血清尿酸度和功能之间的双向因果作用的种族差异:跨民族的门德尔随机化研究
Shijie Wu1, Minghao Kong1, Yaxiang Song1
1Center for Nephrology and Clinical Metabolomics and Division of Nephrology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China.
Heliyon
|November 1, 2023
概括
这项研究发现,高血清尿酸 (SUA) 可以损害功能,而功能受损可以增加SUA水平,在各族群之间存在差异. 这些双向效应凸显了个性化临床治疗的必要性.
科学领域:
- 遗传学 是一个遗传学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 血清尿酸 (SUA) 与功能之间的关系已被广泛研究,但结果仍然不一致.
- 了解双向因果关系和潜在的种族差异对于有效的临床管理至关重要.
研究的目的:
- 为了澄清血清尿酸 (SUA) 度与功能之间的双向因果关系.
- 调查这些因果关系中的潜在种族差异.
主要方法:
- 一项跨种族的孟德尔随机化研究使用来自大型遗传联盟和生物库的汇总级数据进行.
- 通过估计的膜过率 (eGFRcr,eGFRcys) 和血尿素 (BUN) 来评估功能.
- 逆方差加权和MR-PRESSO被用于初级分析和解决变性.
主要成果:
- 在欧洲人和亚洲人中,高的SUA因果影响功能 (eGFRcys,BUN,CKD诊断).
- 功能障碍 (eGFRcr,BUN) 在欧洲人和亚洲人中因果影响SUA.
- 在非洲祖先中,SUA和eGFRcr之间没有观察到显著的双向因果作用.
结论:
- 证实了SUA和功能之间的双向因果关系.
- 这些关系中的种族差异是显著的,强调了需要量身定制的临床方法.
- 这些发现强调了在管理SUA和脏健康方面考虑种族的重要性.
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