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Assessing causal association of circulating micronutrients and systemic lupus erythematosus susceptibility: a Mendelian randomization study.

作者信息

Huang Shihui, Wei Xuemei, Qin Fang, Yuan Zongxiang, Mo Chuye, Kang Yiwen, Huang Chunlin, Jiang Junjun, Ye Li

机构信息

Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, China.

Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.

出版信息

Front Nutr. 2024 Aug 5;11:1359697. doi: 10.3389/fnut.2024.1359697. eCollection 2024.


DOI:10.3389/fnut.2024.1359697
PMID:39161911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11333035/
Abstract

BACKGROUND: Previous studies showed the conflicting associations between circulating micronutrient levels and systemic lupus erythematosus (SLE). Therefore, we aimed to clarify the causal association between circulating micronutrient levels and the risk of SLE by two-sample Mendelian randomization (MR) analysis. METHODS: 56 single nucleotide polymorphisms (SNPs) significantly associated with 14 circulating micronutrients (vitamin A, B6, B9, B12, C, D and E, phosphorus, calcium, magnesium, copper, iron, zinc, and selenium) in published genome-wide association studies (GWAS) were used as instrumental variables (IVs). And summary statistics related to SLE were obtained from the IEU OpenGWAS database. We used the MR Steiger test to estimate the possible causal direction between circulating micronutrients and SLE. In the MR analysis, inverse variance weighting (IVW) method and the Wald ratio was as the main methods., Moreover, the MR-Pleiotropy residuals and outliers method (MR-PRESSO), Cochrane's Q-test, MR-Egger intercept method and leave-one-out analyses were applied as sensitivity analyses. Additionally, we conducted a retrospective analysis involving the 20,045 participants from the Third National Health and Nutritional Examination Survey (NHANES III). Weight variables were provided in the NHANES data files. Univariate and multivariate logistic regression analyses were performed to determine the associations between circulating micronutrients and SLE. RESULTS: The MR estimates obtained from the IVW method revealed potential negative correlations between circulating calcium (OR: 0.06, 95% CI: 0.01-0.49, = 0.009), iron levels (OR: 0.63, 95% CI: 0.43-0.92, = 0.016) and the risk of SLE. The results remained robust, even under various pairs of sensitivity analyses. Our retrospective analysis demonstrated that the levels of vitamin D, serum total calcium, and serum iron were significantly lower in SLE patients ( = 40) when compared to the control group ( = 20,005). Multivariate logistic regression analysis further established that increased levels of vitamin D and serum total calcium served as protective factors against SLE. CONCLUSION: Our results provided genetic evidence supporting the potential protective role of increasing circulating calcium in the risk of SLE. Maintaining adequate levels of calcium may help reduce the risk of SLE.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0879/11333035/48b2414f0a35/fnut-11-1359697-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0879/11333035/1bb2ba4e0d59/fnut-11-1359697-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0879/11333035/48b2414f0a35/fnut-11-1359697-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0879/11333035/1bb2ba4e0d59/fnut-11-1359697-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0879/11333035/48b2414f0a35/fnut-11-1359697-g002.jpg

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Assessing causal association of circulating micronutrients and systemic lupus erythematosus susceptibility: a Mendelian randomization study.

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引用本文的文献

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本文引用的文献

[1]
Associations between vitamin D and autoimmune diseases: Mendelian randomization analysis.

Semin Arthritis Rheum. 2023-10

[2]
Vitamin D and Autoimmune Rheumatic Diseases.

Biomolecules. 2023-4-21

[3]
Associations of Homocysteine, Folate, and Vitamin B12 with Osteoarthritis: A Mendelian Randomization Study.

Nutrients. 2023-3-28

[4]
Genetically predicted levels of folate, vitamin B, and risk of autoimmune diseases: A Mendelian randomization study.

Front Immunol. 2023

[5]
Two-Sample Mendelian Randomization Analysis Investigates Causal Associations Between Gut Microbial Genera and Inflammatory Bowel Disease, and Specificity Causal Associations in Ulcerative Colitis or Crohn's Disease.

Front Immunol. 2022

[6]
Systemic Lupus Erythematosus: New Diagnostic and Therapeutic Approaches.

Annu Rev Med. 2023-1-27

[7]
Low Serum Calcium Concentration in Patients With Systemic Lupus Erythematosus Accompanied by the Enhanced Peripheral Cellular Immunity.

Front Immunol. 2022

[8]
Genetically Predicted Circulating Concentrations of Micronutrients and COVID-19 Susceptibility and Severity: A Mendelian Randomization Study.

Front Nutr. 2022-4-25

[9]
Association of lipid-lowering drugs with COVID-19 outcomes from a Mendelian randomization study.

Elife. 2021-12-6

[10]
Strengthening the Reporting of Observational Studies in Epidemiology Using Mendelian Randomization: The STROBE-MR Statement.

JAMA. 2021-10-26

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