No genetic causal association between iron status and pulmonary artery hypertension: Insights from a two-sample

Peng-Cheng Liu1, Meng-Na Lv2, Yan-Yan Rong3

  • 1Department of Rheumatology, The First Affiliated Hospital, Jiangxi Medical College Nanchang University Nanchang China.

PubMed

Insights

This study investigated the genetic link between iron status and pulmonary artery hypertension (PAH) using Mendelian randomization. No causal association was found between iron indicators and PAH, suggesting iron levels do not genetically influence PAH risk.

Area of Science:

  • Cardiovascular Genetics
  • Hematology
  • Genetic Epidemiology

Background:

  • Pulmonary artery hypertension (PAH) is a severe condition with complex etiology.
  • Iron status is crucial for various physiological processes, and its dysregulation is implicated in cardiovascular diseases.
  • Understanding the genetic relationship between iron status and PAH can inform therapeutic strategies.

Purpose of the Study:

  • To investigate the potential genetic causal association between key iron status indicators and pulmonary artery hypertension (PAH).
  • To utilize Mendelian randomization (MR) analysis with large-scale genome-wide association study (GWAS) data for robust genetic inference.
  • To assess the influence of serum iron, ferritin, TIBC, sTfR, and transferrin saturation on PAH risk.

Main Methods:

  • Mendelian randomization (MR) analysis was performed using summary statistics from publicly available GWAS data.
  • Five iron status biomarkers (serum iron, ferritin, TIBC, sTfR, transferrin saturation) were used as exposures, with PAH as the outcome.
  • Inverse variance weighted (IVW) method was primary; heterogeneity (Cochran's Q) and pleiotropy (MR-Egger, MR-Presso) were assessed, with additional validation using Weighted median, Simple mode, and Weighted mode methods.

Main Results:

  • The primary IVW analysis revealed no statistically significant causal association between any of the five iron status indicators and PAH (p > 0.05).
  • Sensitivity analyses using Weighted median, Simple mode, and Weighted mode methods corroborated the absence of a genetic causal link.
  • No significant heterogeneity or horizontal pleiotropy was detected across the analyses, supporting the validity of the findings.

Conclusions:

  • This MR study provides strong evidence against a direct genetic causal relationship between iron status and pulmonary artery hypertension.
  • The findings suggest that variations in iron metabolism do not genetically predispose individuals to PAH.
  • Further research may explore non-genetic interactions or alternative pathways linking iron and PAH pathophysiology.

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