mendelian Randomisation Study
title_sort causal association between iritis or uveitis and glaucoma a two sample mendelian randomisation study
topic glaucoma
Mendelian randomisation
iritis
uveitis
single-nucleotide polymorphisms
url https://www.mdpi.com/2073-4425/14/3/642
work_keys_str_mv AT jehyunseo causalassociationbetweeniritisoruveitisandglaucomaatwosamplemendelianrandomisationstudy
AT younglee causalassociationbetweeniritisoruveitisandglaucomaatwosamplemendelianrandomisationstudy