基因预测失眠与败血症风险的关联:孟德尔的随机化研究
Marianne S Thorkildsen1, Lise T Gustad1,2,3, Randi M Mohus1,4
1Gemini Center for Sepsis Research at Institute of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
JAMA psychiatry
|August 9, 2023
概括
失眠与败血症风险增加有因果关系. 这种睡眠障碍可能是败血症的可预防因素,特别是在女性中.
科学领域:
- 遗传学 是一个遗传学.
- 流行病学 流行病学
- 睡眠医学 睡眠医学
背景情况:
- 观察性研究表明,失眠,炎症和败血症风险之间存在联系.
- 这些研究受到潜在偏差的限制,例如残留混.
- 需要一种门德尔的随机化方法来探索因果关系.
研究的目的:
- 为了研究基因预测的失眠和发生败血症的风险之间的潜在因果关系.
- 评估失眠是否是败血症的独立风险因素.
主要方法:
- 进行了一项两样本的门德尔随机化 (MR) 研究.
- 强烈与失眠相关的遗传变异来自欧洲祖先的大规模全基因组关联研究 (GWAS).
- 败血症数据来自英国生物库,进行了敏感性和中介性分析.
主要成果:
- 基因预测的失眠患病率翻倍与败血症发生率增加37%有关 (OR,1.37;95% CI,1.19-1.57).
- 心脏代谢因素部分调解了这种关联 (35.2%).
- 失眠与败血症的联系在女性 (OR, 1.44) 中比在男性 (OR, 1.10) 中更为强烈.
结论:
- 这些发现支持失眠在败血症风险中的潜在因果作用.
- 失眠可能是败血症的可修改风险因素.
- 需要进一步的研究,包括在不同人群中进行的研究.
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