Single nucleotide polymorphisms (SNPs) significantly (P < 5×10-8) related to VEGF levels were selected as instrumental variables (IVs). Since only 3 SNPs were retained after a harmonizing step at r2 < 0.001, all independent variants (r2 < 0.01) were retained based on European ancestry reference data from the 1000 Genomes Project. In addition, the Phenoscanner (22 (link), 23 (link)) (http://www.phenoscanner.medschl.cam.ac.uk/) search was used to check or detect whether any of these selected SNPs were strongly related to other diseases or phenotypes other than VEGF, so as to prevent a possible effect of the genetic variants on the outcome through confounding factors, known as horizontal pleiotropy. We looked up each SNP and their proxies (r2 > 0.80) to check any previous associations (P <5×10-8) with 3 potential confounders selected based on previously published studies: ulcerative colitis (24 (link)–26 (link)), interleukin (IL) levels (27 (link)–29 (link)) and hemoglobin concentration (30 (link)). Three SNPs were detected and eliminated for being associated with potential confounders (rs6920532: colitis ulcerative, rs6921438: interleukin (IL) (IL-12p70, IL-10, IL-13, IL-7 and IL-5) levels, and rs34881325: hemoglobin concentration).
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