Mendelian randomization analysis identifies a causal effect of Streptococcus salivarius on DR mediating via the level of host fasting glucose

Abstract

AbstractBackgroundDiabetic retinopathy (DR) is one of leading causes of vision loss in adults with increasing prevalence worldwide. Increasing evidence has emphasized the importance of gut microbiome in the etiology and development of DR. However, the causal relationship between gut microbes and DR remains largely unknown.MethodsTo investigate the causal associations of DR with gut microbes and DR risk factors, we employed two-sample Mendelian Randomization (MR) analyses to estimate the causal effects of 207 gut microbes on DR outcomes. Inputs for MR included Genome-wide Association Study (GWAS) summary statistics of 207 taxa of gut microbes (the Dutch Microbiome Project) and 21 risk factors for DR. The GWAS summary statistics data of DR was from the FinnGen Research Project. Data analysis was performed in May 2023.ResultsWe identified eight bacterial taxa that exhibited significant causal associations with DR (FDR < 0.05). Among them, genusCollinsellaand speciesCollinsella aerofacienswere associated with increased risk of DR, while the speciesBacteroides faecis,Burkholderiales bacterium_1_1_47,Ruminococcus torques, Streptococcus salivarius, genusBurkholderiales_noname, and familyBurkholderiales_nonameshowed protective effects against DR. Notably, we found that the causal effect of speciesStreptococcus salivariuson DR was mediated through the level of host fasting glucose, a well-established risk factor for DR.ConclusionsOur results reveal that specific gut microbes may be causally linked to DR via mediating host metabolic risk factors, highlighting potential novel therapeutic or preventive targets for DR.