Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization

Abstract Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn’s disease (CD), decreases quality of life and causes disability. The underlying processes are not fully understood. This study uses Mendelian randomization (MR) analysis to identify cytokines that may be associate...

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Main Authors: Qiang Su, Yun Lu, Song He, Jiang Liang, Song Huang, Yuanli He, Zhenxiang An
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84447-4
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author Qiang Su
Yun Lu
Song He
Jiang Liang
Song Huang
Yuanli He
Zhenxiang An
author_facet Qiang Su
Yun Lu
Song He
Jiang Liang
Song Huang
Yuanli He
Zhenxiang An
author_sort Qiang Su
collection DOAJ
description Abstract Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn’s disease (CD), decreases quality of life and causes disability. The underlying processes are not fully understood. This study uses Mendelian randomization (MR) analysis to identify cytokines that may be associated with UC and CD, aiding in early diagnosis and treatment decisions. Methods Genome-wide association study (GWAS) data for inflammatory cytokine levels were obtained from a cohort of 14,824 individuals of European descent. The outcome data were then analyzed using summary-level GWAS data for UC and CD from the International Inflammatory Bowel Disease Genetics Consortium (IIBDGC). The analysis was primarily conducted using inverse-variance weighted (IVW) methods, with MR-Egger and weighted median serving as supplementary analyses. Sensitivity analyses included Cochran’s Q test, MR-Egger intercept test, MR-PRESSO, and leave-one-out analysis.The inflammatory cytokines were subjected to additional scrutiny through the application of the Steiger test and reverse Mendelian randomization analysis. Subsequently, multivariable Mendelian randomization (MVMR) was employed to examine the associations of metabolites on UC and CD, in conjunction with linkage disequilibrium score regression (LDSC) and colocalization analysis. After FDR correction, we identified significant genetic associations of two inflammatory proteins (CXCL5 and CXCL9) with UC, and CXCL5 and IL-18R1 with CD. These findings were further validated by MVMR. Colocalization analyses demonstrated substantial genetic overlap between inflammatory proteins and IBD, with CXCL5 showing strong evidence of shared genetic variants with UC, and CXCL9 exhibiting genetic colocalization with CD, suggesting common genetic determinants underlying these inflammatory protein-IBD relationships. The current work presents evidence that presents evidence of significant associations between seven inflammatory protein factors and UC, as well as three inflammatory protein factors and CD. These findings provide novel insights into the biological mechanisms of IBD, and have implications for the screening, prevention, and treatment of IBD.
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spelling doaj-art-459f395fae734256ac39e0e8301a02112025-01-05T12:21:27ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-024-84447-4Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomizationQiang Su0Yun Lu1Song He2Jiang Liang3Song Huang4Yuanli He5Zhenxiang An6First Clinical Medical College, Guizhou University of Traditional Chinese MedicineFirst Clinical Medical College, Guizhou University of Traditional Chinese MedicineDepartment of Gastroenterology, First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineFirst Clinical Medical College, Guizhou University of Traditional Chinese MedicineAnorectal Surgery Department, Fenggang County Traditional Chinese Medicine HospitalFirst Clinical Medical College, Guizhou University of Traditional Chinese MedicineFirst Clinical Medical College, Guizhou University of Traditional Chinese MedicineAbstract Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn’s disease (CD), decreases quality of life and causes disability. The underlying processes are not fully understood. This study uses Mendelian randomization (MR) analysis to identify cytokines that may be associated with UC and CD, aiding in early diagnosis and treatment decisions. Methods Genome-wide association study (GWAS) data for inflammatory cytokine levels were obtained from a cohort of 14,824 individuals of European descent. The outcome data were then analyzed using summary-level GWAS data for UC and CD from the International Inflammatory Bowel Disease Genetics Consortium (IIBDGC). The analysis was primarily conducted using inverse-variance weighted (IVW) methods, with MR-Egger and weighted median serving as supplementary analyses. Sensitivity analyses included Cochran’s Q test, MR-Egger intercept test, MR-PRESSO, and leave-one-out analysis.The inflammatory cytokines were subjected to additional scrutiny through the application of the Steiger test and reverse Mendelian randomization analysis. Subsequently, multivariable Mendelian randomization (MVMR) was employed to examine the associations of metabolites on UC and CD, in conjunction with linkage disequilibrium score regression (LDSC) and colocalization analysis. After FDR correction, we identified significant genetic associations of two inflammatory proteins (CXCL5 and CXCL9) with UC, and CXCL5 and IL-18R1 with CD. These findings were further validated by MVMR. Colocalization analyses demonstrated substantial genetic overlap between inflammatory proteins and IBD, with CXCL5 showing strong evidence of shared genetic variants with UC, and CXCL9 exhibiting genetic colocalization with CD, suggesting common genetic determinants underlying these inflammatory protein-IBD relationships. The current work presents evidence that presents evidence of significant associations between seven inflammatory protein factors and UC, as well as three inflammatory protein factors and CD. These findings provide novel insights into the biological mechanisms of IBD, and have implications for the screening, prevention, and treatment of IBD.https://doi.org/10.1038/s41598-024-84447-4Inflammatory protein factorsColocalization analysisUlcerative colitisCrohn’s diseaseMendelian randomization
spellingShingle Qiang Su
Yun Lu
Song He
Jiang Liang
Song Huang
Yuanli He
Zhenxiang An
Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization
Scientific Reports
Inflammatory protein factors
Colocalization analysis
Ulcerative colitis
Crohn’s disease
Mendelian randomization
title Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization
title_full Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization
title_fullStr Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization
title_full_unstemmed Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization
title_short Assessing inflammatory protein factors in inflammatory bowel Disease using multivariable mendelian randomization
title_sort assessing inflammatory protein factors in inflammatory bowel disease using multivariable mendelian randomization
topic Inflammatory protein factors
Colocalization analysis
Ulcerative colitis
Crohn’s disease
Mendelian randomization
url https://doi.org/10.1038/s41598-024-84447-4
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