严重精神疾病和败血症之间的因果关联:孟德尔的随机化研究
Ruhao Yang1, Hongyu Xiang2, Ting Zheng3
1Department of Emergency, Renmin Hospital of Wuhan University, Wuhan, China.
Frontiers in psychiatry
|March 27, 2024
概括
严重的精神疾病 (SMI) 可能会增加败血症风险. 门德尔的随机化发现大抑郁症和更高的败血症风险之间存在暗示性联系,但不是精神分裂症. 对于败血症死亡率,没有发现因果关系.
科学领域:
- 遗传学和流行病学
- 传染病研究 传染病研究
背景情况:
- 观察性研究表明,严重精神疾病 (SMI) 是败血症的危险因素.
- SMI和败血症之间的因果关系仍未得到证实.
研究的目的:
- 调查SMI和败血症风险之间的因果关系.
- 通过使用孟德尔随机化来检查SMI和败血症死亡率之间的因果关系.
主要方法:
- 全基因组关联研究 (GWAS) 对严重抑郁症和精神分裂症 (暴露) 和败血症/败血症死亡率 (结果) 的数据.
- 选择与暴露相关的遗传变异 (SNP) 作为工具变量.
- 逆变量加权 (IVW) 方法,采用异质性和性测试 (科克兰的Q,MR-Egger).
主要成果:
- 基因预测的大型抑郁症显示,与败血症风险增加有明显的关联 (OR=1.13,P=0.023).
- 在精神分裂症和败血症风险之间没有发现显著的关联 (OR=1.00,P=0.811).
- 没有因果证据将遗传预测的SMI与败血症死亡率联系起来;没有检测到异质性或性.
结论:
- 遗传预测的大型抑郁症与欧洲祖先人群的败血症风险增加有关.
- 临床医生应考虑抑郁症患者的败血症风险,以潜在地减少发病率.
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