Evaluation of causal associations between interleukin-18 levels and immune-mediated inflammatory diseases: a Mendelian randomization study.


Journal

BMC medical genomics
ISSN: 1755-8794
Titre abrégé: BMC Med Genomics
Pays: England
ID NLM: 101319628

Informations de publication

Date de publication:
29 Nov 2023
Historique:
received: 28 06 2023
accepted: 19 11 2023
medline: 1 12 2023
pubmed: 30 11 2023
entrez: 29 11 2023
Statut: epublish

Résumé

Altered interleukin (IL)-18 levels are associated with immune-mediated inflammatory diseases (IMIDs), but no studies have investigated their causal relationship. This study aimed to examine the causal associations between IL-18 and IMIDs. We performed a two-sample Mendelian randomization (MR) analysis. Genetic variants were selected from genome-wide association study datasets following stringent assessments. We then used these variants as instrumental variables to estimate the causal effects of IL-18 levels on the risk of developing five common IMIDs: rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), inflammatory bowel disease (IBD), ankylosing spondylitis (AS), and psoriasis. We used the inverse variance-weighted (IVW) method as the primary analysis, with sensitivity analyses performed to avoid potential bias. Reverse-direction MR analyses were performed to rule out the possibility of reverse associations. We found that genetically determined higher circulating IL-18 levels were causally associated with a higher risk for SLE (P We have demonstrated that elevated IL-18 levels increase the risk of SLE and IBD but not RA, AS, or psoriasis. The results enhanced our understanding of IL-18 in the pathology of IMIDs.

Sections du résumé

BACKGROUND BACKGROUND
Altered interleukin (IL)-18 levels are associated with immune-mediated inflammatory diseases (IMIDs), but no studies have investigated their causal relationship. This study aimed to examine the causal associations between IL-18 and IMIDs.
METHODS METHODS
We performed a two-sample Mendelian randomization (MR) analysis. Genetic variants were selected from genome-wide association study datasets following stringent assessments. We then used these variants as instrumental variables to estimate the causal effects of IL-18 levels on the risk of developing five common IMIDs: rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), inflammatory bowel disease (IBD), ankylosing spondylitis (AS), and psoriasis. We used the inverse variance-weighted (IVW) method as the primary analysis, with sensitivity analyses performed to avoid potential bias. Reverse-direction MR analyses were performed to rule out the possibility of reverse associations.
RESULTS RESULTS
We found that genetically determined higher circulating IL-18 levels were causally associated with a higher risk for SLE (P
CONCLUSIONS CONCLUSIONS
We have demonstrated that elevated IL-18 levels increase the risk of SLE and IBD but not RA, AS, or psoriasis. The results enhanced our understanding of IL-18 in the pathology of IMIDs.

Identifiants

pubmed: 38031150
doi: 10.1186/s12920-023-01744-z
pii: 10.1186/s12920-023-01744-z
pmc: PMC10685486
doi:

Substances chimiques

Immunomodulating Agents 0
Interleukin-18 0
IL18 protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

306

Subventions

Organisme : the Scientific research project of Guangdong Provincial Bureau of Traditional Chinese Medicine
ID : 20231059
Organisme : the National Natural Science Foundation of China
ID : 82302044
Organisme : the Guangdong Clinical Research Center of Immune Disease
ID : 2020B1111170008
Organisme : the Science and Technology Planning Project of Guangdong Province, China
ID : 2020B1515130005

Informations de copyright

© 2023. The Author(s).

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Auteurs

Jialing Wu (J)

Department of Rheumatology and Immunology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630, China.

Xi Zhang (X)

Department of Rheumatology and Immunology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630, China.

Dongze Wu (D)

Department of Rheumatology and Immunology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.

Ou Jin (O)

Department of Rheumatology and Immunology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630, China. jinouwishugood@hotmail.com.

Jieruo Gu (J)

Department of Rheumatology and Immunology, Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Guangzhou, 510630, China. gujieruo@mail.sysu.edu.cn.

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