Evidence for the gut‐skin axis: Common genetic structures in inflammatory bowel disease and psoriasis

Abstract

BackgroundInflammatory bowel disease (IBD) and psoriasis (Ps) are common immune‐mediated diseases that exhibit clinical comorbidity, possibly due to a common genetic structure. However, the exact mechanism remains unknown.MethodsThe study population consisted of IBD and Ps genome‐wide association study (GWAS) data. Genetic correlations were first evaluated. Then, the overall evaluation employed LD score regression (LDSC), while the local assessment utilized heritability estimation from summary statistics (HESS). Causality assessment was conducted through two‐sample Mendelian randomization (2SMR), and genetic overlap analysis utilized the conditional false discovery rate/conjunctional FDR (cond/conjFDR) method. Finally, LDSC applied to specifically expressed genes (LDSC‐SEG) was performed at the tissue level. For IBD and Ps‐specific expressed genes, genetic correlation, causality, shared genetics, and trait‐specific associated tissues were methodically examined.ResultsAt the genomic level, both overall and local genetic correlations were found between IBD and Ps. MR analysis indicated a positive causal relationship between Ps and IBD. The conjFDR analysis with a threshold of < 0.01 identified 43 loci shared between IBD and Ps. Subsequent investigations into disease‐associated tissues indicated a close association of IBD and Ps with whole blood, lung, spleen, and EBV‐transformed lymphocytes.ConclusionThe current research offers a novel perspective on the association between IBD and Ps. It contributes to an enhanced comprehension of the genetic structure and mechanisms of comorbidities in both diseases.

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“…also found evidence of gut‐skin axis through MR analysis, and they found a positive causal relationship between psoriasis and inflammatory bowel disease. 39 Consequently, the connection between the gut microbiota and skin cancer can be examined from the perspective of the gut‐skin axis.…”

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