Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study

Abstract Dry Eye Disease (DED) is a common condition worldwide, with smoking being recognized as a possible aggravating factor. Although observational studies have indicated a potential correlation, the findings have been inconclusive. In the study, Mendelian randomization (MR) analysis is used to i...

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Main Authors: Kuiliang Yang, Han Zhang, Yujin Wang, Yulin Yan, Zixian Yang, Shanshan Wan, Wanju Yang, Yanning Yang
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83795-5
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author Kuiliang Yang
Han Zhang
Yujin Wang
Yulin Yan
Zixian Yang
Shanshan Wan
Wanju Yang
Yanning Yang
author_facet Kuiliang Yang
Han Zhang
Yujin Wang
Yulin Yan
Zixian Yang
Shanshan Wan
Wanju Yang
Yanning Yang
author_sort Kuiliang Yang
collection DOAJ
description Abstract Dry Eye Disease (DED) is a common condition worldwide, with smoking being recognized as a possible aggravating factor. Although observational studies have indicated a potential correlation, the findings have been inconclusive. In the study, Mendelian randomization (MR) analysis is used to investigate this potential causal relationship. Adhering to STROBE-MR guidelines, a MR analysis was conducted using genetic instrumental variables from Genome-wide association studies (GWAS). The research investigated the impact of various smoking-related exposures (regular smoking, lifetime smoking, smoking intensity, and smoking cessation) on DED as an outcome. Three distinct methodologies were employed: the inverse variance weighted (IVW) method, the MR-Egger method, and the weighted median (WM) method. To ensure the robustness of the MR results, sensitivity analyses were conducted. In MR analyses, it was observed that both lifetime smoking and regular smoking were associated with a significant increase in the risk of DED (IVW method: P < 0.05). The results indicated that the odds ratios (ORs) for lifetime smoking and regular smoking in relation to DED were 1.757 (95% CI 1.021–3.025) and 2.121 (95% CI 1.017–4.423), respectively. However, there was no significant correlation found between smoking intensity, cessation, and the risk of DED. This study presents genetic evidence indicating that long-term smoking could potentially be a causal risk factor for DED. Subsequent research will need to conduct specifically designed randomized controlled trials to further investigate this association.
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spelling doaj-art-a0a75e8afce8448bbb1aa2e493e7be6c2025-01-05T12:23:49ZengNature PortfolioScientific Reports2045-23222024-12-011411710.1038/s41598-024-83795-5Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization studyKuiliang Yang0Han Zhang1Yujin Wang2Yulin Yan3Zixian Yang4Shanshan Wan5Wanju Yang6Yanning Yang7Eye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityEye Center, Renmin Hospital of Wuhan UniversityAbstract Dry Eye Disease (DED) is a common condition worldwide, with smoking being recognized as a possible aggravating factor. Although observational studies have indicated a potential correlation, the findings have been inconclusive. In the study, Mendelian randomization (MR) analysis is used to investigate this potential causal relationship. Adhering to STROBE-MR guidelines, a MR analysis was conducted using genetic instrumental variables from Genome-wide association studies (GWAS). The research investigated the impact of various smoking-related exposures (regular smoking, lifetime smoking, smoking intensity, and smoking cessation) on DED as an outcome. Three distinct methodologies were employed: the inverse variance weighted (IVW) method, the MR-Egger method, and the weighted median (WM) method. To ensure the robustness of the MR results, sensitivity analyses were conducted. In MR analyses, it was observed that both lifetime smoking and regular smoking were associated with a significant increase in the risk of DED (IVW method: P < 0.05). The results indicated that the odds ratios (ORs) for lifetime smoking and regular smoking in relation to DED were 1.757 (95% CI 1.021–3.025) and 2.121 (95% CI 1.017–4.423), respectively. However, there was no significant correlation found between smoking intensity, cessation, and the risk of DED. This study presents genetic evidence indicating that long-term smoking could potentially be a causal risk factor for DED. Subsequent research will need to conduct specifically designed randomized controlled trials to further investigate this association.https://doi.org/10.1038/s41598-024-83795-5Dry eye diseaseSmokingGenome-wide association studyMendelian randomization
spellingShingle Kuiliang Yang
Han Zhang
Yujin Wang
Yulin Yan
Zixian Yang
Shanshan Wan
Wanju Yang
Yanning Yang
Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study
Scientific Reports
Dry eye disease
Smoking
Genome-wide association study
Mendelian randomization
title Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study
title_full Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study
title_fullStr Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study
title_full_unstemmed Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study
title_short Evaluating the impact of smoking on the risk of dry eye disease: a two-sample Mendelian randomization study
title_sort evaluating the impact of smoking on the risk of dry eye disease a two sample mendelian randomization study
topic Dry eye disease
Smoking
Genome-wide association study
Mendelian randomization
url https://doi.org/10.1038/s41598-024-83795-5
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