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Published on: October 15, 2019
Exploring the Relationship Between Sporadic Creutzfeldt-Jakob Disease and Gut Microbiota Through a Mendelian
Tengfei Su1, Yue Lang1, Jiaxin Ren1
1Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin Province, China.
Abstract:
Observational studies have shown gut microbiota changes in sporadic Creutzfeldt-Jakob disease patients, but the causal relationship remains unknown. We aimed to determine any causal links between gut microbiota and this prion disease. Using Mendelian randomization analysis, we examined the causal relationship between gut microbiota composition and sporadic Creutzfeldt-Jakob disease. Data on gut microbiota (N = 18,340) and disease cases (5208) were obtained. Various analysis methods were used, including inverse variance weighted, Mendelian randomization-Egger, weighted median, simple mode, and weighted mode. In addition, MR-PRESSO was used to evaluate horizontal pleiotropy and detect outliers. Pleiotropy and heterogeneity were assessed, and reverse analysis was conducted. Negative associations were found between sporadic Creutzfeldt-Jakob disease and family Defluviitaleaceae, family Ruminococcaceae, genus Butyricicoccus, genus Desulfovibrio, and genus Eubacterium nodatum. Genus Lachnospiraceae UCG010 showed a positive correlation. Reverse analysis indicated genetic associations between the disease and decreased levels of family Peptococcaceae, genus Faecalibacterium, and genus Phascolarctobacterium, as well as increased levels of genus Butyrivibrio. No pleiotropy, heterogeneity, outliers, or weak instrument bias were observed. This study revealed bidirectional causal effects between specific gut microbiota components and sporadic Creutzfeldt-Jakob disease. Certain components demonstrated inhibitory effects on disease pathogenesis, while others were positively associated with the disease. Modulating gut microbiota may provide new insights into prion disease therapies. Further research is needed to clarify mechanisms and explore treatments for sporadic Creutzfeldt-Jakob disease.
Insights
This study used Mendelian randomization to investigate the gut microbiome
Area of Science:
- Neuroscience
- Microbiology
- Genetics
Background:
- Observational studies suggest gut microbiota alterations in sporadic Creutzfeldt-Jakob disease (sCJD).
- The causal link between gut microbiota and sCJD remains unclear.
Purpose of the Study:
- To investigate the causal relationship between gut microbiota composition and sporadic Creutzfeldt-Jakob disease (sCJD).
- To explore potential bidirectional effects between gut bacteria and sCJD.
Main Methods:
- Mendelian randomization analysis utilizing large-scale genetic data for gut microbiota (N=18,340) and sCJD cases (5208).
- Employed inverse variance weighted, MR-Egger, weighted median, and mode-based methods.
- Assessed pleiotropy, heterogeneity, and outliers using MR-PRESSO and conducted reverse analysis.
Main Results:
- Identified negative associations between sCJD and specific gut bacteria (e.g., Defluviitaleaceae, Ruminococcaceae, Butyricicoccus, Desulfovibrio, Eubacterium nodatum).
- Observed a positive correlation between sCJD and Lachnospiraceae UCG010.
- Reverse analysis revealed bidirectional genetic links, including decreased Peptococcaceae, Faecalibacterium, Phascolarctobacterium and increased Butyrivibrio.
Conclusions:
- Established bidirectional causal effects between specific gut microbiota and sporadic Creutzfeldt-Jakob disease.
- Certain gut microbes may inhibit sCJD pathogenesis, while others are positively associated.
- Gut microbiota modulation presents a potential therapeutic avenue for prion diseases.
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