Copper and iron as unique trace elements linked to fibromyalgia risk

Abstract Fibromyalgia (FM) is a prevalent chronic pain condition with a complex and not fully understood etiology. Abnormal metabolism of trace elements is suspected to play a role in the pathogenesis of FM, though the exact relationships have yet to be clarified. This study employed Mendelian rando...

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Main Authors: Wenxing Zeng, Minhua Hu, Luyao Ma, Feng Huang, Ziwei Jiang
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86447-4
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author Wenxing Zeng
Minhua Hu
Luyao Ma
Feng Huang
Ziwei Jiang
author_facet Wenxing Zeng
Minhua Hu
Luyao Ma
Feng Huang
Ziwei Jiang
author_sort Wenxing Zeng
collection DOAJ
description Abstract Fibromyalgia (FM) is a prevalent chronic pain condition with a complex and not fully understood etiology. Abnormal metabolism of trace elements is suspected to play a role in the pathogenesis of FM, though the exact relationships have yet to be clarified. This study employed Mendelian randomization (MR) to assess potential causal relationships between 15 major trace elements and the risk of FM, focusing on the specific roles of elements that show significant associations. Genetic instrumental variables (single nucleotide polymorphisms, SNPs), related to these trace elements and FM were extracted from genome-wide association studies (GWAS). Analyses were performed using various methods including inverse-variance weighting (IVW), MR Egger, weighted median, weighted mode, and simple mode. Furthermore, multivariable analysis controlled for selenium as a potential confounder to evaluate the independent associations of copper (Cu) and iron (Fe) with FM risk. Two-sample MR analysis indicated a positive association between Cu and increased risk of FM (IVW: OR = 1.095, 95% CI: 1.015 to 1.181, P = 0.018), and a negative association between Fe and FM risk (IVW: OR = 0.440, 95% CI: 0.233 to 0.834, P = 0.011). These associations remained significant in the multivariable analysis, highlighting the independent effects of Cu and Fe. No significant correlations were observed with other trace elements such as selenium and zinc. This study provides new evidence of the roles of Cu and Fe in the pathophysiology of FM and underscores the importance of considering trace elements in the prevention and treatment strategies for FM. Future research should further validate these findings and explore the specific biological mechanisms through which Cu and Fe influence FM risk.
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spelling doaj-art-7e932887aa2d492a95c75f5ed3f3fb152025-02-02T12:21:34ZengNature PortfolioScientific Reports2045-23222025-02-0115111210.1038/s41598-025-86447-4Copper and iron as unique trace elements linked to fibromyalgia riskWenxing Zeng0Minhua Hu1Luyao Ma2Feng Huang3Ziwei Jiang4The First Clinical College of Guangzhou University of Chinese MedicineZhongshan Hospital of Traditional ChineseMedicine Affiliated to Guangzhou University of Traditional ChineseMedicineThe First Clinical College of Guangzhou University of Chinese MedicineThe First Clinical College of Guangzhou University of Chinese MedicineThe First Clinical College of Guangzhou University of Chinese MedicineAbstract Fibromyalgia (FM) is a prevalent chronic pain condition with a complex and not fully understood etiology. Abnormal metabolism of trace elements is suspected to play a role in the pathogenesis of FM, though the exact relationships have yet to be clarified. This study employed Mendelian randomization (MR) to assess potential causal relationships between 15 major trace elements and the risk of FM, focusing on the specific roles of elements that show significant associations. Genetic instrumental variables (single nucleotide polymorphisms, SNPs), related to these trace elements and FM were extracted from genome-wide association studies (GWAS). Analyses were performed using various methods including inverse-variance weighting (IVW), MR Egger, weighted median, weighted mode, and simple mode. Furthermore, multivariable analysis controlled for selenium as a potential confounder to evaluate the independent associations of copper (Cu) and iron (Fe) with FM risk. Two-sample MR analysis indicated a positive association between Cu and increased risk of FM (IVW: OR = 1.095, 95% CI: 1.015 to 1.181, P = 0.018), and a negative association between Fe and FM risk (IVW: OR = 0.440, 95% CI: 0.233 to 0.834, P = 0.011). These associations remained significant in the multivariable analysis, highlighting the independent effects of Cu and Fe. No significant correlations were observed with other trace elements such as selenium and zinc. This study provides new evidence of the roles of Cu and Fe in the pathophysiology of FM and underscores the importance of considering trace elements in the prevention and treatment strategies for FM. Future research should further validate these findings and explore the specific biological mechanisms through which Cu and Fe influence FM risk.https://doi.org/10.1038/s41598-025-86447-4FibromyalgiaTrace elementsCausalityCopperIronMendelian randomization
spellingShingle Wenxing Zeng
Minhua Hu
Luyao Ma
Feng Huang
Ziwei Jiang
Copper and iron as unique trace elements linked to fibromyalgia risk
Scientific Reports
Fibromyalgia
Trace elements
Causality
Copper
Iron
Mendelian randomization
title Copper and iron as unique trace elements linked to fibromyalgia risk
title_full Copper and iron as unique trace elements linked to fibromyalgia risk
title_fullStr Copper and iron as unique trace elements linked to fibromyalgia risk
title_full_unstemmed Copper and iron as unique trace elements linked to fibromyalgia risk
title_short Copper and iron as unique trace elements linked to fibromyalgia risk
title_sort copper and iron as unique trace elements linked to fibromyalgia risk
topic Fibromyalgia
Trace elements
Causality
Copper
Iron
Mendelian randomization
url https://doi.org/10.1038/s41598-025-86447-4
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