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The Causal Relationship between Gut Microbiota and Atrial Fibrillation: A Two-Sample Mendelian Randomization Study
Yuan Zhou1, Xuan Wang2, Jiongchao Guo1
1Department of Cardiology, The First People's Hospital of Hefei, The Third Affiliated Hospital of Anhui Medical University, Hefei - China.
Arquivos Brasileiros De Cardiologia
|December 11, 2024
Summary
This study reveals that gut microbiota (GM) causally influences atrial fibrillation (AF) risk. Certain bacteria like Actinobacteria are protective, while others, such as Oxalobacter, increase AF risk.
Area of Science:
- Genetics
- Microbiology
- Cardiology
Background:
- Previous research has characterized gut microbiota (GM) in atrial fibrillation (AF), but causal links remain unclear.
- Understanding the bidirectional relationship between GM and AF is crucial for novel therapeutic strategies.
Purpose of the Study:
- To investigate the causal relationship between gut microbiota and atrial fibrillation using genome-wide association studies (GWAS).
- To identify specific bacterial taxa associated with increased or decreased risk of AF.
Main Methods:
- Employed two-round Mendelian randomization (MR) analysis utilizing single nucleotide polymorphisms (SNPs) as instrumental variables.
- Applied genome-wide and locus-wide significance thresholds for SNP selection.
- Conducted sensitivity analyses to assess heterogeneity and pleiotropy.
Main Results:
- Identified specific GM taxa with significant causal effects on AF risk at both locus-wide and genome-wide significance levels.
- Found protective associations for Actinobacteria, Firmicutes, Bifidobacterium, and others.
- Observed increased AF risk associated with Pasteurellales, Oxalobacter, and Erysipelatoclostridium.
- Sensitivity analyses indicated potential heterogeneity for certain taxa.
Conclusions:
- This study provides robust evidence for a causal role of gut microbiota in atrial fibrillation.
- Demonstrated both beneficial and detrimental impacts of specific GM on AF development.
- Highlights the potential of targeting GM for AF prevention and treatment.
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