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Causal relationships between psoriasis and coronary artery disease: A two-sample Mendelian randomization study
1Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan, China.
Insights
Psoriasis significantly increases the risk of developing coronary artery disease (CAD), including heart attacks and angina. However, coronary artery disease does not appear to cause psoriasis.
Area of Science:
- Cardiovascular Medicine
- Dermatology
- Genetics
Background:
- Psoriasis, a chronic inflammatory skin condition, has been linked to cardiovascular diseases.
- The causal relationship between psoriasis and coronary artery disease (CAD) remains uncertain.
Purpose of the Study:
- To investigate the causal link between psoriasis and CAD using Mendelian randomization.
- To assess if CAD influences the incidence of psoriasis.
Main Methods:
- Utilized genome-wide association studies (GWAS) data for psoriasis and CAD.
- Employed Mendelian randomization (MR) analysis with the inverse-variance weighted (IVW) method.
- Conducted reverse MR analyses to test for causality in the opposite direction.
Main Results:
- Psoriasis is causally associated with an increased risk of CAD (OR=11.538, P<0.001).
- Psoriasis is also linked to a higher risk of coronary heart disease (OR=1.080, P=0.001).
- No evidence of a causal effect of CAD on psoriasis was found.
Conclusions:
- This study provides strong evidence for a causal relationship between psoriasis and the incidence of CAD.
- The findings suggest that psoriasis is a risk factor for developing cardiovascular disease.
- There is no evidence of a reverse causal association from CAD to psoriasis.
Abstract:
Previous studies have revealed a potential association between psoriasis and coronary artery disease (CAD). However, the causal relationship between the 2 remains unclear. This study aims to assess the causal link between psoriasis and CAD, which encompasses coronary heart disease, myocardial infarction, and angina pectoris. After obtaining genome-wide association studies data on psoriasis and CAD, we selected appropriate single nucleotide polymorphisms for Mendelian randomization (MR) analysis. The inverse-variance weighted method was used as the main analytical method. The inverse-variance weighted method indicated that psoriasis was associated with a higher risk of CAD (odds ratio = 11.538, 95% confidence interval = 4.498-29.595, P < .001), and coronary heart disease (odds ratio = 1.080, 95% confidence interval = 1.031-1.132, P = .001). Reverse MR analyses did not show causal effects of CAD on psoriasis. This study shows a significant causal association between psoriasis and incidence of CAD. However, there is no reverse causal association between CAD and psoriasis.
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