Yu Xiaohui, Cheng Xue, Lv Lin, Wang Na, Li Mengcong, Ji Wenwen, Liu Tingting, Wang Guangdong, Hu Tinghua, Shi Zhihong
Department of Respiratory and Critical Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Front Med (Lausanne). 2024 Mar 5;11:1331111. doi: 10.3389/fmed.2024.1331111. eCollection 2024.
OBJECTIVE: Observational studies have reported that chronic obstructive pulmonary disease (COPD) is often accompanied by autoimmune diseases, but the causal relationships between them remain uncertain. In this Mendelian study, we aimed to investigate the potential causal relationship between COPD and four common autoimmune diseases. METHODS: We conducted an analysis of summary data on COPD and autoimmune disease using publicly available genome-wide association studies (GWAS) summary data. We initially employed the inverse- variance weighted method as the primary approach to establish the causal impact of COPD on autoimmune diseases in the sample and conducted additional sensitivity analyses to examine the robustness of the results. Subsequently, we performed reverse Mendelian randomization (MR) analyses for the four autoimmune diseases. Finally, the potential for bidirectional causal relationships was assessed. RESULTS: Our MR analysis revealed no significant causal relationship between COPD and any of the studied autoimmune diseases. However, reverse MR results indicated a significant association between rheumatoid arthritis (RA), osteoarthritis (OA) and the risk of developing COPD, with respective odds ratios (OR) of 377.313 (95% CI, 6.625-21487.932, = 0.004) for RA and 11.097 (95% CI, 1.583-77.796, = 0.015) for OA. Sensitivity analyses confirmed the robustness of the results. CONCLUSION: Our findings support a potential causal relationship between autoimmune diseases and COPD, highlighting the importance of considering comorbidities in clinical management of COPD.
目的:观察性研究报告称,慢性阻塞性肺疾病(COPD)常伴有自身免疫性疾病,但其之间的因果关系仍不确定。在这项孟德尔研究中,我们旨在调查COPD与四种常见自身免疫性疾病之间的潜在因果关系。 方法:我们使用公开可用的全基因组关联研究(GWAS)汇总数据,对COPD和自身免疫性疾病的汇总数据进行了分析。我们最初采用逆方差加权法作为主要方法,以确定样本中COPD对自身免疫性疾病的因果影响,并进行了额外的敏感性分析,以检验结果的稳健性。随后,我们对这四种自身免疫性疾病进行了反向孟德尔随机化(MR)分析。最后,评估了双向因果关系的可能性。 结果:我们的MR分析显示,COPD与任何所研究的自身免疫性疾病之间均无显著因果关系。然而,反向MR结果表明,类风湿性关节炎(RA)、骨关节炎(OA)与患COPD的风险之间存在显著关联,RA的优势比(OR)为377.313(95%CI,6.625 - 21487.932,P = 0.004),OA的优势比为11.097(95%CI,1.583 - 77.796,P = 0.015)。敏感性分析证实了结果的稳健性。 结论:我们的研究结果支持自身免疫性疾病与COPD之间存在潜在因果关系,强调了在COPD临床管理中考虑合并症的重要性。
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