Association between primary biliary cholangitis with diabetes and cardiovascular diseases: A bidirectional multivariable Mendelian randomization study - 13/07/24
Highlights |
• | Performed analyses using multiple large genome-wide association study databases. |
• | Provided evidence for the causal association between primary biliary cholangitis with diabetes and cardiovascular diseases. |
• | Offered novel insights into the therapeutic strategies for primary biliary cholangitis. |
Abstract |
Background and aims |
Primary biliary cholangitis (PBC) is an autoimmune disease often accompanied by multisystem damage. This study aimed to explore the causal association between genetically predicted PBC and diabetes, as well as multiple cardiovascular diseases (CVDs).
Methods |
Genome-wide association studies (GWAS) summary data of PBC in 24,510 individuals of European ancestry from the European Association for the Study of the Liver was used to identify genetically predicted PBC. We conducted 2-sample single-variable Mendelian randomization (SVMR) and multivariable Mendelian randomization (MVMR) to estimate the impacts of PBC on diabetes (N = 17,685 to 318,014) and 20 CVDs from the genetic consortium (N = 171,875 to 1,030,836).
Results |
SVMR provided evidence that genetically predicted PBC is associated with an increased risk of type 1 diabetes (T1D), type 2 diabetes (T2D), myocardial infarction (MI), heart failure (HF), hypertension, atrial fibrillation (AF), stroke, ischemic stroke, and small-vessel ischemic stroke. Additionally, there was no evidence of a causal association between PBC and coronary atherosclerosis. In the MVMR analysis, PBC maintained independent effects on T1D, HF, MI, and small-vessel ischemic stroke in most models.
Conclusion |
Our findings revealed the causal effects of PBC on diabetes and 7 CVDs, and no causal relationship was detected between PBC and coronary atherosclerosis.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Primary biliary cholangitis, Cardiovascular disease, Diabetes, Mendelian randomization, Single-nucleotide polymorphism
Abbreviations : PBC, UDCA, CVDs, MR, SNPs, MVMR, GWAS, SVMR, IVs, BMI, T1D, T2D, CARDIoGRAMplusC4D, CAD, MI, HF, AF, ISGC, MRC-IEU, SIRPG, IL-27-EBI3, CTRB1, GSCAN, IVW, MR-PRESSO, TIA, SAH, ICH, DVT, PAD, LDL, HDL
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Vol 48 - N° 7
Articolo 102419- agosto 2024 Ritorno al numero
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