The potential causal relationship between BMI, T1D, urolithiasis, and hydronephrosis in European ancestry: A Mendelian randomization analysis

Body mass index (BMI), type 1 diabetes (T1D), urolithiasis, and hydronephrosis are interrelated. Our aim was to analyze their causal relationships at the genetic level. Mendelian randomization is an instrumental variable analysis method that follows Mendel genetic law of random allocation of parenta...

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Veröffentlicht in:Medicine (Baltimore) 2024-09, Vol.103 (39), p.e39914
Hauptverfasser: Han, Yangjun, Gao, Wenzhi, Wang, Bing, Gao, Zihui, Diao, Mingxin, Zuo, Chao, Zhang, Minghua, Diao, Yingzhi, Wang, Chunji, Liu, Honglei, Gu, Yaming
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container_issue 39
container_start_page e39914
container_title Medicine (Baltimore)
container_volume 103
creator Han, Yangjun
Gao, Wenzhi
Wang, Bing
Gao, Zihui
Diao, Mingxin
Zuo, Chao
Zhang, Minghua
Diao, Yingzhi
Wang, Chunji
Liu, Honglei
Gu, Yaming
description Body mass index (BMI), type 1 diabetes (T1D), urolithiasis, and hydronephrosis are interrelated. Our aim was to analyze their causal relationships at the genetic level. Mendelian randomization is an instrumental variable analysis method that follows Mendel genetic law of random allocation of parental alleles to offspring. In observational studies, genetic variants are used as instrumental variables to infer causal relationships between exposure factors and study outcomes. All the genome-wide association study data in our study were publicly available and from published genome-wide association studies, UK Biobank, and FinnGen. Random-effects inverse variance weighted was the primary analysis method, with R Egger, weighted median, and weighted mode as supplementary methods. We examined heterogeneity, horizontal pleiotropy, and the influence of individual single nucleotide polymorphisms on the analysis. We further explored the causal relationships between BMI, T1D, urolithiasis, and hydronephrosis, as well as the robustness of the analysis results. Inverse variance weighted results showed genetic causal relationships between BMI (P = .034, odds ratio [OR] 95% confidence interval [CI] = 1.273 [1.019-1.589]), T1D (P = .028, OR 95% CI = 0.921 [0.855-0.991]), urolithiasis (P 
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Our aim was to analyze their causal relationships at the genetic level. Mendelian randomization is an instrumental variable analysis method that follows Mendel genetic law of random allocation of parental alleles to offspring. In observational studies, genetic variants are used as instrumental variables to infer causal relationships between exposure factors and study outcomes. All the genome-wide association study data in our study were publicly available and from published genome-wide association studies, UK Biobank, and FinnGen. Random-effects inverse variance weighted was the primary analysis method, with R Egger, weighted median, and weighted mode as supplementary methods. We examined heterogeneity, horizontal pleiotropy, and the influence of individual single nucleotide polymorphisms on the analysis. We further explored the causal relationships between BMI, T1D, urolithiasis, and hydronephrosis, as well as the robustness of the analysis results. Inverse variance weighted results showed genetic causal relationships between BMI (P = .034, odds ratio [OR] 95% confidence interval [CI] = 1.273 [1.019-1.589]), T1D (P = .028, OR 95% CI = 0.921 [0.855-0.991]), urolithiasis (P &lt; .001, OR 95% CI = 1.361 [1.175-1.576]), and hydronephrosis. Sensitivity analyses confirmed the accuracy and robustness of these findings. Our results support significant causal roles of BMI, T1D, and urolithiasis in hydronephrosis, potentially offering new intervention strategies for preventing its development.</description><identifier>ISSN: 1536-5964</identifier><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000039914</identifier><identifier>PMID: 39331875</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Body Mass Index ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - genetics ; Female ; Genome-Wide Association Study ; Humans ; Hydronephrosis - epidemiology ; Hydronephrosis - genetics ; Male ; Mendelian Randomization Analysis - methods ; Observational Study ; Polymorphism, Single Nucleotide ; Urolithiasis - epidemiology ; Urolithiasis - genetics ; White People - genetics</subject><ispartof>Medicine (Baltimore), 2024-09, Vol.103 (39), p.e39914</ispartof><rights>Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c286t-1246cc5a52b818a33a11bd61d6a5ebebcd9b300c2285f38371b0b558fdb866e13</cites><orcidid>0009-0001-5900-4191</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11441904/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11441904/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27915,27916,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39331875$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Yangjun</creatorcontrib><creatorcontrib>Gao, Wenzhi</creatorcontrib><creatorcontrib>Wang, Bing</creatorcontrib><creatorcontrib>Gao, Zihui</creatorcontrib><creatorcontrib>Diao, Mingxin</creatorcontrib><creatorcontrib>Zuo, Chao</creatorcontrib><creatorcontrib>Zhang, Minghua</creatorcontrib><creatorcontrib>Diao, Yingzhi</creatorcontrib><creatorcontrib>Wang, Chunji</creatorcontrib><creatorcontrib>Liu, Honglei</creatorcontrib><creatorcontrib>Gu, Yaming</creatorcontrib><title>The potential causal relationship between BMI, T1D, urolithiasis, and hydronephrosis in European ancestry: A Mendelian randomization analysis</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Body mass index (BMI), type 1 diabetes (T1D), urolithiasis, and hydronephrosis are interrelated. 