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Causal Effects of Sleep Quality on Primary Headache and the Mediation via Gut Microbiota: A Mendelian Randomization
Huanghong Zhao1, Dongsheng Guan1, Zhen Ma2
1Department of Brain Disease, Henan Provincial Hospital of Traditional Chinese Medicine, Zhengzhou, China.
Background:
Previous studies have shown that sleep quality plays an essential role in primary headaches to varying degrees. However, it is unclear precisely whether gut microbiota plays a critical role in mediating changes in sleep quality and affecting primary headaches.
Methods:
We utilized Mendelian randomization (MR) to examine the causal relationships between sleep quality and primary headaches. The data encompass eight sleep traits (staying asleep during periods of anxiety, trouble falling asleep, daytime dozing, sleep apnea syndrome, oversleeping, undersleeping, snoring, and sleeplessness). The primary statistical method employed was inverse variance weighting. Eventually, we explored whether gut microbiota mediate the relationship between sleep quality and primary headaches.
Results:
Our study found that a genetic predisposition to poor sleep quality increases the risk of primary headaches. Two-step MR analysis revealed that the genus Coprococcus1 mediates the causal relationship between trouble falling asleep and cluster headaches, with a mediating effect of 23.6%. These findings could inform targeted interventions and treatments for primary headaches.
Conclusion:
This study suggests that trouble falling asleep increases the incidence of cluster headaches mediated by gut microbiota. It highlights the crucial impact of sleep quality on primary headaches.
Insights
Poor sleep quality, particularly trouble falling asleep, increases primary headache risk. Gut bacteria, specifically Coprococcus1, mediate this link to cluster headaches, offering new treatment avenues.
Area of Science:
- Neurology
- Microbiology
- Genetics
Background:
- Sleep quality is recognized as a significant factor in primary headaches.
- The precise role of gut microbiota in mediating sleep quality alterations and their impact on primary headaches remains largely unexplored.
Purpose of the Study:
- To investigate the causal relationship between various sleep quality traits and primary headaches using a Mendelian randomization approach.
- To explore the potential mediating role of gut microbiota in the association between sleep quality and primary headaches.
Main Methods:
- Mendelian randomization (MR) analysis was employed to assess causality between eight sleep traits and primary headaches.
- Inverse variance weighting was the primary statistical method, with two-step MR used to investigate mediation by gut microbiota.
Main Results:
- A genetic predisposition for poor sleep quality was found to elevate the risk of primary headaches.
- The genus Coprococcus1 was identified as a mediator in the causal pathway between trouble falling asleep and cluster headaches, accounting for 23.6% of the effect.
Conclusions:
- Trouble falling asleep contributes to the incidence of cluster headaches, with this relationship being mediated by gut microbiota.
- The findings underscore the critical influence of sleep quality on primary headaches and suggest potential targets for intervention.
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