Integrating Mendelian randomization, machine learning and retrospective clinical data: an exploratory analysis of the cross-disease association between CHB and PD, with a focus on eosinophil alterations - Report - MDSpire

Integrating Mendelian randomization, machine learning and retrospective clinical data: an exploratory analysis of the cross-disease association between CHB and PD, with a focus on eosinophil alterations

  • By

  • Yao Ge

  • Hongbin Cai

  • Yike Li

  • YaTing Li

  • HuiFang Liu

  • Guilin Zeng

  • Kui Yang

  • Yang Luo

  • July 9, 2026

  • 0 min

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Clinical Report: Investigating Chronic Hepatitis B and Parkinson's Disease

Overview

This study employs a multifaceted approach to explore the relationship between chronic hepatitis B (CHB) and Parkinson's disease (PD), revealing a genetically predicted inverse association between CHB susceptibility and PD risk. Key findings include the identification of specific genes and metabolic pathways that may link these conditions.

Background

Chronic hepatitis B (CHB) affects approximately 254 million people globally and poses significant public health challenges. Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder, with projections indicating a substantial increase in cases by 2050. Understanding the potential link between CHB and PD is critical due to the inconsistent findings in previous epidemiological studies.

Data Highlights

The study utilized two-sample Mendelian randomization, revealing an odds ratio (OR) of 0.82–0.94 (p < 0.05) for the inverse association between CHB susceptibility and PD risk. Additionally, eosinophil levels were found to be inversely correlated with these conditions (OR = 8.99, p < 0.001).

Key Findings

  • Mendelian randomization indicates a genetically predicted inverse association between CHB susceptibility and PD risk.
  • RTN3 and MAP4K3 identified as priority cross-disease genes linking CHB and PD.
  • Phenylalanine metabolism shows dysregulated patterns between CHB and PD.
  • Eosinophil levels decline in CHB but rise in PD.
  • Immune infiltration analysis supports the involvement of eosinophils in the correlation between CHB and PD.

Clinical Implications

The findings indicate a genetically predicted inverse association between CHB susceptibility and PD risk.

Conclusion

This study provides evidence of an inverse relationship between chronic hepatitis B and Parkinson's disease.

Related Resources & Content

  1. AASLD/IDSA, AASLD, 2025 -- Practice Guideline on Treatment of Chronic Hepatitis B
  2. International Parkinson and Movement Disorder Society, 2025 -- Update on Treatments for Parkinson's Disease Motor Fluctuations
  3. Frontiers in Medicine, 2026 -- Peripheral B cell immune dysregulation and Parkinson’s disease
  4. Brain, 2026 -- Mendelian randomization identifies proteins involved in neurodegenerative diseases
  5. Frontiers in Medicine, 2026 -- Exploring potential associations between blood metabolites and cirrhosis risk
  6. Scientific Reports, 2025 -- Association of nucleos(t)ide analogue therapy with Parkinson disease in chronic hepatitis B patients
  7. The Journal of Clinical Endocrinology & Metabolism — The Role of LDL-C and TC in Modulating Cardiovascular Risk Associated with PNPLA3 Inhibition
  8. AASLD/IDSA Practice Guideline Update on Treatment of Chronic Hepatitis B
  9. Update on Treatments for Parkinson's Disease Motor Fluctuations - An International Parkinson and Movement Disorder Society Evidence-Based Medicine Review - PubMed
  10. Association of nucleos(t)ide analogue therapy with Parkinson disease in chronic hepatitis B patients | Scientific Reports

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