类风湿性关节炎和胃食道逆流病:双向和多变量双样本的门德尔随机化研究
Haifan Wang1, Zhihao Chen1, Xiaoqian Dang1
1Department of Orthopaedics, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Frontiers in genetics
|December 29, 2023
概括
胃食道逆流病 (GERD) 在欧洲人口中显著增加患类风湿性关节炎 (RA) 的风险. 然而,类风湿性关节炎似乎没有因果影响胃食道逆流症.
科学领域:
- 遗传学 是一个遗传学.
- 流行病学 流行病学
- 胃肠病学 胃肠病学
背景情况:
- 观察性研究表明,胃食道逆流性疾病 (GERD) 和类风湿性关节炎 (RA) 之间存在关联,特别是在亚洲人群中.
- GERD和RA之间的因果关系尚不清楚,需要进行严格的调查.
研究的目的:
- 通过两样本的孟德尔随机化 (MR) 分析,研究GERD和RA之间的双向因果关系.
- 利用遗传证据来确定GERD是否导致RA或反之.
主要方法:
- 两个样本的门德尔随机化 (MR) 分析使用GERD和RA的大规模遗传数据进行.
- 逆变量加权 (IVW) 方法是主要分析方法,辅以加权中位数和MR-Egger回归.
- 进行了多变量MR分析,以调整潜在的混因素,如BMI和教育.
主要成果:
- 门德尔随机化分析提供了证据,证明GERD因果影响RA.
- 患有GERD的个体表现出明显增加患RA的风险 (OR = 1.69).
- 没有发现RA对GERD的显著因果作用.
结论:
- 胃食道逆流性疾病 (GERD) 是欧洲人口发生类风湿性关节炎 (RA) 的重要危险因素.
- GERD与69%的RA风险增加有关.
- 类风湿性关节炎 (RA) 似乎对GERD没有显著的因果影响.
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