Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases

Abstract The high comorbidity of major depressive disorder (MDD) with other diseases has been well-documented. However, the pairwise causal connections for MDD comorbid networks are poorly characterized. We performed Phenome-wide Mendelian randomization (MR) analyses to explore bidirectional causal...

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Main Authors: Wenxi Sun, Ancha Baranova, Dongming Liu, Hongbao Cao, Xiaobin Zhang, Fuquan Zhang
Format: Article
Language:English
Published: Nature Publishing Group 2024-12-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-024-03216-z
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author Wenxi Sun
Ancha Baranova
Dongming Liu
Hongbao Cao
Xiaobin Zhang
Fuquan Zhang
author_facet Wenxi Sun
Ancha Baranova
Dongming Liu
Hongbao Cao
Xiaobin Zhang
Fuquan Zhang
author_sort Wenxi Sun
collection DOAJ
description Abstract The high comorbidity of major depressive disorder (MDD) with other diseases has been well-documented. However, the pairwise causal connections for MDD comorbid networks are poorly characterized. We performed Phenome-wide Mendelian randomization (MR) analyses to explore bidirectional causal associations between MDD (N = 807,553) and 877 common diseases from FinnGen datasets (N = 377,277). The inverse variance weighting method was the primary technique, and other methods (weighted median and MR-Egger) were used for sensitivity analyses. Our MR analyses showed that the genetic liability to MDD is causally associated with the risks of 324 disease phenotypes (average b: 0.339), including 46 psychiatric and behavioral disorders (average b: 0.618), 18 neurological diseases (average b: 0.348), 44 respiratory diseases (average b: 0.345), 40 digestive diseases (average b: 0.281), 18 circulatory diseases (average b: 0.237), 37 genitourinary diseases (average b: 0.271), 66 musculoskeletal and connective diseases (average b: 0.326), 22 endocrine diseases (average b: 0.302), and others. In a reverse analysis, a total of 51 genetic components predisposing to various diseases were causally associated with MDD risk (average b: 0.086), including 5 infectious diseases (average b: 0.056), 11 neurological diseases (average b: 0.106), 14 oncological diseases (average b: 0.108), and 5 psychiatric and behavioral disorders (average b: 0.114). Bidirectional causal associations were identified between MDD and 15 diseases. For most MR analyses, little evidence of heterogeneity and pleiotropy was detected. Our findings confirmed the extensive and significant causal role of genetic predisposition to MDD in contributing to human disease phenotypes, which were more pronounced than those seen in the reverse analysis of the causal influences of other diseases on MDD.
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spelling doaj-art-fbad6b345f7d4b10ae5d5880a4faad882024-12-29T12:48:21ZengNature Publishing GroupTranslational Psychiatry2158-31882024-12-0114111210.1038/s41398-024-03216-zPhenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseasesWenxi Sun0Ancha Baranova1Dongming Liu2Hongbao Cao3Xiaobin Zhang4Fuquan Zhang5Suzhou Guangji Hospital, Suzhou, Jiangsu Province; Affiliated Guangji Hospital of Soochow UniversitySchool of Systems Biology, George Mason UniversityDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing UniversitySchool of Systems Biology, George Mason UniversitySuzhou Guangji Hospital, Suzhou, Jiangsu Province; Affiliated Guangji Hospital of Soochow UniversityInstitute of Neuropsychiatry, The Affiliated Brain Hospital of Nanjing Medical UniversityAbstract The high comorbidity of major depressive disorder (MDD) with other diseases has been well-documented. However, the pairwise causal connections for MDD comorbid networks are poorly characterized. We performed Phenome-wide Mendelian randomization (MR) analyses to explore bidirectional causal associations between MDD (N = 807,553) and 877 common diseases from FinnGen datasets (N = 377,277). The inverse variance weighting method was the primary technique, and other methods (weighted median and MR-Egger) were used for sensitivity analyses. Our MR analyses showed that the genetic liability to MDD is causally associated with the risks of 324 disease phenotypes (average b: 0.339), including 46 psychiatric and behavioral disorders (average b: 0.618), 18 neurological diseases (average b: 0.348), 44 respiratory diseases (average b: 0.345), 40 digestive diseases (average b: 0.281), 18 circulatory diseases (average b: 0.237), 37 genitourinary diseases (average b: 0.271), 66 musculoskeletal and connective diseases (average b: 0.326), 22 endocrine diseases (average b: 0.302), and others. In a reverse analysis, a total of 51 genetic components predisposing to various diseases were causally associated with MDD risk (average b: 0.086), including 5 infectious diseases (average b: 0.056), 11 neurological diseases (average b: 0.106), 14 oncological diseases (average b: 0.108), and 5 psychiatric and behavioral disorders (average b: 0.114). Bidirectional causal associations were identified between MDD and 15 diseases. For most MR analyses, little evidence of heterogeneity and pleiotropy was detected. Our findings confirmed the extensive and significant causal role of genetic predisposition to MDD in contributing to human disease phenotypes, which were more pronounced than those seen in the reverse analysis of the causal influences of other diseases on MDD.https://doi.org/10.1038/s41398-024-03216-z
spellingShingle Wenxi Sun
Ancha Baranova
Dongming Liu
Hongbao Cao
Xiaobin Zhang
Fuquan Zhang
Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
Translational Psychiatry
title Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
title_full Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
title_fullStr Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
title_full_unstemmed Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
title_short Phenome-wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
title_sort phenome wide investigation of bidirectional causal relationships between major depressive disorder and common human diseases
url https://doi.org/10.1038/s41398-024-03216-z
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