
The causal relationship between asthma and chronic obstructive pulmonary disease based on a two-sample Mendelian randomization analysis
Li Yalan, Zhang Wei, Sun Shiqi, Jiang Linhong, Chen Feng
The causal relationship between asthma and chronic obstructive pulmonary disease based on a two-sample Mendelian randomization analysis
Objective To investigate whether there is a causal relationship between asthma and chronic obstructive pulmonary disease(COPD) using the two-sample Mendelian randomization(MR) approach. Methods Single nucleotide polymorphisms(SNPs) strongly associated with asthma were obtained as instrumental variables(IVs) from the pooled data of genome-wide association studies,and the inverse variance weighted(IVW) method was used as the main analytical method,assisted by the methods of MR-Egger,weighted median,simple model,and weighted model,to evaluate the causal relationship between asthma and the risk of COPD. At the same time,the MR-PRESSO test was used to detect whether there was an outlier SNP,and the MR-Egger intercept test and the Cochran Q test were used to evaluate the horizontal pleiotropy and heterogeneity of IVs. Results A total of 61 SNPs were included,and IVW results showed that asthma is a risk factor for COPD.(odds ratio[OR]=1.146,95%CI=1.023-1.283,P=0.020; OR=1.153,95% CI=1.003-1.326,P=0.045),and the results of the other four auxiliary analysis methods were consistent with the results of IVW. The results of the MR-PRESSO test,the Cochran Q test,the MR-Egger intercept test,and the leave-one-out method all showed the stability of the above results. Conclusion Asthma may increase the risk of COPD.
asthma / chronic obstructive pulmonary disease / Mendelian randomization / genome-wide association studies
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