RT Journal Article SR Electronic T1 Genome-Wide Mapping of Plasma IgG N-Glycan Quantitative Trait Loci Identifies a Potentially Causal Association between IgG N-Glycans and Rheumatoid Arthritis JF The Journal of Immunology JO J. Immunol. FD American Association of Immunologists SP 2508 OP 2514 DO 10.4049/jimmunol.2100080 VO 208 IS 11 A1 Liu, Di A1 Dong, Jing A1 Zhang, Jie A1 Xu, Xizhu A1 Tian, Qiuyue A1 Meng, Xiaoni A1 Wu, Lijuan A1 Zheng, Deqiang A1 Chu, Xi A1 Wang, Wei A1 Meng, Qun A1 Wang, Youxin YR 2022 UL http://www.jimmunol.org/content/208/11/2508.abstract AB We identified potentially causal associations of IgG N-glycans with RA.Our findings shed light on IgG N-glycosylation involvement in RA.Observational studies highlight associations of IgG N-glycosylation with rheumatoid arthritis (RA); however, the causality between these conditions remains to be determined. Standard and multivariable two-sample Mendelian randomization (MR) analyses integrating a summary genome-wide association study for RA and IgG N-glycan quantitative trait loci (IgG N-glycan-QTL) data were performed to explore the potentially causal associations of IgG N-glycosylation with RA. After correcting for multiple testing (p < 2 × 10−3), the standard MR analysis based on the inverse-variance weighted method showed a significant association of genetically instrumented IgG N-glycan (GP4) with RA (odds ratioGP4 = 0.906, 95% confidence interval = 0.857–0.958, p = 5.246 × 10−4). In addition, we identified seven significant associations of genetically instrumented IgG N-glycans with RA by multivariable MR analysis (p < 2 × 10−3). Results were broadly consistent in sensitivity analyses using MR_Lasso, MR_weighted median, MR_Egger regression, and leave-one-out analysis with different instruments (all p values <0.05). There was limited evidence of pleiotropy bias (all p values > 0.05). In conclusion, our MR analysis incorporating genome-wide association studies and IgG N-glycan-QTL data revealed that IgG N-glycans were potentially causally associated with RA. Our findings shed light on the role of IgG N-glycosylation in the development of RA. Future studies are needed to validate our findings and to explore the underlying physiological mechanisms in the etiology of RA.