基因预测的血皮质醇和常见的慢性疾病:孟德尔的随机化研究
Wei-Hsuan Lee1, Susanna C Larsson2,3, Angela Wood1,4,5,6,7
1British Heart Foundation, Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Clinical endocrinology
|September 5, 2023
概括
终身高皮质醇 (高皮质醇血) 与高血压风险增加有关. 这项研究发现了一种因果关系,可能是由肥胖引起的,但与2型糖尿病或其他疾病没有联系.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 库辛综合征涉及高皮质醇 (高皮质醇血) 并与2型糖尿病,高血压,骨质疏松症,抑郁症和精神分裂症有关.
- 中度,终身高皮质醇血症与一般人群中这些疾病之间的因果关系尚不清楚.
研究的目的:
- 使用孟德尔随机化研究遗传预测的血皮质醇和主要并发症之间的因果关系.
- 探索皮质醇-高血压关系中的潜在调解因素,如肥胖.
主要方法:
- 采用了两个样本,反变量加权的门德尔随机化分析.
- 在SERPINA6/SERPINA1区域利用了三种与皮质醇相关的遗传变异作为仪器变量.
- 进行了多变量门德尔随机化,以评估腰围的调度.
主要成果:
- 血皮质醇基因预测的1SD增加与高血压的更高几率有关 (OR: 1.12;95% CI: 1.05-1.18).
- 皮质醇升高预测了静缩和静缩血压的增加 (MD: 0.03 SD变化).
- 没有发现与2型糖尿病,骨质疏松症,抑郁症或精神分裂症有因果关系. 当考虑腰围时,高血压的联系就减少了.
结论:
- 强有力的证据支持血皮质醇水平与高血压风险增加之间的因果关系.
- 肥胖可能会调解皮质醇和高血压之间的关联.
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