Effect of the gut microbiome in glaucoma risk from the causal perspective

Objective Evidence from observational studies has reported possible associations between the gut microbiome (GM) and glaucoma. However, the causal effect of GM on glaucoma risk remains to be determined.Methods and analysis We conducted two-sample bidirectional Mendelian randomisation (MR) analyses t...

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Main Authors: He Chen, Meng Zhou, Zicheng Zhang, Siqi Bao, Jia Qu, Yaxuan Wu, Ronghua Shi
Format: Article
Language:English
Published: BMJ Publishing Group 2024-05-01
Series:BMJ Open Ophthalmology
Online Access:https://bmjophth.bmj.com/content/9/1/e001547.full
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author He Chen
Meng Zhou
Zicheng Zhang
Siqi Bao
Jia Qu
Yaxuan Wu
Ronghua Shi
author_facet He Chen
Meng Zhou
Zicheng Zhang
Siqi Bao
Jia Qu
Yaxuan Wu
Ronghua Shi
author_sort He Chen
collection DOAJ
description Objective Evidence from observational studies has reported possible associations between the gut microbiome (GM) and glaucoma. However, the causal effect of GM on glaucoma risk remains to be determined.Methods and analysis We conducted two-sample bidirectional Mendelian randomisation (MR) analyses to explore the causal association between GM and glaucoma. Genome-wide association study summary statistics of 196 GM taxa (n=18 340) and glaucoma (18 902 cases and 358 375 controls) were obtained from MiBioGen and FinnGen Consortium. Inverse variance weighted, MR-Egger, weighted median, weighted mode, Mendelian Randomisation Pleiotropy Residual Sum and Outlier, MR-Egger intercept and Cochran’s Q statistical analyses were used to supplement MR results and sensitivity analysis. An independent cohort from the Medical Research Council (MRC) Integrative Epidemiology Unit at the University of Bristol (MRC-IEU) Consortium (1715 cases and 359 479 controls) was used to validate causal effects.Results Results of the MR analysis suggested that the family Oxalobacteraceae (OR 0.900, 95% CI 0.843 to 0.961, p=0.002) and the genus Eggerthella (OR 0.881, 95% CI 0.811 to 0.957, p=0.003) had a negative effect on glaucoma, whereas the genus Bilophila (OR 1.202, 95% CI 1.074 to 1.346, p=0.001), LachnospiraceaeUCG010 (OR 1.256, 95% CI 1.109 to 1.423, p=0.0003) and Ruminiclostridium 9 (OR 1.258, 95% CI 1.083 to 1.461, p=0.003) had a positive effect on glaucoma. Among these, the positive causal effect of LachnospiraceaeUCG010 (OR 1.002, 95% CI 1.000 to 1.004, p=0.033) on glaucoma was replicated in an independent cohort.Conclusion This MR analysis from large population studies demonstrated the causal effect of GM on glaucoma risk and supported the role of GM in influencing glaucoma susceptibility.
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spelling doaj-art-8b677b48594f43e99a03a7b5628473a42025-02-06T10:45:14ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-05-019110.1136/bmjophth-2023-001547Effect of the gut microbiome in glaucoma risk from the causal perspectiveHe Chen0Meng Zhou1Zicheng Zhang2Siqi Bao3Jia Qu4Yaxuan Wu5Ronghua Shi6National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, People`s Republic of ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, People`s Republic of ChinaSchool of Biomedical Engineering, School of Information and Communication Engineering, Hainan University, Haikou, People`s Republic of ChinaSchool of Biomedical Engineering, School of Information and Communication Engineering, Hainan University, Haikou, People`s Republic of ChinaHainan Institute of Real World Data, Qionghai, People`s Republic of ChinaSchool of Biomedical Engineering, School of Information and Communication Engineering, Hainan University, Haikou, People`s Republic of ChinaSchool of Biomedical Engineering, School of Information and Communication Engineering, Hainan University, Haikou, People`s Republic of ChinaObjective Evidence from observational studies has reported possible associations between the gut microbiome (GM) and glaucoma. However, the causal effect of GM on glaucoma risk remains to be determined.Methods and analysis We conducted two-sample bidirectional Mendelian randomisation (MR) analyses to explore the causal association between GM and glaucoma. Genome-wide association study summary statistics of 196 GM taxa (n=18 340) and glaucoma (18 902 cases and 358 375 controls) were obtained from MiBioGen and FinnGen Consortium. Inverse variance weighted, MR-Egger, weighted median, weighted mode, Mendelian Randomisation Pleiotropy Residual Sum and Outlier, MR-Egger intercept and Cochran’s Q statistical analyses were used to supplement MR results and sensitivity analysis. An independent cohort from the Medical Research Council (MRC) Integrative Epidemiology Unit at the University of Bristol (MRC-IEU) Consortium (1715 cases and 359 479 controls) was used to validate causal effects.Results Results of the MR analysis suggested that the family Oxalobacteraceae (OR 0.900, 95% CI 0.843 to 0.961, p=0.002) and the genus Eggerthella (OR 0.881, 95% CI 0.811 to 0.957, p=0.003) had a negative effect on glaucoma, whereas the genus Bilophila (OR 1.202, 95% CI 1.074 to 1.346, p=0.001), LachnospiraceaeUCG010 (OR 1.256, 95% CI 1.109 to 1.423, p=0.0003) and Ruminiclostridium 9 (OR 1.258, 95% CI 1.083 to 1.461, p=0.003) had a positive effect on glaucoma. Among these, the positive causal effect of LachnospiraceaeUCG010 (OR 1.002, 95% CI 1.000 to 1.004, p=0.033) on glaucoma was replicated in an independent cohort.Conclusion This MR analysis from large population studies demonstrated the causal effect of GM on glaucoma risk and supported the role of GM in influencing glaucoma susceptibility.https://bmjophth.bmj.com/content/9/1/e001547.full
spellingShingle He Chen
Meng Zhou
Zicheng Zhang
Siqi Bao
Jia Qu
Yaxuan Wu
Ronghua Shi
Effect of the gut microbiome in glaucoma risk from the causal perspective
BMJ Open Ophthalmology
title Effect of the gut microbiome in glaucoma risk from the causal perspective
title_full Effect of the gut microbiome in glaucoma risk from the causal perspective
title_fullStr Effect of the gut microbiome in glaucoma risk from the causal perspective
title_full_unstemmed Effect of the gut microbiome in glaucoma risk from the causal perspective
title_short Effect of the gut microbiome in glaucoma risk from the causal perspective
title_sort effect of the gut microbiome in glaucoma risk from the causal perspective
url https://bmjophth.bmj.com/content/9/1/e001547.full
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