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Causal relationship between other diseases of digestive system and breast cancer: A 2-sample Mendelian randomization
Yan Wang1, Nianqing Zhang1, Bo Zhang1
1Department of Surgical Oncology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China.
Objective:
To assess the causality between other diseases of digestive system and breast cancer.
Methods:
The 2-sample Mendelian randomisation study was conducted in 2023 at the First Affiliated Hospital of Bengbu Medical University, Bengbu, China, using data obtained from genome-wide association studies. A 2-sample Mendelian randomisation was done and inverse variance weighting was the major method to estimate the causality. The supplementary methods were Mendelian randomisation-Egger, weighted median, simple mode and weighted mode. Sensitivity analysis, heterogeneity and pleiotropy tests were used for ensuring the reliability of the findings.
Results:
A causality was noted between other diseases of the digestive system and breast cancer utilising inverse variance weighting method (inverse variance-weighted odds ratios (ORIVW)=0.030429786, penalized inverse-variance weighted (PIVW) =0.024714444). The outcomes of supplementary methods were in line with that of inverse variance weighting method. In the reverse Mendelian randomisation analysis, there was no clear causal relationship between other diseases of the digestive system and breast cancer (p>0.05). Multivariate Mendelian randomisation analysis demonstrated that after adjusting for the influence of oestrogen, other diseases of the digestive system still had a significant direct impact on BC.
Conclusions:
A causal relationship was noted between other diseases of the digestive system and breast cancer.
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