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Research Article

Causal relationship between iron status and preeclampsia-eclampsia: a Mendelian randomization analysis

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Article: 2321148 | Received 16 Oct 2023, Accepted 15 Feb 2024, Published online: 12 Mar 2024
 

ABSTRACT

Background

Preeclampsia/eclampsia is a severe pregnancy-related disorder associated with hypertension and organ damage. While observational studies have suggested a link between maternal iron status and preeclampsia/eclampsia, the causal relationship remains unclear. The aim of this study was to investigate the genetic causality between iron status and preeclampsia/eclampsia using large-scale genome-wide association study (GWAS) summary data and Mendelian randomization (MR) analysis.

Methods

Summary data for the GWAS on preeclampsia/eclampsia and genetic markers related to iron status were obtained from the FinnGen Consortium and the IEU genetic databases. The “TwoSampleMR” software package in R was employed to test the genetic causality between these markers and preeclampsia/eclampsia. The inverse variance weighted (IVW) method was primarily used for MR analysis. Heterogeneity, horizontal pleiotropy, and potential outliers were evaluated for the MR analysis results.

Results

The random-effects IVW results showed that ferritin (OR = 1.11, 95% CI: .89–1.38, p = .341), serum iron (OR = .90, 95% CI: .75–1.09, p = .275), TIBC (OR = .98, 95% CI: .89–1.07, p = .613), and TSAT (OR = .94, 95% CI: .83–1.07, p = .354) have no genetic causal relationship with preeclampsia/eclampsia. There was no evidence of heterogeneity, horizontal pleiotropy, or possible outliers in our MR analysis (p > .05).

Conclusions

Our study did not detect a genetic causal relationship between iron status and preeclampsia/eclampsia. Nonetheless, this does not rule out a relationship between the two at other mechanistic levels.

Acknowledgments

Thanks to all the contributions of authors.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This study was supported by the China Postdoctoral Science Foundation (No: 2023M740431).