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Chronic pharyngitis and cervical spondylosis risk: A bidirectional Mendelian randomization study
Yuwei Li1, Xiaoxi Li2, Xinya Yu1
1Department of Medical Microbiology and Immunology, School of Basic Medical Sciences, Dali University, Dali, Yunnan, P.R. China.
Chronic pharyngitis (CP) may increase the risk of developing cervical spondylosis (CS). This study used Mendelian randomization to analyze the causal link, finding CP is a risk factor for CS.
Area of Science:
- Epidemiology
- Genetics
Background:
- Cervical spondylosis (CS) is a common degenerative condition in older adults.
- A potential link between chronic pharyngitis (CP) and CS has been suggested but not established.
Purpose of the Study:
- To investigate the causal relationship between chronic pharyngitis and cervical spondylosis using a bidirectional Mendelian randomization analysis.
Main Methods:
- Genome-wide association study data were used to identify single nucleotide polymorphisms as instrumental variables for CP and CS.
- Bidirectional Mendelian randomization analysis was performed.
- Sensitivity analyses including IVW, weighted median, and MR-Egger regression were conducted to ensure robustness.
Main Results:
- The analysis indicated that chronic pharyngitis significantly influences the risk of developing cervical spondylosis (IVW OR: 1.183, P < .001).
- The reverse causation, where CS impacts CP incidence, was not strongly supported by the analyses (IVW OR: 1.083, P = .009).
Conclusions:
- Chronic pharyngitis is suggested as a potential risk factor for cervical spondylosis.
- Further research may explore therapeutic strategies targeting CP to mitigate CS risk.
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Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Single Nucleotide Polymorphisms-SNPs
Genome-wide Association Studies-GWAS
GWAS does not require the identification of the target gene involved in...
Pleiotropy
Chi-square Analysis
The chi-square test was developed by Pearson in 1990.
The first step of performing a Chi-square analysis is to establish a null hypothesis, which assumes that there is no real...