胃食道逆流疾病和中风之间的关联:双向的门德尔随机化研究
Decheng Meng1, Xin Zhang1, Wenfei Yu1
1First College of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
Frontiers in neurology
|February 7, 2024
概括
胃食道逆流性疾病 (GERD) 因果性地增加了中风风险,包括缺血和大血管中风亚型. 脑卒中,特别是缺血性脑卒中,也可能增加GERD的风险,这表明双向关系.
科学领域:
- 遗传学 遗传学 是一个
- 流行病学 流行病学
- 胃肠病学 胃肠病学
背景情况:
- 以前的研究表明,胃食道逆流性疾病 (GERD) 和中风之间存在联系.
- 这种关联的因果性需要进一步调查.
研究的目的:
- 使用双向门德尔随机化 (MR) 方法探索GERD和中风之间的因果关系.
- 为了研究中风对GERD的潜在因果作用.
主要方法:
- 采用了双样双向孟德尔随机化 (MR) 方法.
- 采用了来自大型全基因组关联研究 (GWAS) 关于中风,其亚型和GERD的总结级数据.
- 应用了逆方差加权 (IVW) 方法,并进行了质性测试 (MR-Egger,MR-PRESSO,留出一个,Cochran Q).
主要成果:
- GERD因果上增加了整体中风的风险 (OR: 1.22,95% CI: 1.13-1.32) 和亚型:缺血性中风 (OR: 1.19),大血管中风 (OR: 1.49) 和缺口性中风 (OR: 1.20).
- 确定了共同的风险因素,包括2型糖尿病,睡眠呼吸暂停,肥胖和高甘油三.
- 反向MR分析表明,整体中风 (OR: 1.09) 和缺血性中风 (OR: 1.10) 可能因果性地增加了GERD风险.
结论:
- 这项MR研究提供了强有力的证据,证明了GERD和中风之间的因果关系.
- 研究结果表明,这两种情况之间存在双向因果关系.
- 为了改善预防和治疗策略,需要对潜在机制进行进一步的研究.
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