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Baurecht, Hansjörg ; Freuer, Dennis ; Welker, Christine ; Tsoi, Lam C. ; Elder, James T. ; Ehmke, Benjamin ; Leitzmann, Michael F. ; Holtfreter, Birte ; Baumeister, Sebastian‐Edgar

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

Baurecht, Hansjörg , Freuer, Dennis, Welker, Christine, Tsoi, Lam C., Elder, James T., Ehmke, Benjamin, Leitzmann, Michael F., Holtfreter, Birte and Baumeister, Sebastian‐Edgar (2022) Relationship between periodontitis and psoriasis: A two‐sample Mendelian randomization study. Journal of Clinical Periodontology.

Date of publication of this fulltext: 05 Apr 2022 06:01
Article
DOI to cite this document: 10.5283/epub.52071


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: ...

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.



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Details

Item typeArticle
Journal or Publication TitleJournal of Clinical Periodontology
Publisher:Wiley
Open Access Type:DEAL (Wiley)
Place of Publication:HOBOKEN
Date1 April 2022
InstitutionsMedicine > Institut für Epidemiologie und Präventivmedizin
Identification Number
ValueType
10.1111/jcpe.13620DOI
KeywordsPATHOGENESIS; EPIDEMIOLOGY; SEVERITY; DISEASE; RISK; epidemiology; Mendelian randomization; periodontitis; psoriasis
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-520711
Item ID52071

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