Rheumatoid arthritis

Association Between Rheumatoid Arthritis and Osteoporosis in Japanese Populations: A Mendelian Randomization Study

Arthritis RheumatolPublished Mendelian randomization study

Main finding · Osteoporosis, inverse variance-weighted methodResult — go to the resultOdds ratio 1.10 95% CI 1.06–1.14

Authors' conclusion

Our results show a potential causal association between genetically predicted RA and osteoporosis. The finding was consistent when we used different MR methods and the sensitivity analysis.

Study context

Population
Japanese populations, genome-wide association studies (GWAS) summary data from BioBank Japan: Rheumatoid arthritis (RA) (4,199 cases and 208,254 controls) and osteoporosis (7,788 cases and 204,665 controls)11 SNPs as instruments
Comparison
Genetically predicted RA vs no RA for osteoporosis
Outcome
Osteoporosis, inverse variance-weighted method
Methodological detailstwo-sample summary-level GWAS data (BioBank Japan), 11 RA-related SNPs as instrumental variables, inverse variance-weighted primary method, sensitivity analyses: MR-Egger, weighted median, weighted mode, Mendelian randomization pleiotropy residual sum and outlier (MRPRESSO)
  • Two-sample summary-level GWAS data (BioBank Japan)
  • 11 RA-related SNPs as instrumental variables
  • Inverse variance-weighted primary method
  • Sensitivity analyses: MR-Egger, weighted median, weighted mode, MRPRESSO

Main finding

As reported in the abstract

Odds ratio

1.10

95% CI 1.06–1.14

P < 0.001

Genetically predicted RAvs no RA (per genetic liability) for osteoporosis
OR 1.10 (95% CI 1.06–1.14); P < 0.001

Further findings

Osteoporosis, sensitivity analyses (other Mendelian randomization (MR) methods)

MR-Egger's method
OR 1.09, 95% CI 1.03-1.16, P = 0.023
Weighted median
OR 1.09, 95% CI 1.04-1.15, P < 0.001
Weighted mode
OR 1.08, 95% CI 1.03-1.13, P = 0.012
  • Positive association robust

Horizontal pleiotropy (MR-Egger's intercept test or MRPRESSO test)

Horizontal pleiotropy not detected
P = 0.737

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association Between Rheumatoid Arthritis and Osteoporosis in Japanese Populations: A Mendelian Randomization Study. Arthritis Rheumatol. Published 16 June 2023. doi:10.1002/art.42502

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