Department of Gastroenterology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, 400021, China.
Department of Radiology, Chongqing General Hospital, No.118, Xingguang Avenue, Liangjiang New District, Chongqing, 400014, China.
Sci Rep. 2023 Oct 29;13(1):18544. doi: 10.1038/s41598-023-45545-x.
Observational studies have reported a correlation between Helicobacter pylori infection and colorectal cancer (CRC); however, the underlying cause has remained unclear. This research was aimed at determining whether there is a correlation between H. pylori infection and CRC by measuring the prevalence of H. pylori CagA antibodies and VacA antibodies. Using data from many genome-wide association studies (GWAS), we conducted a Mendelian randomization (MR) study with two sample GWAS. Then, we used bidirectional MR to evaluate the association between H. pylori infection and CRC for identifying causation. The most common method of analysis was the inverse variance-weighted technique. In addition, we performed supplementary analyses using the weighted median technique and MR-Egger regression. Horizontal pleiotropic outliers were identified and corrected using the MR Pleiotropy RESidual Sum and Outlier (MR-PRESSO) method. Genetically predicted anti-H. pylori IgG seropositivity was not causally associated with CRC [odds ratio (OR): 1.12; 95% confidence interval (CI): 0.98-1.27, P = 0.08] and neither were H. pylori VacA antibody levels (OR = 0.96, 95% CI: 0.90-1.02, P = 0.25) or H. pylori CagA antibody levels (OR = 1.00, 95% CI: 0.93-1.07, P = 0.92). Furthermore, reverse MR analysis did not reveal evidence for a causal effect of CRC on H. pylori infection. The weighted median, the MR-Egger method, and MR-PRESSO yielded identical results. Using genetic data, MR analysis showed there was no evidence for a causal association between seroprevalence of H. pylori infection and CRC. The relationship between H. pylori infection and CRC requires further research.
观察性研究报告称,幽门螺杆菌(H. pylori)感染与结直肠癌(CRC)之间存在相关性;然而,其潜在原因仍不清楚。本研究旨在通过测量 H. pylori CagA 抗体和 VacA 抗体的流行率,确定 H. pylori 感染与 CRC 之间是否存在相关性。利用来自多个全基因组关联研究(GWAS)的数据,我们进行了一项 Mendelian 随机化(MR)研究,采用了两样本 GWAS。然后,我们使用双向 MR 来评估 H. pylori 感染与 CRC 之间的关联,以确定因果关系。最常用的分析方法是逆方差加权技术。此外,我们还使用加权中位数技术和 MR-Egger 回归进行了补充分析。使用 MR Pleiotropy RESidual Sum and Outlier(MR-PRESSO)方法识别和校正水平偏倚外离值。遗传预测的抗 H. pylori IgG 血清阳性与 CRC 无关(比值比[OR]:1.12;95%置信区间[CI]:0.98-1.27,P=0.08),H. pylori VacA 抗体水平(OR=0.96,95%CI:0.90-1.02,P=0.25)或 H. pylori CagA 抗体水平(OR=1.00,95%CI:0.93-1.07,P=0.92)也无相关性。此外,反向 MR 分析也没有发现 CRC 对 H. pylori 感染有因果效应的证据。加权中位数、MR-Egger 方法和 MR-PRESSO 得出了相同的结果。使用遗传数据的 MR 分析表明,H. pylori 感染的血清阳性率与 CRC 之间没有因果关系的证据。H. pylori 感染与 CRC 之间的关系需要进一步研究。