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Psoriasis may increase the risk of idiopathic pulmonary fibrosis: a two-sample Mendelian randomization study

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机构: [1]Department of Pediatrics, Xiangya Hospital, Central South University, Hunan 410008, China [2]Key Laboratory of Digestive System Tumors of Gansu Province, Second Hospital of Lanzhou University, Lanzhou 730000, China [3]Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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关键词: Psoriasis Idiopathic pulmonary fibrosis Epidemiology Mendelian randomization

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Although some studies have indicated that Psoriasis could contribute to the risk of idiopathic pulmonary fibrosis (IPF), no study has reported a clear causal association between them. Our aim was to explore the potential relationship between Psoriasis and IPF using Mendelian randomization (MR) design.To explore a causal association between Psoriasis and IPF, we used genetic instruments from the largest available genome-wide association study (GWAS) of European ancestry, including psoriasis (5314 cases, 457,619 controls) and IPF (1028 cases, 196,986 controls). Our main analyses were conducted by inverse-variance weighted (IVW) method with random-effects model, with the other complementary four analyses: weighted median method, weighted mode, multivariable MR and MR-Egger approach.The results of IVW methods demonstrated that genetically predicted psoriasis was significantly associated with higher odds of IPF, with an odds ratio (OR) of 1.09 (95%CI, 1.01-1.18; P = 0.02). Weighted median method, weighted mode and multivariable MR also demonstrated directionally similar results (P < 0.05), while the MR-Egger regression did not reveal the impact of psoriasis on IPF (OR = 1.09, 95%CI, 0.98-1.21; P = 0.11). In addition, both funnel plots and MR-Egger intercepts indicated no directional pleiotropic effects between psoriasis and IPF.Our study provided potential evidence between genetically predicted psoriasis and IPF, which suggests that understanding the mutual risk factors between psoriasis and IPF can facilitate the clinical management of both diseases.© 2024. The Author(s).

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大类 | 2 区 医学
小类 | 2 区 呼吸系统
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大类 | 2 区 医学
小类 | 2 区 呼吸系统
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第一作者机构: [1]Department of Pediatrics, Xiangya Hospital, Central South University, Hunan 410008, China
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