PMID- 36908593 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230314 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 14 DP - 2023 TI - Inflammatory markers and the risk of idiopathic sudden sensorineural hearing loss: A Mendelian randomization study. PG - 1111255 LID - 10.3389/fneur.2023.1111255 [doi] LID - 1111255 AB - BACKGROUND: Observational studies suggest that inflammatory markers may increase the risk of idiopathic sudden sensorineural hearing loss (ISSHL). However, the causal relationship between the two has not been established. We sought to assess the possible causal effect between several genetically predicted inflammatory markers and ISSHL by Mendelian random (MR) analysis. METHODS: We extracted single nucleotide polymorphisms (SNPs) associated with C-reactive protein (CRP), Tumor necrosis factor-alpha (TNF-alpha), and fibrinogen from abstract data from the European Individual Large genome-wide association studies (GWAS). Genetic data for ISSHL were obtained from the FinnGen study (n = 196,592). Effect estimates were assessed using inverse variance weighting (IVW) as the primary method. Sensitivity analyses were performed using weighted median, MR-Egger, and MR-PRESSO to evaluate heterogeneity and pleiotropy. RESULTS: In the random-effects IVW approach, there was a significant causal relationship between genetic susceptibility to CRP levels and ISSHL (OR = 1.23, 95% CI = 1.02-1.49, P = 0.03). In contrast, genetic TNF-alpha and fibrinogen were not risked factors for ISSHL (OR = 1.14, 95% CI = 0.88-1.49, P = 0.30; OR = 0.74, 95% CI = 0.07-7.96, P = 0.30; OR = 1.05, 95% CI = 0.88-1.25, P = 0.59). All the above results were consistent after validation by different Mendelian randomization methods and sensitivity analyses. CONCLUSION: This Mendelian randomization study provides causal evidence that CRP is a risk factor for ISSHL, while TNF-alpha and fibrinogen do not increase the risk for ISSHL Introduction. CI - Copyright (c) 2023 Zhou, Chen, Yuan, Xia, Zhang, Zhang, Chen and Lin. FAU - Zhou, Tingfeng AU - Zhou T AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Chen, Mengjiao AU - Chen M AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Yuan, Ziyi AU - Yuan Z AD - Wenzhou Medical University, Wenzhou, China. FAU - Xia, Zhigang AU - Xia Z AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Zhang, Shurou AU - Zhang S AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Zhang, Ziheng AU - Zhang Z AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Chen, Huanqi AU - Chen H AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Lin, Renyu AU - Lin R AD - Department of Otolaryngology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. LA - eng PT - Journal Article DEP - 20230222 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC9992207 OTO - NOTNLM OT - C-reactive protein OT - Mendelian randomization OT - TNF-alpha OT - fibrinogen OT - idiopathic sudden sensorineural hearing loss OT - inflammation COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/03/14 06:00 MHDA- 2023/03/14 06:01 PMCR- 2023/02/22 CRDT- 2023/03/13 03:48 PHST- 2022/11/29 00:00 [received] PHST- 2023/02/03 00:00 [accepted] PHST- 2023/03/13 03:48 [entrez] PHST- 2023/03/14 06:00 [pubmed] PHST- 2023/03/14 06:01 [medline] PHST- 2023/02/22 00:00 [pmc-release] AID - 10.3389/fneur.2023.1111255 [doi] PST - epublish SO - Front Neurol. 2023 Feb 22;14:1111255. doi: 10.3389/fneur.2023.1111255. eCollection 2023.