Guangzhou Medical University, Guangzhou, 511436, Guangdong, China.
Department of Thoracic Surgery & Department of Cardiothoracic Surgery of East Division, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510062, Guangdong, China.
Arthritis Res Ther. 2023 Mar 27;25(1):49. doi: 10.1186/s13075-023-03029-3.
BACKGROUND: Patients with rheumatoid arthritis (RA) have a rising possibility of acquiring certain kinds of cancers than the general public. The causal risk association between RA and hepatocellular carcinoma (HCC) remains unknown. METHODS: Genetic summary data from genome-wide association study (GWAS), including RA (n = 19,190) and HCC (n = 197,611), was analyzed. The inverse-variance weighted (IVW) approach was used as the principal analysis, complemented with weighted median, weighted mode, simple median method, and MR-Egger analyses. The genetic data of RA (n = 212,453) was used to verify the results in eastern Asia populations. RESULTS: The results from the IVW methods indicated that genetically predicted RA was significantly linked with a declined possibility of HCC for East Asians (OR = 0.86; 95% CI: 0.78, 0.95; p = 0.003). The weighted median and the weighted mode also supported similar results (all p < 0.05). Additionally, neither the funnel plots nor the MR-Egger intercepts revealed any directional pleiotropic effects between RA and HCC. Moreover, the other set of RA data validated the results. CONCLUSION: The RA may decrease the risk of being susceptible to the HCC in eastern Asia populations, which was beyond expectation. In the future, additional investigations should be made into potential biomedical mechanisms.
背景:与普通人群相比,类风湿关节炎(RA)患者罹患某些癌症的可能性逐渐增加。RA 和肝细胞癌(HCC)之间的因果风险关联尚不清楚。
方法:对全基因组关联研究(GWAS)的遗传汇总数据进行了分析,包括 RA(n=19190)和 HCC(n=197611)。采用逆方差加权(IVW)方法作为主要分析方法,并补充了加权中位数、加权众数、简单中位数法和 MR-Egger 分析。使用 RA 的遗传数据(n=212453)对东亚人群的结果进行了验证。
结果:IVW 方法的结果表明,遗传预测的 RA 与东亚人群 HCC 的可能性降低显著相关(OR=0.86;95%CI:0.78,0.95;p=0.003)。加权中位数和加权众数也支持类似的结果(均 p<0.05)。此外,漏斗图和 MR-Egger 截距均未显示 RA 和 HCC 之间存在任何方向的异质性效应。此外,另一组 RA 数据验证了该结果。
结论:RA 可能会降低东亚人群患 HCC 的风险,这超出了预期。未来应进一步研究潜在的生物医学机制。
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