Acne and risk of mental disorders: A two-sample Mendelian randomization study based on large genome-wide association data

Despite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias and confounders in observational studies. We performed a two-sample Mendelian randomization (MR) analysis to evaluate the effect of acne on th...

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Vydáno v:Frontiers in public health Ročník 11; s. 1156522
Hlavní autoři: Liu, Lin, Xue, Yuzhou, Chen, Yangmei, Chen, Tingqiao, Zhong, Judan, Shao, Xinyi, Chen, Jin
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland Frontiers Media S.A 31.03.2023
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ISSN:2296-2565, 2296-2565
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Abstract Despite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias and confounders in observational studies. We performed a two-sample Mendelian randomization (MR) analysis to evaluate the effect of acne on the risk of six common mental disorders, i.e., depression, anxiety, schizophrenia, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). We acquired genetic instruments for assessing acne from the largest genome-wide association study (GWAS) of acne (  = 615,396) and collected summary statistics from the largest available GWAS for depression (  = 500,199), anxiety (  = 17,310), schizophrenia (  = 130,644), OCD (  = 9,725), bipolar disorder (  = 413,466), and PTSD (  = 174,659). Next, we performed the two-sample MR analysis using four methods: inverse-variance weighted method, MR-Egger, weighted median, and MR pleiotropy residual sum and outliers. Sensitivity analysis was also performed for heterogeneity and pleiotropy tests. There was no evidence of a causal impact of acne on the risk of depression [odds ratio (OR): 1.002,  = 0.874], anxiety (OR: 0.961,  = 0.49), OCD (OR: 0.979,  = 0.741), bipolar disorder (OR: 0.972,  = 0.261), and PTSD (OR: 1.054,  = 0.069). Moreover, a mild protective effect of acne against schizophrenia was observed (OR: 0.944;  = 0.033). The increased prevalence of mental disorders observed in patients with acne in clinical practice was caused by modifiable factors, and was not a direct outcome of acne. Therefore, strategies targeting the elimination of potential factors and minimization of the occurrence of adverse mental events in acne should be implemented.
AbstractList BackgroundDespite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias and confounders in observational studies.MethodsWe performed a two-sample Mendelian randomization (MR) analysis to evaluate the effect of acne on the risk of six common mental disorders, i.e., depression, anxiety, schizophrenia, obsessive–compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). We acquired genetic instruments for assessing acne from the largest genome-wide association study (GWAS) of acne (N = 615,396) and collected summary statistics from the largest available GWAS for depression (N = 500,199), anxiety (N = 17,310), schizophrenia (N = 130,644), OCD (N = 9,725), bipolar disorder (N = 413,466), and PTSD (N = 174,659). Next, we performed the two-sample MR analysis using four methods: inverse-variance weighted method, MR-Egger, weighted median, and MR pleiotropy residual sum and outliers. Sensitivity analysis was also performed for heterogeneity and pleiotropy tests.ResultsThere was no evidence of a causal impact of acne on the risk of depression [odds ratio (OR): 1.002, p = 0.874], anxiety (OR: 0.961, p = 0.49), OCD (OR: 0.979, p = 0.741), bipolar disorder (OR: 0.972, p = 0.261), and PTSD (OR: 1.054, p = 0.069). Moreover, a mild protective effect of acne against schizophrenia was observed (OR: 0.944; p = 0.033).ConclusionThe increased prevalence of mental disorders observed in patients with acne in clinical practice was caused by modifiable factors, and was not a direct outcome of acne. Therefore, strategies targeting the elimination of potential factors and minimization of the occurrence of adverse mental events in acne should be implemented.
Despite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias and confounders in observational studies. We performed a two-sample Mendelian randomization (MR) analysis to evaluate the effect of acne on the risk of six common mental disorders, i.e., depression, anxiety, schizophrenia, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). We acquired genetic instruments for assessing acne from the largest genome-wide association study (GWAS) of acne (  = 615,396) and collected summary statistics from the largest available GWAS for depression (  = 500,199), anxiety (  = 17,310), schizophrenia (  = 130,644), OCD (  = 9,725), bipolar disorder (  = 413,466), and PTSD (  = 174,659). Next, we performed the two-sample MR analysis using four methods: inverse-variance weighted method, MR-Egger, weighted median, and MR pleiotropy residual sum and outliers. Sensitivity analysis was also performed for heterogeneity and pleiotropy tests. There was no evidence of a causal impact of acne on the risk of depression [odds ratio (OR): 1.002,  = 0.874], anxiety (OR: 0.961,  = 0.49), OCD (OR: 0.979,  = 0.741), bipolar disorder (OR: 0.972,  = 0.261), and PTSD (OR: 1.054,  = 0.069). Moreover, a mild protective effect of acne against schizophrenia was observed (OR: 0.944;  = 0.033). The increased prevalence of mental disorders observed in patients with acne in clinical practice was caused by modifiable factors, and was not a direct outcome of acne. Therefore, strategies targeting the elimination of potential factors and minimization of the occurrence of adverse mental events in acne should be implemented.
