Mendelian randomization provides no evidence for a causal role in the bidirectional relationship between depression

Adil Harroud1, Ruth Ann Marrie2, Kathryn C Fitzgerald3

  • 1Department of Neurology, University of California San Francisco, San Francisco, CA, USA/Weill Institute for Neurosciences, University of California San Francisco, San Francisco, CA, USA.

Multiple Sclerosis (Houndmills, Basingstoke, England)
|February 16, 2021
PubMed
Abstract

Insights

This study found no causal link between major depressive disorder (MDD) and multiple sclerosis (MS) using genetic data. Obesity, however, was linked to increased risk for both MDD and MS.

Area of Science:

  • Neuroscience
  • Genetics
  • Epidemiology

Background:

  • Major depressive disorder (MDD) is frequently observed in patients with multiple sclerosis (MS).
  • The incidence of MDD often precedes an MS diagnosis, raising questions about causality.
  • The bidirectional relationship between MS and MDD requires further investigation.

Purpose of the Study:

  • To investigate the potential causal relationship between MS and MDD.
  • To examine the directionality of the association between MS and MDD using Mendelian randomization.

Main Methods:

  • Utilized two-sample Mendelian randomization (MR) with large genetic datasets for MDD and MS.
  • Employed sensitivity analyses to detect and mitigate pleiotropy.
  • Conducted multivariable MR analyses, adjusting for body mass index (BMI).

Main Results:

  • No evidence supported a causal effect of genetic liability for MDD on MS risk.
  • No evidence supported a causal effect of genetic liability for MS on MDD risk.
  • Genetic predisposition to higher BMI was associated with increased odds of both MS and MDD.

Conclusions:

  • The study does not support a causal association between the genetic liability of MDD and MS susceptibility, or vice versa.
  • Obesity may be a shared genetic factor contributing to the increased incidence of depression observed before MS diagnosis.

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