Relationship between periodontitis and psoriasis: A two-sample Mendelian randomization study

Baurecht, Hansjoerg and Freuer, Dennis and Welker, Christine and Tsoi, Lam C. and Elder, James T. and Ehmke, Benjamin and Leitzmann, Michael F. and Holtfreter, Birte and Baumeister, Sebastian-Edgar (2022) Relationship between periodontitis and psoriasis: A two-sample Mendelian randomization study. JOURNAL OF CLINICAL PERIODONTOLOGY, 49 (6). pp. 573-579. ISSN 0303-6979, 1600-051X

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Abstract

Aim: Observational research suggests that periodontitis affects psoriasis. However, observational studies are prone to reverse causation and confounding, which hampers drawing causal conclusions and the effect direction. We applied the Mendelian randomization (MR) method to comprehensively assess the potential bi-directional association between periodontitis and psoriasis. Materials and Methods: We used genetic instruments from the largest available genome-wide association study of European descent for periodontitis (17,353 cases, 28,210 controls) to investigate the relationship with psoriasis (13,229 cases, 21,543 controls), and vice versa. Causal Analysis Using Summary Effect (CAUSE) estimates and inverse variance-weighted (IVW) MR analyses were used for the primary analysis. Robust MR approaches were used for sensitivity analyses. Results: Both univariable methods, CAUSE and IVW MR analyses, did not reveal any impact of periodontitis on psoriasis (CAUSE odds ratio [OR] = 1.00, p = 1.00; IVW OR = 1.02, p = .6247), or vice versa (CAUSE OR = 1.01, p = .5135; IVW OR = 1.00, p = .7070). The null association was corroborated by pleiotropy-robust methods with ORs close to 1 and p-values >.59. Overall, MR analyses did not suggest any effect of periodontitis on psoriasis. Similarly, there was no evidence to support an effect of psoriasis on periodontitis. Conclusions: Within the limitations of this MR study, the outcomes supported neither periodontitis affecting psoriasis nor psoriasis affecting periodontitis.

Item Type: Article
Uncontrolled Keywords: PATHOGENESIS; EPIDEMIOLOGY; SEVERITY; DISEASE; RISK; epidemiology; Mendelian randomization; periodontitis; psoriasis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Institut für Epidemiologie und Präventivmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 27 Feb 2024 10:13
Last Modified: 27 Feb 2024 10:13
URI: https://pred.uni-regensburg.de/id/eprint/57924

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