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Updated: Jun 13, 2025

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Published on: May 26, 2023
Causal relationship between gut microbiota and male erectile dysfunction: a Mendelian randomization analysis
Shuaiqi Chen1,2, Xiaolong Liu2, Shangrong Wu2
1Department of Urology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
This study used Mendelian randomization to investigate the causal link between gut microbiota and erectile dysfunction (ED) in men. Certain gut bacteria, like Ruminococcaceae UCG013, may reduce ED risk, while others, such as Lachnospiraceae, may increase it.
Area of Science:
- Microbiome research
- Human health
- Genetics
Background:
- Observational studies suggest a link between gut microbiota and male erectile dysfunction (ED).
- A causal relationship between gut microbiota and male ED remains unclear.
- Investigating this link is crucial for understanding ED etiology and treatment.
Purpose of the Study:
- To determine the potential causal relationship between gut microbiota and male ED.
- To utilize Mendelian randomization (MR) analysis for robust causal inference.
- To identify specific gut microbial taxa associated with ED risk.
Main Methods:
- A two-sample Mendelian randomization (MR) analysis was performed.
- Genome-wide association studies (GWAS) data for gut microbiota (MiBioGen) and male ED (OPEN GWAS) were utilized.
- Sensitivity analyses (Cochran's Q, MR-Egger, MR-PRESSO, leave-one-out) were conducted to assess heterogeneity and pleiotropy.
Main Results:
- A negative causal association was found between Ruminococcaceae UCG013 and male ED.
- Lachnospiraceae family, Lachnospiraceae NC2004 group, Oscillibacter, and Tyzzerella3 were associated with increased male ED risk.
- Sensitivity analyses supported the reliability of the findings.
Conclusions:
- The study confirms a causal relationship between specific gut microbiota and male ED.
- Findings offer insights into the role of the gut microbiome in ED development and potential therapeutic targets.
- This research may inform future strategies for managing and treating male ED.
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