慢性病毒性肝炎和精神疾病之间的因果关联:孟德尔的随机化研究
Haoshuang Fu1, Shaowen Jiang1, Shuying Song1
1Department of Infectious Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in psychiatry
|June 17, 2024
概括
精神分裂症增加了慢性型肝炎的风险,咖啡和BMI作为调解者. 预防型肝炎对于精神分裂症患者至关重要,这表明生活方式调整可能有所帮助.
科学领域:
- 遗传学 遗传学 是一个
- 肝病学 肝病学是一种肝病学.
- 精神病学是一个精神病学.
背景情况:
- 病毒性肝炎和精神疾病在疾病进展过程中可能会相互作用.
- 门德尔随机化 (MR) 用于探索病毒性肝炎和精神疾病之间的因果关系和媒介.
研究的目的:
- 调查病毒性肝炎 (CHB,CHC) 和精神疾病之间的潜在因果关系.
- 确定病毒性肝炎和精神疾病之间的关系中的潜在调解者.
主要方法:
- 利用两样本的门德尔随机化 (MR) 与全基因组关联研究数据.
- 采用反变差加权,MR-Egger和加权中位数方法.
- 进行调解分析,以评估调解因素和敏感性分析,以测量性和异质性.
主要成果:
- 在慢性乙型肝炎和精神疾病之间没有发现因果关系,反之亦然.
- 精神分裂症对慢性肝炎C风险增加产生因果关系 (OR=1.378).
- 咖啡消费和体重指数介于精神分裂症对慢性肝炎C的影响.
结论:
- 精神分裂症患者患慢性肝炎C的风险更高.
- 不足够的咖啡消费和体重不足可能会调解这种因果关系.
- 对于精神分裂症患者,建议预防C型肝炎和改变生活方式 (营养,咖啡摄入).
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