Genetic liability of gut microbiota for idiopathic pulmonary fibrosis and lung function: a two-sample Mendelian

Yuan Ren1,2, Yao Zhang2, Yanan Cheng2

  • 1Department of Pulmonary and Critical Care Medicine, The Second Hospital of Shanxi Medical University, Taiyuan, China.

Abstract

Insights

Specific gut bacteria influence idiopathic pulmonary fibrosis (IPF) risk and lung function. Dietary lipids may protect against IPF, suggesting gut microbiota-mediated prevention strategies.

Area of Science:

  • Microbiome research
  • Pulmonary medicine
  • Genetic epidemiology

Background:

  • The gut-lung axis suggests a link between gut microbiota and idiopathic pulmonary fibrosis (IPF).
  • Population-level evidence establishing causality between gut microbiota and IPF is limited.
  • This study investigates the causal relationship using a two-sample Mendelian randomization (MR) approach.

Purpose of the Study:

  • To determine the causal effect of gut microbial taxa on IPF risk.
  • To investigate the causal relationship between gut microbiota and lung function (FEV1, FVC).
  • To explore the influence of lung function on gut microbiota composition.

Main Methods:

  • Utilized summary-level data from genome-wide association studies (GWAS) for 211 gut microbial taxa, IPF, and lung function indicators.
  • Employed bidirectional two-sample MR with inverse variance-weighted (IVW), weighted median, MR-Egger, and weighted mode methods.
  • Conducted multivariable MR (MVMR) to identify mediating factors and comprehensive sensitivity analyses.

Main Results:

  • Identified four gut taxa causally associated with IPF risk: three protective (Order Bifidobacteriales, Family Bifidobacteriaceae, Genus RuminococcaceaeUCG009) and one promoting (Genus Coprococcus2).
  • Several taxa showed causal links to lung function, with specific Deltaproteobacteria and Verrucomicrobiae beneficial, while Lachnospiraceae, Oscillospira, and Parasutterella were detrimental.
  • Reverse MR analysis indicated FEV1 and FVC influence the abundance of specific gut microbes, including Actinobacteria and Bifidobacterium.

Conclusions:

  • Specific gut microbes have causal effects on IPF risk and lung function.
  • Lung function also impacts gut microbiota composition.
  • Dietary lipid intake may offer protection against IPF, highlighting potential microbiota-mediated prevention strategies.