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