空气污染物,遗传易感性和精神分裂症风险:大型前性研究
Run Liu1, Dankang Li1, Yudiyang Ma1
1Key Laboratory of Environment and Health, Ministry of Education, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; and Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
长期暴露于PM2.5和氧化等空气污染物会增加精神分裂症的风险. 遗传易感性可以放大这些影响,突出了精神分裂症发展中的关键环境和遗传相互作用.
科学领域:
- 环境流行病学环境流行病学
- 精神病学遗传学 精神病学遗传学
- 公共卫生 公共卫生
背景情况:
- 有限且不一致的证据将空气污染与精神分裂症风险联系起来.
- 之前还没有研究过空气污染物和遗传因素对精神分裂症的综合影响.
- 了解这些相互作用对于公共卫生战略至关重要.
研究的目的:
- 调查长期空气污染暴露与精神分裂症风险之间的关联.
- 检查遗传敏感性是否会改变空气污染对精神分裂症风险的影响.
主要方法:
- 利用了来自485,288名参与者的英国生物库数据.
- 采用Cox的比例危险模型来评估时间变化的空气污染暴露.
- 计算了精神分裂症多基因风险评分 (PRS),以评估遗传易感性.
主要成果:
- 在暴露于PM2.5,PM10,NOx和NO2和精神分裂症风险之间发现了显著的相关性.
- 遗传因素与NO2/NOx污染物之间的相互作用对精神分裂症有显著影响.
- 高PRS和高空气污染的个体表现出发生精神分裂症的最高风险 (例如,PM2.5 HR=6.25).
结论:
- 对特定空气污染物的长期暴露与精神分裂症风险增加有关.
- 高基因易感性加剧了NO2和NOx暴露对精神分裂症发展的影响.
- 这些发现强调了考虑精神分裂症病因中的环境因素和遗传因素的重要性.
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