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Multiple sclerosis and related disorders
Nov, 2023;79 104964.

Characterizing causal relationships of visceral fat and body shape on multiple sclerosis risk.

Elina Misicka, Douglas Gunzler, Jeffrey Albert, Farren B S Briggs
Author Information
  1. Elina Misicka: Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  2. Douglas Gunzler: Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA; Center for Health Care Research and Policy, Case Western Reserve School of Medicine, Cleveland, OH, USA.
  3. Jeffrey Albert: Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
  4. Farren B S Briggs: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address: fbb31@miami.edu.
PMID: 37659350 DOI: 10.1016/j.msard.2023.104964

Abstract

BACKGROUND: Epidemiologic studies have established obesity as a risk factor for multiple sclerosis (MS). These studies relied on body-mass index (BMI) and body size silhouettes as the primary measures of obesity. Unfortunately, the causal mechanisms through which obesity confers MS risk are not yet known.
OBJECTIVES: To investigate the causal effects of multiple specific measures of body fat on MS risk in populations of European descent, using Mendelian randomization (MR).
METHODS: MR is a genetic instrumental variable analysis utilizing genome-wide association (GWA) summary statistics to infer causality between phenotypes. MR analyses were performed to investigate the relationships between seven measures of body fat (BMI, waist-hip ratio, visceral adipose tissue [VAT], subcutaneous adipose tissue, and arm-, leg-, and trunk-fat to total body fat ratio) and MS risk.
RESULTS: Only BMI and VAT were significantly associated with MS risk in separate MR analyses (β=0.27, p<0.001; β=0.28, p=0.006). High correlation between BMI and VAT instruments suggest that two-sample MR associations for BMI and VAT likely capture the same causal mechanisms.
CONCLUSIONS: BMI and VAT were causally associated with MS risk in European populations, though their effects do not appear independent, suggesting overlap in the role of overall body mass and visceral obesity in MS pathogenesis.

Keywords

Body fat Mendelian randomization Multiple sclerosis Risk

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Grants

  1. T32 HL007567/NHLBI NIH HHS

MeSH Term

Humans
Intra-Abdominal Fat
Somatotypes
Genome-Wide Association Study
Multiple Sclerosis
Obesity
Body Mass Index
Polymorphism, Single Nucleotide
Journal Article
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0riskMSBMIbodyfatMRobesitycausalVATmultiplesclerosismeasuresvisceralstudiesmechanismsinvestigateeffectspopulationsEuropeanMendelianrandomizationanalysesrelationshipsratioadiposetissueassociatedβ=0BACKGROUND:Epidemiologicestablishedfactorreliedbody-massindexsizesilhouettesprimaryUnfortunatelyconfersyetknownOBJECTIVES:specificdescentusingMETHODS:geneticinstrumentalvariableanalysisutilizinggenome-wideassociationGWAsummarystatisticsinfercausalityphenotypesperformedsevenwaist-hip[VAT]subcutaneousarm-leg-trunk-fattotalRESULTS:significantlyseparate27p<000128p=0006Highcorrelationinstrumentssuggesttwo-sampleassociationslikelycaptureCONCLUSIONS:causallythoughappearindependentsuggestingoverlaproleoverallmasspathogenesisCharacterizingshapeBodyMultipleRisk

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