Causal association between systemic inflammatory factors and the risk of hepatocellular carcinoma based on Mendelian randomization

Published on Sep. 04, 2024Total Views: 2053 times Total Downloads: 359 times Download Mobile

Author: LI Xinyu ^1, ² NIE Duorui ¹ XIAO Tingfen ^1, ² CAO Jun ¹ WANG Zhiqi ^1, ² XU Fei ^1, ²  CHEN Chang ¹

Affiliation: 1. School of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China 2. National First-Class Major Construction Point of Chinese Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China

Keywords: Inflammatory factors Hepatocellular carcinoma Mendelian randomization analysis GWAS

DOI: 10.12173/j.issn.1004-4337.202405145

Reference: Li XY, Nie DR, Xiao TF, Cao J, Wang ZQ, Xu F, Chen C. Causal association between systemic inflammatory factors and the risk of hepatocellular carcinoma based on Mendelian randomization[J]. Journal of Mathematical Medicine, 2024, 37(8): 592-599. DOI: 10.12173/j.issn.1004-4337.202405001[Article in Chinese]  Copied

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Abstract

Objective To explore the causal relationship between systemic inflammatory factors and the risk of hepatocellular carcinoma.

Methods This study was based on the published genome-wide association study (GWAS) database. The exposure factor was 41 systemic inflammatory regulators. The data were derived from a Finland study with a sample size of 8 293 people. The outcome variable was hepatocellular carcinoma, which was derived from the Finnish database (FINNGen). Two-sample Mendelian randomization analysis was performed using inverse variance weighted (IVW), MR-Egger, weighted median estimator (WME), and weighted mode (WM) MR-Egger was carried out for pleiotropy analysis, Cochran's Q test was used for heterogeneity analysis, and leave-one-out method was used for sensitivity analysis.

Results IVW results of two-sample Mendelian randomization analysis showed that TNF-related apoptosis-inducing ligand (TRAIL) level (OR=0.77, 95%CI=0.61-0.97, P=0.025), macrophage-stimulating factor (MCSF) level (OR=0.69, 95%CI=0.50-0.95, P=0.024) and interleukin-18 (IL-18) level (OR=0.77, 95%CI=0.61-0.97, P=0.026) were negatively correlated with the risk of hepatocellular carcinoma.

Conclusion TRAIL, IL-18 and MCSF had potential negative causal association with hepatocellular carcinoma, which migh be protective factors for hepatocellular carcinoma.

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