痴呆症和阿尔茨海默病之间的因果关系:双向的双样本孟德尔随机化研究
Jiang Zheng1, Xiaohui Du1, Liu Yang2
1Department of Anesthesiology, Chongqing Emergency Medical Center, Chongqing University Central Hospital, School of Medicine, Chongqing University, Chongqing, China.
European journal of medical research
|August 7, 2023
概括
这项研究没有发现痴呆症和阿尔茨海默病 (AD) 之间的因果关系. 然而,阿尔茨海默氏症 (AD) 似乎是患上妄想症的危险因素,这表明存在单向因果关系.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 观察性研究表明妄和阿尔茨海默病 (AD) 风险增加之间存在联系,但因果关系尚不清楚.
- 反向因果关系的可能性也存在,在这种情况下,AD会增加妄想风险.
研究的目的:
- 通过使用孟德尔随机化来研究痴呆症和阿尔茨海默病 (AD) 之间的双向因果关系.
主要方法:
- 进行了一种双向的双样本孟德尔随机化 (MR) 分析.
- 使用全基因组关联研究总结统计数据,用于妄想症和AD表型.
- 逆变量加权 (IVW) 和其他MR方法评估了因果关系,通过异质性和变性测试.
主要成果:
- 基因预测的妄想与阿尔茨海默病的风险增加无关.
- 相反,基因预测的阿尔茨海默病与 Delirium 的风险增加显著相关 (IVW OR 1.32,P=3.91E-04).
结论:
- 没有证据表明狂妄症和AD之间的双向因果关系.
- 阿尔茨海默病被确定为妄的潜在因果风险因素.
- 痴呆症似乎不会增加患AD的风险.
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