Pediatric rheumatology

Causal relationship between serum metabolites and juvenile idiopathic arthritis: a mendelian randomization study

Pediatr Rheumatol Online JPublished Mendelian randomisation study

Authors' conclusion

Five serum metabolites, including kynurenine and 3-dehydrocarnitine, may be causally associated with JIA.

Study context

Population
Genetic variation data and genome-wide association study summary data on Juvenile Idiopathic Arthritis (JIA) and 486 serum metabolites486 serum metabolites
Comparison
Genetically predicted levels of 486 serum metabolites and JIA
Outcome
Metabolic pathways associated with JIA, identified by KEGG pathway enrichment analysis
Methodological detailstwo-sample, univariate Mendelian randomization (MR), inverse variance weighted, MR-Egger, sensitivity analyses
  • Two-sample
  • Univariate MR
  • Inverse variance weighted
  • MR-Egger
  • Sensitivity analyses

Main finding

As reported in the abstract

JIA (causal association with serum metabolites)
Odds ratio (95% CI)P value
Kynurenine (risk factor)
16.39(2.07–129.63)
P = 5.11 × 10- 6
Linolenate (risk factor)
16.48(1.32–206.22)
P = 0.030
3-dehydrocarnitine (protective factor)
0.32(0.14–0.72)
P = 0.007
Levulinate (4-oxovalerate) (protective factor)
0.40(0.20–0.80)
P = 0.010
X-14,208 (phenylalanylserine) (protective factor)
0.68(0.51–0.92)
P = 0.010
Five metabolites significantly causally associated with JIA
5

Further findings

Metabolic pathways (KEGG enrichment)

Metabolic pathways potentially associated with onset and progression of JIA, incl. α-linolenic acid metabolism and pantothenate and CoA biosynthesis
7

Original publication

Causal relationship between serum metabolites and juvenile idiopathic arthritis: a mendelian randomization study. Pediatr Rheumatol Online J. Published 9 May 2024. doi:10.1186/s12969-024-00986-0

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