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类风湿性关节炎和甲状腺功能低下症或甲状腺功能过高症之间的因果关系:一个双向的双样本单变量和多变量门德尔随机化研究
Rui Lai1, Xinmin Deng2, Xiaofeng Lv1
1School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Frontiers in endocrinology
|December 14, 2023
概括
类风湿性关节炎 (RA) 导致甲状腺功能低下和甲状腺功能过高. 甲状腺功能低下症,但不是甲状腺功能过高症,也因果影响RA风险. 门德尔的随机化证实了这些双向联系.
科学领域:
- 内分泌学和免疫学.
- 遗传流行病学 遗传流行病学
背景情况:
- 类风湿性关节炎 (RA) 和甲状腺功能障碍 (甲状腺功能下降/甲状腺功能过高) 之间的关系是复杂的和争论的.
- 传统的观察性研究面临诸如混因素和反向因果关系等局限性,阻碍了最终的因果推断.
研究的目的:
- 调查类风湿性关节炎 (RA) 与甲状腺功能低下/甲状腺功能过高之间的潜在因果关系.
- 利用门德尔的随机化 (MR) 来克服观测研究的局限性.
主要方法:
- 进行了双向的双样本不变的孟德尔随机化 (MR) 分析.
- 进行了多变量MR分析,并根据体重指数 (BMI),吸烟和酒精摄入量进行调整.
主要成果:
- 类风湿性关节炎 (RA) 对甲状腺功能低下 (OR=1.07) 和甲状腺功能增加 (OR=1.32) 有因果关系.
- 甲状腺功能低下症对RA有因果影响 (OR=1.21),而甲状腺功能过高症没有 (OR=0.91).
- 这些因果关系在多变量调整后仍然很强.
结论:
- 门德尔随机分析证实了RA和甲状腺功能障碍之间的因果关系.
- 甲状腺功能低下症与RA有因果关系,而甲状腺功能过高症并非如此.
- 这些发现澄清了RA和甲状腺疾病之间的病因关系.
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