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Human Papillomavirus Infection and Autoimmune Diseases: A Two-Sample Bidirectional Mendelian Randomization Study
Tian He1,2, Xi Fang1,2, Xiao Hu2,3
1Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
International Journal of Rheumatic Diseases
|December 2, 2024
Summary
Human papillomavirus (HPV) infection shows a causal link to systemic lupus erythematosus (SLE). However, this study found no causal association between HPV and rheumatoid arthritis (RA) or inflammatory bowel disease (IBD).
Area of Science:
- Immunology
- Genetics
- Epidemiology
Background:
- Observational studies suggest a link between human papillomavirus (HPV) and autoimmune diseases like systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA).
- The precise causal mechanisms connecting HPV infection to these conditions remain unclear.
- Understanding this relationship is crucial for developing targeted prevention and treatment strategies.
Purpose of the Study:
- To investigate the potential causal relationship between human papillomavirus (HPV) infection and autoimmune diseases.
- To differentiate the effects of specific HPV types (HPV16 and HPV18) on SLE, RA, and IBD.
- To establish the directionality of the causal link using a bidirectional Mendelian randomization approach.
Main Methods:
- A two-sample bidirectional Mendelian randomization (MR) study utilizing genome-wide association study (GWAS) data.
- Inverse variance weighted (IVW) model as the primary analysis method, supplemented by three additional models.
- MR Steiger test for causal direction validation and MR-PRESSO and MR-Egger regression for sensitivity analyses to detect heterogeneity and pleiotropy.
Main Results:
- A positive causal association was found between HPV16 E7 protein and SLE (OR=1.075, FDR-p=0.04).
- A negative causal association was observed between HPV18 E7 protein and SLE (OR=0.884, FDR-p=0.02).
- No significant causal associations were detected between HPV16/18 E7 proteins and rheumatoid arthritis (RA), inflammatory bowel disease (IBD), ulcerative colitis (UC), or Crohn's disease (CD). Sensitivity analyses confirmed no significant heterogeneity or pleiotropy.
Conclusions:
- This Mendelian randomization study provides evidence for a causal link between HPV infection and SLE.
- The study did not find evidence of a causal association between HPV infection and RA or IBD.
- Findings highlight the complex interplay between viral infections and autoimmune disease development, specifically implicating HPV in SLE pathogenesis.
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