精神疾病与肺癌风险之间的遗传相关性和因果关系
Jiajun Shi1, Wanqing Wen1, Jirong Long1
1Division of Epidemiology, Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, TN 37203, USA.
Journal of affective disorders
|April 24, 2024
概括
管理诸如ADHD,精神分裂症,抑郁症和失眠等精神疾病可能会降低肺癌风险. 遗传联系表明,这些疾病增加了整体肺癌发病率和特定亚型.
科学领域:
- 精神病学遗传学 精神病学遗传学
- 癌症流行病学 癌症流行病学
- 公共卫生 公共卫生
背景情况:
- 患有精神疾病的患者表现出更高的肺癌率.
- 通过传统的流行病学方法,确定直接的因果关系是具有挑战性的.
研究的目的:
- 为了研究精神疾病和肺癌之间的遗传相关性.
- 使用孟德尔随机化评估八种精神疾病对肺癌风险的因果关系.
主要方法:
- 利用全基因组关联研究对吸烟,肺癌和八种精神疾病的总结统计.
- 雇员链接不平衡得分 遗传相关性的回归.
- 使用两个样本的孟德尔随机化模型 (IVW,加权中位数,MR-Egger,MR-PRESSO,cML-MR) 进行因果推断.
主要成果:
- 在精神疾病和肺癌之间发现了显著的积极遗传相关性,除了自闭症.
- 精神分裂症,抑郁症,注意力缺陷/多动障碍 (ADHD) 和失眠责任增加了整体肺癌风险.
- 与状细胞癌相关的失眠责任;与状细胞和小细胞肺癌相关的ADHD责任.
结论:
- 研究结果表明,特定的精神疾病和肺癌之间存在潜在的因果关系.
- 治疗精神疾病,特别是ADHD,可以减轻肺癌的风险.
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