Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis

Introduction: Psoriasis and bullous pemphigoid (BP) are the 2 major types of immune-mediated inflammatory skin diseases. Studies have reported the association between psoriasis and BP; however, no studies reported whether a causal relationship exists between these 2 skin diseases. Objectives: In...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiaoxue Wang, Zexin Zhu
Format: Article
Language:English
Published: Mattioli1885 2025-01-01
Series:Dermatology Practical & Conceptual
Subjects:
Online Access:https://dpcj.org/index.php/dpc/article/view/4458
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832540733822730240
author Xiaoxue Wang
Zexin Zhu
author_facet Xiaoxue Wang
Zexin Zhu
author_sort Xiaoxue Wang
collection DOAJ
description Introduction: Psoriasis and bullous pemphigoid (BP) are the 2 major types of immune-mediated inflammatory skin diseases. Studies have reported the association between psoriasis and BP; however, no studies reported whether a causal relationship exists between these 2 skin diseases. Objectives: In order to explore the causal relationship between psoriasis and BP, we performed a bidirectional two-sample Mendelian randomization (MR) study. Methods: Genome-wide association study (GWAS) data related to psoriasis and BP were collected. The inverse variance weighted (IVW) method was primarily applied for our MR analysis, MR-Egger, weighted median, simple mode, and weighted mode methods were used additionally. Heterogeneity, horizontal pleiotropy, and potential outliers were assessed for the MR analysis results. Results: GWAS data for psoriasis (3 cohorts) and BP (1 cohort) from publicly available trials were selected. Our MR results showed that psoriasis was causally associated with BP, psoriasis could increase the risk of BP, reversed MR showed BP has no causal effect on psoriasis. No heterogeneity or pleiotropy was detected.  Conclusion: These findings provided new evidence of the causal relationship between psoriasis and BP, our MR suggested that psoriasis is potentially causal to BP, which help us improving the treatment strategy for patients with psoriasis. The mechanism remains open for further investigation.
format Article
id doaj-art-e708937425a1473096e60a76e1d7d039
institution Kabale University
issn 2160-9381
language English
publishDate 2025-01-01
publisher Mattioli1885
record_format Article
series Dermatology Practical & Conceptual
spelling doaj-art-e708937425a1473096e60a76e1d7d0392025-02-04T15:41:43ZengMattioli1885Dermatology Practical & Conceptual2160-93812025-01-0115110.5826/dpc.1501a4458Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization AnalysisXiaoxue Wang0Zexin Zhu1Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, ChinaDepartment of Surgical Oncology, The Comprehensive Breast Care Center, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China Introduction: Psoriasis and bullous pemphigoid (BP) are the 2 major types of immune-mediated inflammatory skin diseases. Studies have reported the association between psoriasis and BP; however, no studies reported whether a causal relationship exists between these 2 skin diseases. Objectives: In order to explore the causal relationship between psoriasis and BP, we performed a bidirectional two-sample Mendelian randomization (MR) study. Methods: Genome-wide association study (GWAS) data related to psoriasis and BP were collected. The inverse variance weighted (IVW) method was primarily applied for our MR analysis, MR-Egger, weighted median, simple mode, and weighted mode methods were used additionally. Heterogeneity, horizontal pleiotropy, and potential outliers were assessed for the MR analysis results. Results: GWAS data for psoriasis (3 cohorts) and BP (1 cohort) from publicly available trials were selected. Our MR results showed that psoriasis was causally associated with BP, psoriasis could increase the risk of BP, reversed MR showed BP has no causal effect on psoriasis. No heterogeneity or pleiotropy was detected.  Conclusion: These findings provided new evidence of the causal relationship between psoriasis and BP, our MR suggested that psoriasis is potentially causal to BP, which help us improving the treatment strategy for patients with psoriasis. The mechanism remains open for further investigation. https://dpcj.org/index.php/dpc/article/view/4458psoriasisBullous pemphigoidMendelian randomizationCausal relationship
spellingShingle Xiaoxue Wang
Zexin Zhu
Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis
Dermatology Practical & Conceptual
psoriasis
Bullous pemphigoid
Mendelian randomization
Causal relationship
title Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis
title_full Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis
title_fullStr Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis
title_full_unstemmed Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis
title_short Causal Relationship Between Psoriasis and Bullous Pemphigoid: A Mendelian Randomization Analysis
title_sort causal relationship between psoriasis and bullous pemphigoid a mendelian randomization analysis
topic psoriasis
Bullous pemphigoid
Mendelian randomization
Causal relationship
url https://dpcj.org/index.php/dpc/article/view/4458
work_keys_str_mv AT xiaoxuewang causalrelationshipbetweenpsoriasisandbullouspemphigoidamendelianrandomizationanalysis
AT zexinzhu causalrelationshipbetweenpsoriasisandbullouspemphigoidamendelianrandomizationanalysis