
Medicine, Год журнала: 2024, Номер 103(50), С. e40894 - e40894
Опубликована: Дек. 13, 2024
The influence of circulating white blood cells and inflammatory factors on pruritus is gradually recognized by the public, but specific causal relationship still unknown. In this study, we included cytokine profiles from 8293 healthy subjects, genetic data various ethnic ancestry backgrounds, including 746,667 individuals, 1370 patients European descent with for a bidirectional 2-sample Mendelian randomization (MR) analysis. We employed several robust statistical methods, inverse variance weighted, weighted median, MR-Egger method. further refined our analysis through meticulous sensitivity assessment using leave-one-out strategy, evaluated heterogeneity findings Cochran’s Q test, addressed potential pleiotropic effects intercept test. Ultimately, reverse MR was conducted to assess causation. Genetic prediction indicate positive correlation between eosinophil cell count risk developing (odds ratio [OR] = 1.31, 95% confidence interval [CI] 1.09–1.55, P .003). Furthermore, elevated levels stromal-cell-derived factor 1 alpha (OR 1.80, CI: 1.15–2.77, .009), monokine induced gamma interferon 1.23, 1.04–1.46, .015), cutaneous T-cell-attracting chemokine 1.24, 1.01–1.53, .043) are all associated an increased occurrence, respectively. No evidence horizontal pleiotropy or observed among variants ( > .05), confirmed stability robustness association. demonstrated absence causality. Our research delineates links count, alpha, interferon, levels, susceptibility. These insights may present promising avenues enhancing management therapeutic strategies suffering pruritus.
Язык: Английский