白细胞和血压:孟德尔的随机化研究
Mateusz Siedlinski1,2, Ewelina Jozefczuk1, Xiaoguang Xu3
1Department of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland (M.S., E.J., T.J.G.).
Circulation
|March 10, 2020
概括
高血压与淋巴细胞数量的增加有关. 基因分析表明淋巴细胞数量与血压之间存在因果关系,
科学领域:
- 免疫学
- 遗传学
- 心血管医学
背景情况:
- 高血压是心血管疾病的主要危险因素.
- 虽然脏,血管和交感神经系统调节血压, 免疫细胞的作用正在出现.
- 最近的数据表明免疫细胞可能会影响高血压的发展.
研究的目的:
- 研究白细胞类型与血压之间的关联.
- 使用孟德尔随机化 (MR) 确定白细胞群是否与BP有因果关系.
主要方法:
- 研究了英国生物库人口的白细胞计数和血压.
- 使用了来自英国生物银行/国际血压基因组协会研究联盟的75万名参与者进行的MR分析.
- 在MR分析中使用了121个单核酸多态和反变量加权方法.
主要成果:
- 观察到淋巴细胞,单细胞和中性粒细胞数量与缩血压,腹缩血压和脉冲压的增加之间的积极关联 (P< 10- 50).
- 检测结果显示,淋巴细胞数量与静脉/透气血压之间存在潜在的因果关系 (分别为每1个SD基因上升数量的0. 69mmHg和0. 56mmHg).
- 反向MRI显示血压对单细胞,中性细胞和氨酸细胞的影响,而不是淋巴细胞或基细胞.
结论:
- 观察和遗传分析证实了淋巴细胞数量与血压之间的一致,积极和潜在的因果关系.
- 这些发现突显了淋巴细胞在高血压中的作用.
- 进一步的研究可能会探索针对免疫细胞的治疗方法来控制血压.
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