解读大脑-肠轴:通过综合的门德尔随机化,阐明大脑皮层结构与功能性胃肠道疾病之间的联系
Zhiwei Xu1, Fenglan Ning2, Xuecheng Zhang3
1School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Frontiers in neuroscience
|June 6, 2024
概括
这项研究揭示了功能性胃肠道疾病 (FGID) 和大脑结构变异之间的双向因果关系. 焦虑和抑郁并不介导这些大脑-肠轴连接.
科学领域:
- 神经科学是一个神经科学.
- 胃肠病学 胃肠病学
- 遗传学 是一个遗传学.
背景情况:
- 观察性研究表明,功能性胃肠道疾病 (FGID) 与大脑皮层变异之间存在联系.
- 由于焦虑和抑郁等混因素,因果关系尚不清楚.
研究的目的:
- 使用孟德尔随机化 (MR) 澄清FGID和大脑皮层结构之间的因果关系.
- 研究焦虑和抑郁在这些关系中的潜在调解作用.
主要方法:
- 利用全基因组关联研究 (GWAS) 对FGIDs (IBS,FD),大脑皮层结构,焦虑和抑郁的数据.
- 应用单变量,多变量和调解MR分析,包括双向方法和元分析.
主要成果:
- 在功能性消化不良 (FD) 和面前环皮层 (rACC) 厚度之间发现了负因果相关性.
- 确定了FD和上额头结 (SFG) 厚度之间的积极因果关系.
- 观察到刺激性肠综合征 (IBS) 和尾部前带皮层 (cACC) 表面积之间的因果关系.
- 确定焦虑和抑郁不会调解FGID-大脑皮层关系.
结论:
- 在FGID和大脑皮层结构之间建立了显著的双向因果关系.
- 确认了沿着大脑-肠轴的双向通信.
- 为潜在的治疗目标提供了对病理生理学的见解.
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