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系统性红斑狼疮与乙型肝炎病毒感染风险降低相关:东亚人群的多变量孟德尔随机化研究。

Systemic lupus erythematosus is associated with lower risk of hepatitis B virus infection: A multivariable Mendelian randomization study in East Asian population.

机构信息

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Department of Hepatobiliary Surgery, Chongqing Sixth People's Hospital, Chongqing, China.

出版信息

J Med Virol. 2023 Nov;95(11):e29226. doi: 10.1002/jmv.29226.

Abstract

The relationship between systemic lupus erythematosus (SLE) and hepatitis B virus (HBV) infection is still unclear. We conducted a two-sample Mendelian randomization (MR) analysis using summary statistics from genome-wide association studies for SLE and HBV infection in individuals of East Asian ancestry. The inverse-variance weighted (IVW) method, weighted median (WM) method, and MR-Egger method were used to estimate the causal effect of SLE on HBV infection. Additionally, we performed a multivariable MR analysis adjusting for the effects of body mass index and rheumatoid arthritis. This MR study included a total of 225 106 individuals of East Asian ancestry, comprising 5616 cases and 219 490 controls. The IVW method (OR: 0.79, p = 3.34E-08) and the WM method (OR: 0.79, p = 9.09E-06) revealed a causal relationship between genetically predicted SLE and a low risk of HBV infection. The multivariable MR analysis still suggested a low risk of HBV infection associated with SLE (OR: 0.83, p = 2.89E-06). Our MR analysis supports a causal relationship between SLE and a low risk of HBV infection in individuals of East Asian ancestry.

摘要

系统性红斑狼疮(SLE)和乙型肝炎病毒(HBV)感染之间的关系仍不清楚。我们使用全基因组关联研究的汇总统计数据,针对东亚人群中的 SLE 和 HBV 感染进行了两样本 Mendelian 随机化(MR)分析。我们使用逆方差加权(IVW)法、加权中位数(WM)法和 MR-Egger 法来估计 SLE 对 HBV 感染的因果效应。此外,我们还进行了多变量 MR 分析,以调整体重指数和类风湿关节炎的影响。这项 MR 研究共纳入了 225106 名东亚人群,其中 5616 例为病例,219490 例为对照。IVW 法(OR:0.79,p=3.34E-08)和 WM 法(OR:0.79,p=9.09E-06)均显示,遗传预测的 SLE 与 HBV 感染风险降低之间存在因果关系。多变量 MR 分析仍表明 SLE 与 HBV 感染风险降低相关(OR:0.83,p=2.89E-06)。我们的 MR 分析支持在东亚人群中 SLE 与 HBV 感染风险降低之间存在因果关系。

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