Bidirectional causality between the levels of blood lipids and endometriosis: a two-sample mendelian randomization study

Bibliographic Details
Title: Bidirectional causality between the levels of blood lipids and endometriosis: a two-sample mendelian randomization study
Authors: Zhenna Wang, Chunxian Zhan, Linghua Liao, Ye Luo, Shunhe Lin, Shihan Yan
Source: BMC Women's Health, Vol 24, Iss 1, Pp 1-10 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Gynecology and obstetrics
LCC:Public aspects of medicine
Subject Terms: Blood lipid, Endometriosis, Genome-wide association study, Mendelian, Randomization, The causal effect and single nucleotide polymorphism, Gynecology and obstetrics, RG1-991, Public aspects of medicine, RA1-1270
More Details: Abstract Background Observational studies have found a correlation between the levels of blood lipids and the development and progression of endometriosis (EM). However, the causality and direction of this correlation is unclear. This study aimed to examine the bidirectional connection between lipid profiles and the risk of EM using publicly available genome-wide association study (GWAS) summary statistics. Methods Eligible exposure variables such as levels of triglycerides (TG), total cholesterol (TC), low-density lipoprotein (LDL), and high-density lipoprotein (HDL) were selected using a two-sample Mendelian randomization (MR) analysis method following a series of quality control procedures. Data on EM were obtained from the publicly available Finnish database of European patients. Inverse variance weighted (IVW), MR Egger, weighted median, and weighted mode methods were used to analyze the causal relationship between lipid exposure and EM, exclude confounders, perform sensitivity analyses, and assess the stability of the results. Reverse MR analyses were performed with EM as exposure and lipid results as study outcomes. Results IVW analysis results identified HDL as a protective factor for EM, while TG was shown to be a risk factor for EM. Subgroup analyses based on the site of the EM lesion identified HDL as a protective factor for EM of the uterus, while TG was identified a risk factor for the EM of the fallopian tube, ovary, and pelvic peritoneum. Reverse analysis did not reveal any effect of EM on the levels of lipids. Conclusion Blood lipids, such as HDL and TG, may play an important role in the development and progression of EM. However, EM does not lead to dyslipidemia.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1472-6874
Relation: https://doaj.org/toc/1472-6874
DOI: 10.1186/s12905-024-03213-w
Access URL: https://doaj.org/article/74e0c158ef80446c88264a60087b0d07
Accession Number: edsdoj.74e0c158ef80446c88264a60087b0d07
Database: Directory of Open Access Journals
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More Details
ISSN:14726874
DOI:10.1186/s12905-024-03213-w
Published in:BMC Women's Health
Language:English