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Mendelian randomization analyses of associations between breast cancer and bone mineral density

The purpose of this study was to verify whether there is a causal relationship between breast cancer and bone mineral density (BMD). Summary statistics for exposures and outcomes were obtained from corresponding genome-wide association studies. The bidirectional and multivariate mediated Mendelian r...

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Published in:Scientific reports 2023-01, Vol.13 (1), p.1721-1721, Article 1721
Main Authors: Wu, Hong, Wang, Hui, Liu, Di, Liu, Zhibing, Zhang, Weiming
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description The purpose of this study was to verify whether there is a causal relationship between breast cancer and bone mineral density (BMD). Summary statistics for exposures and outcomes were obtained from corresponding genome-wide association studies. The bidirectional and multivariate mediated Mendelian randomization (MR) analyses were performed. In the bidirectional MR analysis, breast cancer might reduce the BMD of the heel (HE-BMD) (FDR = 1.51 × 10 −4 ) as might its ER+ subtype (FDR = 1.51 × 10 −4 ). From BMD to breast cancer, no significant association was found (FDR > 0.05). The mediating MR analysis showed that Higher free testosterone (FT) only mediated the causal relationship between breast cancer and HE-BMD by 2.9%; both ER+ type and FT were independent factors of HE-BMD (ER+: P = 0.021; FT: P = 6.88 × 10 −6 ). Higher FT could increase the risk of breast cancer (FDR = 1.21 × 10 −3 ) as could total testosterone (TT) (FDR = 5.81 × 10 −3 ). Similarly, higher FT could increase the risk of ER+ subtype (FDR = 2.51 × 10 −6 ) as could TT (FDR = 5.55 × 10 −4 ). These results indicate that BMD is not a risk factor for breast cancer but breast cancer and its ER+ subtype are risk factors for BMD loss. Furthermore, higher FT and TT levels are associated with both an increased incidence of breast cancer and increased bone density.
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subjects 631/67
631/67/69
Bone cancer
Bone density
Bone Density - genetics
Bone mineral density
Breast cancer
Genome-wide association studies
Genome-Wide Association Study
Genomes
Humanities and Social Sciences
Mendelian Randomization Analysis
multidisciplinary
Neoplasms
Risk factors
Science
Science (multidisciplinary)
Statistical analysis
Testosterone
title Mendelian randomization analyses of associations between breast cancer and bone mineral density
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