Objective  To analyze the causal relationship between educational attainment and the risk of systemic lupus erythematosus (SLE). Methods  Based on the data from publicly available genome-wide association studies, we employed single nucleotide polymorphisms (SNPs) strongly associated with educational attainment as instrumental variables. Two-sample Mendelian randomization analysis was used to investigate the causal relationship between educational attainment and SLE. The primary analysis method used was the inverse variance weighted with multiplicative random effects. Validation methods included inverse variance weighted with fixed effects and MR-Egger methods. Additionally, sensitivity analysis was conducted using the leave-one-out approach. Results  Finally, 433 SNPs were included. The inverse variance weighted with multiplicative random effects analysis indicated no causal effect of educational attainment on the risk of SLE [odds ratio =1.111, 95% confidence interval (0.813, 1.518), P=0.509]. Similarly, the other two methods did not find any evidence of a causal relationship (P>0.05); however, significant heterogeneity was observed. The MR-Egger regression analysis provided no evidence of horizontal pleiotropy among the included instrumental variables (P>0.05). The leave-one-out approach did not identify any individual SNP that had a significant impact on the overall effect estimate. Conclusion In conclusion, this study does not support a causal effect of educational attainment on the risk of SLE.

Citation： SHANG Wenru, WEI Lili, LU Cuncun. Causal effect of educational attainment on systemic lupus erythematosus: Mendelian randomization study. West China Medical Journal, 2023, 38(12): 1880-1884. doi: 10.7507/1002-0179.202308197 Copy

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