Causal Associations of Circulating Helicobacter pylori Antibodies with 5 Skin Disorders: A Mendelian Randomization Analysis

Abstract

Helicobacter pylori (H. pylori) infection, a prevalent bacterial ailment affecting the stomach, has been linked to diverse gastrointestinal disorders. Nevertheless, the correlation between H. pylori infection and skin disorders has not been definitively established. We use Mendelian randomization analysis to explore causal relationships with seven pylori antibody levels and five skin diseases, such as rosacea, psoriasis, alopecia areata, pruritus and urticaria. The primary analytical method employed was inverse variance weighted (IVW), and a sensitivity analysis was executed to evaluate the robustness of the primary findings. The results revealed a positive causal relationship between H. pylori catalase antibody levels and AA (IVW: OR = 1.32, 95% CI = 1.07 to 1.61, P = 0.008), as well as a positive causal relationship between H. pylori UreA antibody levels and pruritus (IVW: OR = 1.17, 95% CI = 1.05 to 1.31, P = 0.006). These effects were robust to sensitivity analyses. Our results suggested that H. pylori infection was a risk factor for AA and pruritus. This finding may have implications for the prevention and treatment of these skin disorders.