慢性鼻窦炎与自身免疫性疾病之间的遗传相关性。

IF 3.3 Q2 ALLERGY
Frontiers in allergy Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI:10.3389/falgy.2024.1387774
Enze Wang, Yingxuan Sun, He Zhao, Meng Wang, Zhiwei Cao
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引用次数: 0

摘要

目的:在观察性研究中,自身免疫性疾病与慢性鼻炎之间的关系仍不明确。本研究旨在探讨慢性鼻炎与自身免疫性疾病之间的遗传相关性:我们采用孟德尔随机化(MR)分析和连锁不平衡评分回归(LDSC)研究自身免疫表型与慢性鼻炎之间的因果关系和遗传相关性。此外,还进行了全转录组关联(TWAS)分析,以确定这两种疾病之间的共有基因,从而证明它们之间的关系。CRS GWAS(全基因组关联研究)数据和其他自身免疫性疾病的数据分别来自ieuOpenGWAS(https://gwas.mrcieu.ac.uk/)、FinnGen联盟(https://r8.finngen.fi/)、英国生物库(https://www.ukbiobank.ac.uk/)和EBI数据库(https://www.ebi.ac.uk/):利用双变量双样本孟德尔随机方法,我们的研究结果表明慢性鼻炎与各种自身免疫性疾病有显著关联,包括过敏性鼻炎(p = 9.55E-10,Odds Ratio [OR] = 2,711.019,95% 置信区间 [CI] = 261.83391-28,069.8 )、哮喘(p = 1.81E-23,OR = 33.99643,95%CI = 17.52439-65.95137)、类风湿性关节炎(p = 9.55E-10,OR = 1.115526,95%CI = 1.0799484-1.1522758)、甲状腺功能减退症(p = 2.08828E-2,OR = 4.849254,95%CI = 1.7154455-13.707962)和 1 型糖尿病(p = 2.08828E-2,OR = 01.04849,95%CI = 1.0162932-1.0817062)。LDSC 分析显示,上述阳性自身免疫表型与慢性鼻炎之间存在遗传相关性:AR(rg = 0.344724754,p = 3.94E-8)、哮喘(rg = 0.43703672,p = 1.86E-10)、类风湿性关节炎(rg = 0.27834931,p = 3.5376E-2)和甲状腺机能减退(rg = -0.213201473,p = 3.83093E-4)。利用转录组关联研究(TWAS)方法,我们发现了几个与慢性鼻炎和自身免疫性疾病相关的基因。TSLP/WDR36(5号染色体,最高SNP:rs1837253)、ORMDL3(13号染色体,最高SNP:rs11557467)和IL1RL1/IL18R1(2号染色体,最高SNP:rs12905)等基因在共同参与特应性皮炎(AT)、过敏性鼻炎(AR)和慢性鼻炎(CRS)方面表现出较高的一致性:目前的证据表明,慢性鼻炎与过敏性鼻炎、哮喘、类风湿性关节炎、甲状腺功能减退症和 1 型糖尿病等自身免疫性疾病之间存在遗传相关性。要阐明这些关联的内在机制,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic correlation between chronic sinusitis and autoimmune diseases.

Objective: The association between autoimmune diseases and chronic rhinosinusitis in observational studies remains unclear. This study aimed to explore the genetic correlation between chronic rhinosinusitis and autoimmune diseases.

Methods: We employed Mendelian randomization (MR) analysis and linkage disequilibrium score regression (LDSC) to investigate causal relationships and genetic correlations between autoimmune phenotypes and chronic rhinosinusitis. Additionally, transcriptome-wide association (TWAS) analysis was conducted to identify the shared genes between the two conditions to demonstrate their relationship. The CRS GWAS (genome-wide association study) data and other autoimmune diseases were retrieved from ieuOpenGWAS (https://gwas.mrcieu.ac.uk/), the FinnGen alliance (https://r8.finngen.fi/), the UK Biobank (https://www.ukbiobank.ac.uk/), and the EBI database (https://www.ebi.ac.uk/).

Results: Utilizing a bivariate two-sample Mendelian randomization approach, our findings suggest a significant association of chronic rhinosinusitis with various autoimmune diseases, including allergic rhinitis (p = 9.55E-10, Odds Ratio [OR] = 2,711.019, 95% confidence interval [CI] = 261.83391-28,069.8), asthma (p = 1.81E-23, OR = 33.99643, 95%CI = 17.52439-65.95137), rheumatoid arthritis (p = 9.55E-10, OR = 1.115526, 95%CI = 1.0799484-1.1522758), hypothyroidism (p = 2.08828E-2, OR = 4.849254, 95%CI = 1.7154455-13.707962), and type 1 diabetes (p = 2.08828E-2, OR = 01.04849, 95%CI = 1.0162932-1.0817062). LDSC analysis revealed a genetic correlation between the positive autoimmune phenotypes mentioned above and chronic rhinosinusitis: AR (rg = 0.344724754, p = 3.94E-8), asthma (rg = 0.43703672, p = 1.86E-10), rheumatoid arthritis (rg = 0.27834931, p = 3.5376E-2), and hypothyroidism (rg = -0.213201473, p = 3.83093E-4). Utilizing the Transcriptome-Wide Association Studies (TWAS) approach, we identified several genes commonly associated with both chronic rhinosinusitis and autoimmune diseases. Genes such as TSLP/WDR36 (Chromosome 5, top SNP: rs1837253), ORMDL3 (Chromosome 13, top SNP: rs11557467), and IL1RL1/IL18R1 (Chromosome 2, top SNP: rs12905) exhibited a higher degree of consistency in their shared involvement across atopic dermatitis (AT), allergic rhinitis (AR), and chronic rhinosinusitis (CRS).

Conclusion: Current evidence suggests a genetic correlation between chronic rhinosinusitis and autoimmune diseases like allergic rhinitis, asthma, rheumatoid arthritis, hypothyroidism, and type 1 diabetes. Further research is required to elucidate the mechanisms underlying these associations.

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