Association of blood metabolites with primary sclerosing cholangitis risk:a two-sample Mendelian randomized study
Objective To investigate the association between blood metabolite levels and the risk of primary sclerosing cholangitis(PSC)using Mendelian randomization.Methods Genome-wide association study(GWAS)data for PSC and blood metabolites were obtained.Single nucleotide polymorphisms(SNPs)were selected as instrumental variables,and two-sample Mendelian randomization(MR)analyses were conducted using inverse variance weighting,the weighted median method,and MR-Egger regression.Results Higher levels of mannitol(P=0.049),urea(P=0.035),linoleate(18:2n6)(P=0.049),caffeine(P=0.039),and leucine(P=0.019)were positively associated with an increased risk of PSC.In contrast,elevated levels of L-carnitine(P=0.049),vitamin C(P=0.017),pantothenate(P=0.005),palmitate(16:0)(P=0.030),and creatinine(P=0.043)were negatively associated PSC risk.Conclusion Eleven metabolites may have causal associations with chronic kidney disease,offering potential insights for understanding its pathogenesis and aiding in early screening and therapeutic strategies.