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Causal Interplay Between Platelet Indices and Rheumatoid Arthritis: Genetic Evidence From Bidirectional Mendelian
Xu-Yan Shen1, Jia-Ying Sun1, Xin Wang1
1Department of Rheumatology and Immunology, Shaoxing People's Hospital, Shaoxing, Zhejiang Province, China.
International Journal of Genomics
|July 31, 2026
Summary
Genetically determined plateletcrit (PCT) increases rheumatoid arthritis (RA) risk. Conversely, RA genetic susceptibility is linked to lower mean platelet volume (MPV), offering insights into platelet roles in RA.
Area of Science:
- Genetics
- Rheumatology
- Hematology
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease.
- Platelet indices (PIs) are potential biomarkers in RA pathogenesis.
- Understanding genetic links between PIs and RA is crucial.
Purpose of the Study:
- To investigate genetically causal associations between platelet indices and rheumatoid arthritis.
- To explore bidirectional causality using Mendelian randomization.
Main Methods:
- Two-sample Mendelian randomization (TSMR) analysis.
- Utilized genetic summary statistics from large consortia (Neale Lab, FinnGen, MRC-IEU).
- Employed inverse-variance weighted (IVW), weighted median (WM), and MR-Egger methods with sensitivity analyses.
Main Results:
- Plateletcrit (PCT) showed a causal association with increased RA risk (OR=1.13, p=0.012) and seropositive RA (OR=1.03, p=0.003).
- Reverse MR analysis indicated RA genetic susceptibility causally linked to decreased mean platelet volume (MPV) (Beta=-0.012, p=0.037).
- Sensitivity analyses confirmed the reliability of causal estimates.
Conclusions:
- A positive causal relationship exists between PCT and RA risk.
- Genetic susceptibility to RA is causally associated with reduced MPV.
- Findings provide a basis for exploring platelet mechanisms in RA pathogenesis.
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