Despite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias and confounders in observational studies.BackgroundDespite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias and confounders in observational studies.We performed a two-sample Mendelian randomization (MR) analysis to evaluate the effect of acne on the risk of six common mental disorders, i.e., depression, anxiety, schizophrenia, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). We acquired genetic instruments for assessing acne from the largest genome-wide association study (GWAS) of acne (N = 615,396) and collected summary statistics from the largest available GWAS for depression (N = 500,199), anxiety (N = 17,310), schizophrenia (N = 130,644), OCD (N = 9,725), bipolar disorder (N = 413,466), and PTSD (N = 174,659). Next, we performed the two-sample MR analysis using four methods: inverse-variance weighted method, MR-Egger, weighted median, and MR pleiotropy residual sum and outliers. Sensitivity analysis was also performed for heterogeneity and pleiotropy tests.MethodsWe performed a two-sample Mendelian randomization (MR) analysis to evaluate the effect of acne on the risk of six common mental disorders, i.e., depression, anxiety, schizophrenia, obsessive-compulsive disorder (OCD), bipolar disorder, and post-traumatic stress disorder (PTSD). We acquired genetic instruments for assessing acne from the largest genome-wide association study (GWAS) of acne (N = 615,396) and collected summary statistics from the largest available GWAS for depression (N = 500,199), anxiety (N = 17,310), schizophrenia (N = 130,644), OCD (N = 9,725), bipolar disorder (N = 413,466), and PTSD (N = 174,659). Next, we performed the two-sample MR analysis using four methods: inverse-variance weighted method, MR-Egger, weighted median, and MR pleiotropy residual sum and outliers. Sensitivity analysis was also performed for heterogeneity and pleiotropy tests.There was no evidence of a causal impact of acne on the risk of depression [odds ratio (OR): 1.002, p = 0.874], anxiety (OR: 0.961, p = 0.49), OCD (OR: 0.979, p = 0.741), bipolar disorder (OR: 0.972, p = 0.261), and PTSD (OR: 1.054, p = 0.069). Moreover, a mild protective effect of acne against schizophrenia was observed (OR: 0.944; p = 0.033).ResultsThere was no evidence of a causal impact of acne on the risk of depression [odds ratio (OR): 1.002, p = 0.874], anxiety (OR: 0.961, p = 0.49), OCD (OR: 0.979, p = 0.741), bipolar disorder (OR: 0.972, p = 0.261), and PTSD (OR: 1.054, p = 0.069). Moreover, a mild protective effect of acne against schizophrenia was observed (OR: 0.944; p = 0.033).The increased prevalence of mental disorders observed in patients with acne in clinical practice was caused by modifiable factors, and was not a direct outcome of acne. Therefore, strategies targeting the elimination of potential factors and minimization of the occurrence of adverse mental events in acne should be implemented.ConclusionThe increased prevalence of mental disorders observed in patients with acne in clinical practice was caused by modifiable factors, and was not a direct outcome of acne. Therefore, strategies targeting the elimination of potential factors and minimization of the occurrence of adverse mental events in acne should be implemented.
Author Chen, Tingqiao
Zhong, Judan
Chen, Jin
Shao, Xinyi
Chen, Yangmei
Xue, Yuzhou
Liu, Lin
AuthorAffiliation 1 Department of Dermatology, The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
2 Department of Cardiology and Institute of Vascular Medicine, Peking University Third Hospital , Beijing , China
AuthorAffiliation_xml – name: 2 Department of Cardiology and Institute of Vascular Medicine, Peking University Third Hospital , Beijing , China
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/37064666$$D View this record in MEDLINE/PubMed
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Keywords GWAS
Mendelian randomization
schizophrenia
acne
mental disorders
Language English
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Edited by: Hernan Cortes, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico
Reviewed by: Mohammed Abu El-Hamd, Sohag University, Egypt; Chiara Moltrasio, IRCCS Ca 'Granda Foundation Maggiore Policlinico Hospital, Italy; Karolina Chilicka-Hebel, Opole University, Poland
This article was submitted to Public Mental Health, a section of the journal Frontiers in Public Health
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Snippet Despite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of recall bias...
BackgroundDespite a growing body of evidence that acne impacts mental disorders, the actual causality has not been established for the possible presence of...
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SubjectTerms acne
Acne Vulgaris - epidemiology
Acne Vulgaris - genetics
Anxiety Disorders - epidemiology
Genome-Wide Association Study
GWAS
Humans
Mendelian randomization
Mendelian Randomization Analysis
mental disorders
Public Health
schizophrenia
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - genetics
Title Acne and risk of mental disorders: A two-sample Mendelian randomization study based on large genome-wide association data
URI https://www.ncbi.nlm.nih.gov/pubmed/37064666
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