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Updated: Jun 25, 2025

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
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.
Abstract:
To explore the genetic causal association between pulmonary artery hypertension (PAH) and iron status through Mendelian randomization (MR), we conducted MR analysis using publicly available genome-wide association study (GWAS) summary data. Five indicators related to iron status (serum iron, ferritin, total iron binding capacity (TIBC), soluble transferrin receptor (sTfR), and transferrin saturation) served as exposures, while PAH was the outcome. The genetic causal association between these iron status indicators and PAH was assessed using the inverse variance weighted (IVW) method. Cochran's Q statistic was employed to evaluate heterogeneity. We assessed pleiotropy using MR-Egger regression and MR-Presso test. Additionally, we validated our results using the Weighted median, Simple mode, and Weighted mode methods. Based on the IVW method, we found no causal association between iron status (serum iron, ferritin, TIBC, sTfR, and transferrin saturation) and PAH (p β > 0.05). The Weighted median, Simple mode, and Weighted mode methods showed no potential genetic causal association (p β > 0.05 in the three analyses). Additionally, no heterogeneity or horizontal pleiotropy was detected in any of the analyses. Our results show that there are no genetic causal association between iron status and PAH.
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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