空气污染和遗传风险对发生心血管疾病的综合影响
Tae-Min Rhee1,2, Yunmi Ji3, Seokhun Yang1
1Department of Internal Medicine Seoul National University Hospital Seoul Republic of Korea.
Journal of the American Heart Association
|November 15, 2024
概括
高遗传风险加上更大程度地接触细颗粒物 (PM2.5) 会增加心血管疾病 (CVD) 的风险. 建议对遗传敏感个体进行个性化预防策略.
科学领域:
- 环境健康 环境健康
- 心血管医学 心血管医学
- 遗传学 遗传学是一种遗传学.
背景情况:
- 研究遗传易感性和空气污染暴露在心血管疾病 (CVD) 风险中的相互作用.
- 解决了遗传倾向对易受空气污染引起的心血管不良后果的未知影响.
研究的目的:
- 评估空气污染,特别是PM2.5和遗传倾向对心血管疾病风险的综合影响.
- 为了确定遗传敏感性是否会放大空气污染对心血管的不良影响.
主要方法:
- 利用了英国生物库数据,来自249,082名没有先前心血管疾病的参与者.
- 使用土地使用回归模型评估对PM2.5的暴露.
- 通过使用多基因风险评分来确定各种心血管疾病的遗传倾向.
主要成果:
- 心血管疾病死亡的最高风险在具有高遗传风险和高PM2.5暴露 (aHRs1.73-2.12) 的个体中观察到.
- 较高的PM2.5暴露和高遗传风险与所有心血管疾病的发病率增加有关.
- 遗传风险和PM2.5在心血管死亡或心血管疾病事件之间没有发现显著的相互作用.
结论:
- 高度PM2.5暴露和高遗传倾向的组合适度增加了心血管死亡和心血管疾病的风险.
- 建议包括减少PM2.5暴露,并为高遗传风险个体实施个性化预防策略.
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