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Inverse variance weighted results showed genetic causal relationships between BMI (P = .034, odds ratio [OR] 95% confidence interval [CI] = 1.273 [1.019-1.589]), T1D (P = .028, OR 95% CI = 0.921 [0.855-0.991]), urolithiasis (P &lt; .001, OR 95% CI = 1.361 [1.175-1.576]), and hydronephrosis. Sensitivity analyses confirmed the accuracy and robustness of these findings. Our results support significant causal roles of BMI, T1D, and urolithiasis in hydronephrosis, potentially offering new intervention strategies for preventing its development.</description><subject>Body Mass Index</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - genetics</subject><subject>Female</subject><subject>Genome-Wide Association Study</subject><subject>Humans</subject><subject>Hydronephrosis - epidemiology</subject><subject>Hydronephrosis - genetics</subject><subject>Male</subject><subject>Mendelian Randomization Analysis - methods</subject><subject>Observational Study</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Urolithiasis - epidemiology</subject><subject>Urolithiasis - genetics</subject><subject>White People - genetics</subject><issn>1536-5964</issn><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUU1v1DAQtRAVLYVfgIR85LBbPHHiOFxQ6Rao1BWX5WzZziwx8trBToqW_8B_xqWlH_gy1sx7bz4eIa-AnQDr2rfr1Qm7f7zroH5CjqDhYtl0on764H9Inuf8nTHgbVU_I4e84xxk2xyR35sB6RgnDJPTnlo95xISej25GPLgRmpw-okY6If1xYJuYLWgc4reTYPT2eUF1aGnw75PMeA4pFhy1AV6XkAj6lDKFvOU9u_oKV1j6NG7kk2FFXfu1982BaP9vhBfkIOt9hlf3sZj8vXj-ebs8_Lyy6eLs9PLpa2kmJZQ1cLaRjeVkSA15xrA9AJ6oRs0aGzfGc6YrSrZbLnkLRhmmkZueyOFQODH5P2N7jibHfa2bJ-0V2NyO532KmqnHleCG9S3eKUA6ho6VheFN7cKKf6Yy4Jq57JF73XAOGfFAVhbdbIWBcpvoLYcJyfc3vUBpq6dVOuV-t_Jwnr9cMQ7zj_r-B-j3pyd</recordid><startdate>20240927</startdate><enddate>20240927</enddate><creator>Han, Yangjun</creator><creator>Gao, Wenzhi</creator><creator>Wang, Bing</creator><creator>Gao, Zihui</creator><creator>Diao, Mingxin</creator><creator>Zuo, Chao</creator><creator>Zhang, Minghua</creator><creator>Diao, Yingzhi</creator><creator>Wang, Chunji</creator><creator>Liu, Honglei</creator><creator>Gu, Yaming</creator><general>Lippincott Williams &amp; 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Our aim was to analyze their causal relationships at the genetic level. Mendelian randomization is an instrumental variable analysis method that follows Mendel genetic law of random allocation of parental alleles to offspring. In observational studies, genetic variants are used as instrumental variables to infer causal relationships between exposure factors and study outcomes. All the genome-wide association study data in our study were publicly available and from published genome-wide association studies, UK Biobank, and FinnGen. Random-effects inverse variance weighted was the primary analysis method, with R Egger, weighted median, and weighted mode as supplementary methods. We examined heterogeneity, horizontal pleiotropy, and the influence of individual single nucleotide polymorphisms on the analysis. We further explored the causal relationships between BMI, T1D, urolithiasis, and hydronephrosis, as well as the robustness of the analysis results. Inverse variance weighted results showed genetic causal relationships between BMI (P = .034, odds ratio [OR] 95% confidence interval [CI] = 1.273 [1.019-1.589]), T1D (P = .028, OR 95% CI = 0.921 [0.855-0.991]), urolithiasis (P &lt; .001, OR 95% CI = 1.361 [1.175-1.576]), and hydronephrosis. Sensitivity analyses confirmed the accuracy and robustness of these findings. Our results support significant causal roles of BMI, T1D, and urolithiasis in hydronephrosis, potentially offering new intervention strategies for preventing its development.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>39331875</pmid><doi>10.1097/MD.0000000000039914</doi><orcidid>https://orcid.org/0009-0001-5900-4191</orcidid><oa>free_for_read</oa></addata></record>
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subjects Body Mass Index
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - genetics
Female
Genome-Wide Association Study
Humans
Hydronephrosis - epidemiology
Hydronephrosis - genetics
Male
Mendelian Randomization Analysis - methods
Observational Study
Polymorphism, Single Nucleotide
Urolithiasis - epidemiology
Urolithiasis - genetics
White People - genetics
title The potential causal relationship between BMI, T1D, urolithiasis, and hydronephrosis in European ancestry: A Mendelian randomization analysis
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