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Causal relationships between rheumatoid arthritis and neurodegenerative diseases: a two-sample univariable and multivariable Mendelian randomization study.

作者信息

Chen Xingyu, Cai Li, Fan Weibing, Yang Qian, Mao Xinfa, Yao Liping

机构信息

Department of Neurology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.

Department of Neurology, The Third Hospital of Changsha, Changsha, China.

出版信息

Front Med (Lausanne). 2024 Aug 13;11:1439344. doi: 10.3389/fmed.2024.1439344. eCollection 2024.


DOI:10.3389/fmed.2024.1439344
PMID:39193017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11347450/
Abstract

BACKGROUND: Observational research has highlighted a potential relationship between rheumatoid arthritis (RA) and neurodegenerative diseases (NDs). However, the confirmation of a causal connection is impeded by the inherent limitations of such studies, including vulnerability to confounding factors and the possibility of reverse causality. This study employs a two-sample Mendelian randomization (MR) approach to assess the causal impact of RA on three NDs, including Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS). METHODS: We aggregated data from genome-wide association studies (GWASs) targeting RA or NDs within populations of European descent. Single nucleotide polymorphisms (SNPs) with robust associations to RA were identified as instrumental variables (IVs). To estimate the association between RA and AD, PD, and ALS, we utilized the inverse variance weighted (IVW) method in our univariable MR (UVMR) analysis. Validation of the IVW results ensued through supplementary analyses using MR-Egger and weighted median methods. The multivariable MR (MVMR) analysis was conducted, adjusting for body mass index (BMI), alcohol drinking, and type 2 diabetes mellitus (T2DM). RESULTS: The UVMR analysis, based on the IVW method, revealed a significantly positive causal association between RA and late-onset (LO) AD (OR [95% CI] = 1.084 [1.020-1.153]; = 9.980 × 10), while suggesting a possible inverse relationship with PD (OR [95% CI] = 0.727 [0.563-0.938]; = 0.014). Our study did not detect any causal connections between RA and early-onset (EO) AD, atypical or mixed (AM) AD, and ALS (all > 0.05). The MVMR analysis results indicated that after adjusting for alcohol drinking, RA remains a risk factor for LOAD (OR [95% CI] = 1.094 [1.024-1.169]; = 0.008). However, MVMR analysis revealed no causal connections between RA and PD after adjustments for BMI, alcohol drinking, or T2DM (all > 0.05). Sensitivity analyses showed no evidence of heterogeneity and horizontal pleiotropy. CONCLUSIONS: This research provides genetic evidence indicating that RA potentially causes an increased risk of developing LOAD and PD. Such a revelation underscores the importance for individuals suffering from RA to be vigilant about the potential emergence of LOAD and PD. Ongoing monitoring and prompt detection are essential for successfully managing and intervening in this possible risk.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/8b91a8d31b78/fmed-11-1439344-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/6dab96ca6bc5/fmed-11-1439344-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/437f8d468420/fmed-11-1439344-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/ddf77cfa914c/fmed-11-1439344-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/bca4caa6012e/fmed-11-1439344-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/f002bdb7cd41/fmed-11-1439344-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/8b91a8d31b78/fmed-11-1439344-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/6dab96ca6bc5/fmed-11-1439344-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/437f8d468420/fmed-11-1439344-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/ddf77cfa914c/fmed-11-1439344-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/bca4caa6012e/fmed-11-1439344-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/f002bdb7cd41/fmed-11-1439344-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d79f/11347450/8b91a8d31b78/fmed-11-1439344-g0006.jpg

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引用本文的文献

[1]
Cognitive Decline in Chronic Inflammatory Conditions: Exploring Links Between Systemic Inflammation and Neurodegeneration.

Cureus. 2025-7-21

[2]
[Causal association between gut microbiota and food allergy: a Mendelian randomization analysis].

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本文引用的文献

[1]
Causal association between sleep traits and autoimmune arthritis: Evidence from a bidirectional Mendelian randomization study.

Sleep Health. 2024-2

[2]
Rheumatoid arthritis is a protective factor against Alzheimer's disease: a bidirectional two-sample Mendelian randomization study.

Inflammopharmacology. 2024-2

[3]
Causal relationship between rheumatoid arthritis and hypothyroidism or hyperthyroidism: a bidirectional two-sample univariable and multivariable Mendelian randomization study.

Front Endocrinol (Lausanne). 2023

[4]
Role of lysosomes in insulin signaling and glucose uptake in cultured rat podocytes.

Biochem Biophys Res Commun. 2023-10-30

[5]
Distinct cerebral small vessel disease impairment in early- and late-onset Alzheimer's disease.

Ann Clin Transl Neurol. 2023-8

[6]
Mendelian randomization.

Nat Rev Methods Primers. 2022-2-10

[7]
Risk factors of amyotrophic lateral sclerosis: a global meta-summary.

Front Neurosci. 2023-4-24

[8]
Nutrition, Immunity and Aging: Current Scenario and Future Perspectives in Neurodegenerative Diseases.

CNS Neurol Disord Drug Targets. 2024

[9]
Prevalence of type 2 diabetes among rheumatoid arthritis patients: a large retrospective study.

Chin Med J (Engl). 2022-10-20

[10]
Type 2 Diabetes and Parkinson's Disease: A Focused Review of Current Concepts.

Mov Disord. 2023-2

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