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Exploring causal associations between serum inflammatory markers and female reproductive disorders: a Mendelian randomisation study
Monash Centre for Health Research and Implementation (MCHRI), Monash University, VIC, Clayton, Australia.
Monash Centre for Health Research and Implementation (MCHRI), Monash University, VIC, Clayton, Australia.
Monash Centre for Health Research and Implementation (MCHRI), Monash University, VIC, Clayton, Australia.
Monash Centre for Health Research and Implementation (MCHRI), Monash University, VIC, Clayton, Australia.
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2024 (English)In: Biomolecules, E-ISSN 2218-273X, Vol. 14, no 12, article id 1544Article in journal (Refereed) Published
Abstract [en]

Although inflammation may disrupt immunoendocrine crosstalk essential for female reproductive function, causal links to disorders like polycystic ovary syndrome (PCOS) and endometriosis remain unestablished. This study aimed to utilise Mendelian randomisation (MR) methods to explore causal associations between serum inflammatory markers and common reproductive disorders, aiming to identify novel mechanisms and potential avenues for treatment. Total causal effects of serum inflammatory markers (interleukins, monocyte chemoattractant protein-1, etc.) on female reproductive disorders in large sample cohorts of Finnish ancestry were assessed using univariable two-sample MR methods, including the inverse variance weighted (IVW) method as the primary analysis, with relevant quality assessments (e.g., leave-one out, heterogeneity, and horizontal pleiotropy testing). The main outcome measures were PCOS (642 cases and 118,228 controls) and endometriosis (8288 cases and 68,969 controls) from the FINNGEN cohort. Monocyte chemoattractant protein-1/C-C motif chemokine ligand demonstrated a positive causal association with polycystic ovary syndrome (odds ratio [95% CI]: 1.48 [1.10, 2.00], p = 0.0097), while higher interleukin-9 levels were positively associated with endometriosis (1.15 [1.02, 1.30], p = 0.0277), both via the IVW method. These markers should be investigated as key candidates for future research into the mechanistic pathways underpinning these conditions.

Place, publisher, year, edition, pages
MDPI, 2024. Vol. 14, no 12, article id 1544
Keywords [en]
endometriosis, inflammation, interleukins, mendelian randomisation, monocyte chemoattractant protein-1/C-C motif ligand-2 (MCP-1/CCL2), polycystic ovary syndrome (PCOS)
National Category
Gynaecology, Obstetrics and Reproductive Medicine
Identifiers
URN: urn:nbn:se:umu:diva-234040DOI: 10.3390/biom14121544ISI: 001386992300001PubMedID: 39766252Scopus ID: 2-s2.0-85213321763OAI: oai:DiVA.org:umu-234040DiVA, id: diva2:1926673
Available from: 2025-01-13 Created: 2025-01-13 Last updated: 2025-01-13Bibliographically approved

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De Silva, Kushan

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