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Rheumatoid arthritis and gastroesophageal reflux disease: a bidirectional and multivariable two-sample Mendelian randomization study.

作者信息

Wang Haifan, Chen Zhihao, Dang Xiaoqian, Wang Haoyu

机构信息

Department of Orthopaedics, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

出版信息

Front Genet. 2023 Dec 13;14:1280378. doi: 10.3389/fgene.2023.1280378. eCollection 2023.


DOI:10.3389/fgene.2023.1280378
PMID:38155708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10753795/
Abstract

The association between gastroesophageal reflux disease (GERD) and rheumatoid arthritis (RA) has been reported by many observational studies in the Asian population. This study aimed to examine the bidirectional causal effects between GERD and RA by two-sample Mendelian randomization (MR) analyses using genetic evidence. Two-sample Mendelian randomization analyses were performed to determine the causal effect of GERD (129,080 cases vs. 602,604 control participants) on RA (6,236 cases vs. 147,221 control participants) and RA on GERD, respectively. The inverse-variance weighted (IVW) method was used as the primary analysis. Weighted median and MR-Egger regression were taken as supplementary analyses. Cochran's Q test evaluated the heterogeneity. Horizontal pleiotropy was detected by estimating the intercept term of MR-Egger regression. Furthermore, multivariable MR analyses were performed to exclude the influence of confounding factors, including the years of schooling, BMI, and time spent watching television, between GERD and RA. Both univariate MR (UVMR) and multivariable MR (MVMR) provided valid evidence that RA was causally and positively influenced by GERD (UVMR: OR = 1.49, 95% CI = 1.25-1.76, = 6.1810; MVMR: OR = 1.69, 95% CI = 1.24-2.31, = 8.6210), whereas GERD was not influenced by RA (UVMR: OR = 1.03, 95% CI = 1.00-1.06, = 0.042; MVMR: OR = 1.04, 95% CI = 1.00-1.07, = 0.0271). Our comprehensive bidirectional MR analysis found that for the European population, GERD can induce the occurrence of RA (OR = 1.69, < 0.00125), whereas RA only has no significant influence on GERD. In particular, patients with GERD are suffering a 69% increased risk of RA occurrence, which means GERD is a substantial risk factor for RA.

摘要

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引用本文的文献

[1]
Frequency of dysphagia among patients submitted to a rheumatology department: a cross-sectional analysis based on the EAT-10 questionnaire.

Rheumatol Int. 2025-8-12

[2]
Relationship between Sjogren's syndrome and gastroesophageal reflux: A bidirectional Mendelian randomization study.

Sci Rep. 2024-7-4

本文引用的文献

[1]
Increased Prevalence of Gastroesophageal Reflux Disease Among Patients With Rheumatoid Arthritis: A Systematic Review and Meta-analysis.

Curr Rheumatol Rev. 2023

[2]
Association of atopic dermatitis with autoimmune diseases: A bidirectional and multivariable two-sample mendelian randomization study.

Front Immunol. 2023

[3]
Replacement of leisure-time sedentary behavior with various physical activities and the risk of dementia incidence and mortality: A prospective cohort study.

J Sport Health Sci. 2023-5

[4]
Olokizumab versus Placebo or Adalimumab in Rheumatoid Arthritis.

N Engl J Med. 2022-8-25

[5]
Leisure-time sedentary behaviors are differentially associated with all-cause dementia regardless of engagement in physical activity.

Proc Natl Acad Sci U S A. 2022-8-30

[6]
Anti-rheumatoid drugs advancements: New insights into the molecular treatment of rheumatoid arthritis.

Biomed Pharmacother. 2022-7

[7]
Causal Associations Between Circulating Adipokines and Cardiovascular Disease: A Mendelian Randomization Study.

J Clin Endocrinol Metab. 2022-5-17

[8]
The impact of education inequality on rheumatoid arthritis risk is mediated by smoking and body mass index: Mendelian randomization study.

Rheumatology (Oxford). 2022-5-5

[9]
Bidirectional association between GERD and rheumatoid arthritis: two longitudinal follow-up studies using a national sample cohort.

Clin Rheumatol. 2021-4

[10]
Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective.

Biochem Pharmacol. 2020-7-10

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