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Causal Relationship Between Gut Microbiota, Metabolites, and Sarcopenia: A Mendelian Randomization Study
Xiangyu Zhang1, Guang Yang1,2, Shide Jiang3
1Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, China.
Summary
This study used Mendelian randomization to investigate causal links between gut microbes, their metabolites, and sarcopenia in older adults. Findings suggest gut bacteria and metabolites may be risk factors for sarcopenia, offering new therapeutic targets.
Area of Science:
- Gerontology
- Microbiome research
- Genetics
Background:
- Gut microbiota imbalance and sarcopenia are prevalent in older adults.
- Gut microbes and metabolites are potential risk factors for sarcopenia, but causality is unproven.
Purpose of the Study:
- To investigate the causal associations between gut microbiota, their metabolites, and sarcopenia using Mendelian randomization.
- To identify specific gut bacteria and metabolites linked to sarcopenia risk and related physical function metrics.
Main Methods:
- Two-sample Mendelian randomization (MR) analysis utilizing large-scale genome-wide association studies.
- Instrumental variables were single-nucleotide polymorphisms (SNPs).
- Sensitivity analyses were performed to ensure result robustness.
Main Results:
- MR analysis revealed genetically predicted gut microbiota and metabolites are associated with sarcopenia risk.
- Specific bacteria (Porphyromonadaceae, Rikenellaceae, Terrisporobacter, Victivallis) linked to walking pace.
- Associations found between certain bacteria and appendicular lean mass, grip strength, and 21 gut microbiota-derived metabolites with sarcopenia risk.
Conclusions:
- This study establishes a causal relationship between gut microbiota, metabolites, and sarcopenia.
- Gut microbiota and metabolites may be significant risk factors for sarcopenia.
- Findings offer potential novel therapeutic targets for sarcopenia.

