The genetic causal association between arthritis and low back pain

IF 3.4 3区 医学 Q1 ORTHOPEDICS JOR Spine Pub Date : 2024-12-13 DOI:10.1002/jsp2.70023
Aimin Gong, Daniel Yang, Mengjie Zeng
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Abstract

Background

Arthritis and low back pain (LBP) are prevalent musculoskeletal conditions with a perceived association. Previous observational studies have suggested a possible link between arthritis and LBP, but causality has not been firmly established.

Methods

The analysis involved data from a meta-analysis of genome-wide association studies sourced from the UK Biobank Genetics resources on rheumatoid arthritis (RA), osteoarthritis (OA) at any site, knee osteoarthritis (KOA), hip osteoarthritis (HOA), and LBP. Two-sample Mendelian randomization analysis was utilized to evaluate the causal link between arthritis and LBP. The primary method employed was inverse-variance weighting (IVW), with additional techniques such as MR-Egger, weighted median, Cochran Q statistic, and leave-one-out analysis used to identify heterogeneity and pleiotropy.

Results

Genetically determined RA exhibited a causal impact on LBP (Weighted median: odds ratio [OR] = 1.094, 95% confidence interval [CI] 1.002–1.195, p = 0.043). Furthermore, OA at any site and KOA showed causal associations with LBP (Inverse variance weighted: OR = 1.089, 95% CI 1.011–1.173, p = 0.026) and (OR = 1.0004, 95% CI 1.000–1.008, p = 0.019), respectively. Additionally, HOA was also linked causally with an elevated risk of developing LBP (Weighted median: OR = 1.002, 95% CI 1.000–1.004, p = 0.049; Inverse variance weighted: OR = 1.002, 95% CI 1.001–1.004, p = 0.003).

Conclusions

This study offers genetic evidence supporting the causal relationship between RA, OA at any site, KOA, HOA and the increased risk of LBP, especially highlighting the significant impact of HOA.

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背景:关节炎和腰背痛(LBP)是普遍存在的肌肉骨骼疾病,两者之间存在着明显的联系。以往的观察性研究表明,关节炎与腰背痛之间可能存在联系,但因果关系尚未确定:分析涉及英国生物库遗传学资源中有关类风湿性关节炎(RA)、任何部位的骨关节炎(OA)、膝关节骨关节炎(KOA)、髋关节骨关节炎(HOA)和枸杞痛的全基因组关联研究的荟萃分析数据。采用双样本孟德尔随机分析法评估关节炎与枸杞痛之间的因果关系。采用的主要方法是逆方差加权法(IVW),另外还使用了MR-Egger、加权中位数、Cochran Q统计量和leave-one-out分析等技术来识别异质性和多义性:基因决定的RA对枸杞痛有因果影响(加权中位数:几率比[OR] = 1.094,95%置信区间[CI] 1.002-1.195,P = 0.043)。此外,任何部位的 OA 和 KOA 分别与枸杞痛存在因果关系(逆方差加权:OR = 1.089,95% CI 1.011-1.173,p = 0.026)和(OR = 1.0004,95% CI 1.000-1.008,p = 0.019)。此外,HOA 也与罹患腰背痛的风险升高有因果关系(加权中位数:OR = 1.002,95% CI = 1.000-1.008,p = 0.019):OR = 1.002,95% CI 1.000-1.004,p = 0.049;逆方差加权:OR=1.002,95% CI 1.001-1.004,p=0.003):本研究提供的遗传学证据支持了RA、任何部位的OA、KOA、HOA与腰痛风险增加之间的因果关系,尤其突出了HOA的重要影响。
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来源期刊
JOR Spine
JOR Spine ORTHOPEDICS-
CiteScore
6.40
自引率
18.90%
发文量
42
审稿时长
10 weeks
期刊最新文献
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