剖析神经病变和骨关节炎之间的因果关系:一个单变和多变的门德尔随机化研究
Shuren Zhang1, Junhui Ji1, Zexia Zhang1
1Department of Rehabilitation Medicine, Dongying People's Hospital (Dongying Hospital of Shandong Provincial Hospital Group), Dongying, Shandong, China.
Frontiers in psychiatry
|March 25, 2024
概括
神经症显著增加了膝关节关节炎 (OA) 的风险. 吸烟可能部分调解了这种联系,这表明了OA预防和治疗的潜在目标.
科学领域:
- 遗传学和心理健康 遗传学和心理健康
- 流行病学 流行病学
- 骨关节炎研究 骨关节炎研究
背景情况:
- 心理健康与骨关节炎 (OA) 风险有关,但因果关系尚不清楚.
- 以前的研究表明存在关联,需要进一步调查因果关系.
研究的目的:
- 调查神经病变和骨关节炎 (膝盖和部) 之间的因果关系.
- 探索神经病症与OA关系中的潜在调解因素,如吸烟.
主要方法:
- 一个两样本的门德尔随机化 (MR) 研究,利用大规模的全基因组关联研究 (GWAS) 数据.
- 采用逆方差加权 (IVW),加权中位数和MR-Egger方法来估计因果关系.
- 进行了灵敏度和多变量MR分析,包括用于调解分析的两步MR方法.
主要成果:
- 遗传预测的神经病症与膝关节OA (OR,1.17;p = 2.72E-05) 的风险增加有关,但不是部OA.
- 在调整了BMI,酒精和体力活动后,这种关联仍然显著,但因吸烟而减弱.
- 开始吸烟对神经病症对膝关节OA的因果作用中介作用为22.3%.
结论:
- 神经病变因果关系影响患膝盖骨关节炎的风险.
- 在这种关系中,吸烟可能起到部分调解作用.
- 需要进一步的研究来了解机理,并探索神经病症治疗的治疗方法.
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