中央和外围风险因素与膝关节骨关节炎的因果关联:使用英国生物库数据进行纵向和门德尔随机化研究
William David Thompson1, Subhashisa Swain1,2, Sizheng Steven Zhao3
1Academic Rheumatology, Clinical Sciences Building, Nottingham City Hospital, Nottingham, United Kingdom.
Pain
|February 15, 2024
概括
诸如体重指数 (BMI) 这样的外围因素比慢性疼痛 (MCP) 这样的中心因素更有助于膝关节骨关节炎 (OA) 的发展. 无论是BMI还是MCP,都会独立地导致膝盖OA.
科学领域:
- 整形外科和风湿病学
- 遗传学和流行病学
背景情况:
- 膝关节关节炎 (OA) 是一种具有多因素病因的普遍疾病.
- 了解中央和外围机制的不同贡献对于有针对性的干预至关重要.
研究的目的:
- 研究中央和外围机制对膝关节OA诊断的相对贡献.
- 评估这些机制与膝关节OA的独立因果关系.
主要方法:
- 英国生物库数据的纵向分析,通过ICD-10代码定义膝关节OA.
- 代理使用多站点慢性疼痛 (MCP) 的中央机制和使用身体质量指数 (BMI) 的外围机制.
- 使用2个样本的多变量门德尔随机化 (MR) 分析与大规模的基因组广泛关联研究数据.
主要成果:
- 无论是MCP (OR 1.23) 还是BMI (OR 1.10) 都与膝关节OA诊断有显著的相关性.
- 外围因素 (BMI) 与中心因素 (MCP,6.9%) 相比,显示出更高的比例风险贡献率 (21.9%).
- 体重指数和MCP证明了对膝关节OA的独立因果关系.
结论:
- 外围风险因素,特别是BMI,在膝关节OA的发展中起着比MCP等中心因素更重要的作用.
- 外围和中心机制都对膝关节OA产生独立的因果影响.
- 研究结果强调了在膝关节OA预防和治疗中管理外围和中心因素的重要性.
相关概念视频
Genome-wide Association Studies-GWAS
13.4K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.4K
The JAK-STAT Signaling Pathway
8.9K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.9K
Causality in Epidemiology
415
Causality or causation is a fundamental concept in epidemiology, vital for understanding the relationships between various factors and health outcomes. Despite its importance, there's no single, universally accepted definition of causality within the discipline. Drawing from a systematic review, causality in epidemiology encompasses several definitions, including production, necessary and sufficient, sufficient-component, counterfactual, and probabilistic models. Each has its strengths and...
415
Psychoneuroimmunology: Cardiovascular Disease
30
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
30


