Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study

BackgroundNumerous clinical studies have observed a close relationship between serum trace elements, nutrients, and autoimmune diseases. However, whether there is a genetic causal effect between serum trace elements, nutrients, and autoimmune diseases remains unclear.ObjectiveThis study aims to inve...

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Main Authors: Ming-Jie Jia, Hua-Fang Yin, Ying-Chao Liang, Feng Jiang, Hui-Lin Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1462815/full
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author Ming-Jie Jia
Hua-Fang Yin
Ying-Chao Liang
Feng Jiang
Hui-Lin Li
Hui-Lin Li
author_facet Ming-Jie Jia
Hua-Fang Yin
Ying-Chao Liang
Feng Jiang
Hui-Lin Li
Hui-Lin Li
author_sort Ming-Jie Jia
collection DOAJ
description BackgroundNumerous clinical studies have observed a close relationship between serum trace elements, nutrients, and autoimmune diseases. However, whether there is a genetic causal effect between serum trace elements, nutrients, and autoimmune diseases remains unclear.ObjectiveThis study aims to investigate the causal effects of serum trace elements and nutrients on 21 autoimmune diseases using Mendelian randomization (MR).MethodsSingle nucleotide polymorphisms for the exposure factors (serum trace elements and vitamins) were obtained from the published UK Biobank database and genome-wide association study (GWAS) public databases. Outcome GWAS data were derived from the FinnGen database. MR was employed to explore the causal relationships between 9 trace elements and 6 vitamins and autoimmune diseases. Causal inference was performed using inverse variance weighted methods, MR Egger, and weighted median methods. Subsequently, heterogeneity tests, horizontal pleiotropy tests, MR-PRESSO tests, and leave-one-out analyses were conducted for sensitivity analysis to evaluate the robustness of the study results. Finally, trace elements and vitamins that were statistically significant in the IVW method and had consistent effect sizes and odds ratios across five methods were selected as exposure factors with a causal relationship to diabetes and its complications. Additionally, multivariable Mendelian randomization was employed to assess the combined effects of multiple exposure factors on autoimmune diseases.ResultsMR analysis indicated that elevated levels of the trace element copper were associated with an increased risk of systemic lupus erythematosus (SLE) and a decreased risk of ulcerative colitis. Carotene was found to have a negative causal relationship with adult-onset Still’s disease (AOSD). Elevated levels of copper and selenium were associated with an increased risk of autoimmune hyperthyroidism. Calcium levels showed a negative causal relationship with the risk of polyarteritis nodosa. MVMR results demonstrated that selenium could independently affect the risk of autoimmune hyperthyroidism, separate from copper.ConclusionThe findings from both univariable and multivariable Mendelian randomization studies support a causal relationship between trace elements, nutrients, and autoimmune diseases. These results have significant clinical implications for developing targeted prevention and treatment strategies for autoimmune diseases.
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spelling doaj-art-1e0d1cadf9bf4368b42917964d08b5622025-01-20T07:19:47ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.14628151462815Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization studyMing-Jie Jia0Hua-Fang Yin1Ying-Chao Liang2Feng Jiang3Hui-Lin Li4Hui-Lin Li5The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, ChinaShenzhen Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Shenzhen, Guangdong, ChinaThe Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, ChinaRuikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region, ChinaShenzhen Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Shenzhen, Guangdong, ChinaDepartment of Endocrinology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, Guangdong, ChinaBackgroundNumerous clinical studies have observed a close relationship between serum trace elements, nutrients, and autoimmune diseases. However, whether there is a genetic causal effect between serum trace elements, nutrients, and autoimmune diseases remains unclear.ObjectiveThis study aims to investigate the causal effects of serum trace elements and nutrients on 21 autoimmune diseases using Mendelian randomization (MR).MethodsSingle nucleotide polymorphisms for the exposure factors (serum trace elements and vitamins) were obtained from the published UK Biobank database and genome-wide association study (GWAS) public databases. Outcome GWAS data were derived from the FinnGen database. MR was employed to explore the causal relationships between 9 trace elements and 6 vitamins and autoimmune diseases. Causal inference was performed using inverse variance weighted methods, MR Egger, and weighted median methods. Subsequently, heterogeneity tests, horizontal pleiotropy tests, MR-PRESSO tests, and leave-one-out analyses were conducted for sensitivity analysis to evaluate the robustness of the study results. Finally, trace elements and vitamins that were statistically significant in the IVW method and had consistent effect sizes and odds ratios across five methods were selected as exposure factors with a causal relationship to diabetes and its complications. Additionally, multivariable Mendelian randomization was employed to assess the combined effects of multiple exposure factors on autoimmune diseases.ResultsMR analysis indicated that elevated levels of the trace element copper were associated with an increased risk of systemic lupus erythematosus (SLE) and a decreased risk of ulcerative colitis. Carotene was found to have a negative causal relationship with adult-onset Still’s disease (AOSD). Elevated levels of copper and selenium were associated with an increased risk of autoimmune hyperthyroidism. Calcium levels showed a negative causal relationship with the risk of polyarteritis nodosa. MVMR results demonstrated that selenium could independently affect the risk of autoimmune hyperthyroidism, separate from copper.ConclusionThe findings from both univariable and multivariable Mendelian randomization studies support a causal relationship between trace elements, nutrients, and autoimmune diseases. These results have significant clinical implications for developing targeted prevention and treatment strategies for autoimmune diseases.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1462815/fullMendelian randomizationautoimmune diseasestrace elementssystemic lupus erythematosusautoimmune
spellingShingle Ming-Jie Jia
Hua-Fang Yin
Ying-Chao Liang
Feng Jiang
Hui-Lin Li
Hui-Lin Li
Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study
Frontiers in Immunology
Mendelian randomization
autoimmune diseases
trace elements
systemic lupus erythematosus
autoimmune
title Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study
title_full Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study
title_fullStr Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study
title_full_unstemmed Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study
title_short Effect of trace elements and nutrients on 21 autoimmune diseases: a Mendelian randomization study
title_sort effect of trace elements and nutrients on 21 autoimmune diseases a mendelian randomization study
topic Mendelian randomization
autoimmune diseases
trace elements
systemic lupus erythematosus
autoimmune
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1462815/full
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