1. The effect of systemic iron status on osteoarthritis: A mendelian randomization study.
- Author
-
Guangfeng Ruan, Yi Ying, Shilong Lu, Zhaohua Zhu, Shibo Chen, Muhui Zeng, Ming Lu, Song Xue, Jianwei Zhu, Peihua Cao, Tianyu Chen, Xiaoshuai Wang, Shengfa Li, Jia Li, Yu Liu, Yanqi Liu, Yan Zhang, and Changhai Ding
- Subjects
IRON in the body ,TOTAL knee replacement ,TOTAL hip replacement ,TRANSFERRIN ,FERRITIN ,RANDOMIZATION (Statistics) ,OSTEOARTHRITIS ,IRON - Abstract
Objective: To assess the causal effect of systemic iron status by using four biomarkers (serum iron; transferrin saturation; ferritin; total iron-binding capacity) on knee osteoarthritis (OA), hip OA, total knee replacement, and total hip replacement using 2-sample Mendelian randomization (MR) design. Methods: Three instrument sets were used to construct the genetic instruments for the iron status: Liberal instruments (variants associated with one of the iron biomarkers), sensitivity instruments (liberal instruments exclude variants associated with potential confounders), and conservative instruments (variants associatedwith all four iron biomarkers). Summary-level data for four OA phenotypes, including knee OA, hip OA, total knee replacement, and total hip replacement were obtained from the largest genome-wide meta-analysis with 826,690 individuals. Inverse-variance weighted based on the random-effect model as the main approach was conducted. Weighted median, MR-Egger, and Mendelian randomization pleiotropy residual sum and outlier methods were used as sensitivity MR approaches. Results: Based on liberal instruments, genetically predicted serumiron and transferrin saturationwere significantly associated with hipOA and total hip replacement, but not with kneeOA and total knee replacement. Statistical evidence of heterogeneity across the MR estimates indicated that mutation rs1800562 was the SNP significantly associated with hip OA in serum iron (odds ratio, OR = 1.48), transferrin saturation (OR = 1.57), ferritin (OR = 2.24), and total-iron binding capacity (OR = 0.79), and hip replacement in serum iron (OR = 1.45), transferrin saturation (OR = 1.25), ferritin (OR = 1.37), and total-iron binding capacity (OR = 0.80). Conclusion: Our study suggests that high iron status might be a causal factor of hip OA and total hip replacement where rs1800562 is the main contributor. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF