叶酸状况和精神分裂症之间是否存在因果关系? 来自遗传关联研究的证据
Samantha Yoo1, Azita Montazeri1, Helene McNulty2
1School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Nutritional neuroscience
|December 9, 2024
概括
甲基酸酸减少酶 (MTHFR) 基因中的遗传变异与精神分裂症的风险增加有关. 这一发现表明,叶酸代谢和精神分裂症的发展之间存在潜在的因果关系.
科学领域:
- 营养精神病学 营养精神病学
- 遗传流行病学遗传流行病学
- 精神分裂症研究 精神分裂症研究
背景情况:
- 叶酸和维生素B12对于DNA合成和甲基化至关重要,这些过程与精神分裂症有关.
- 观察性研究表明存在联系,但反向因果关系和混因素使解释复杂化.
研究的目的:
- 调查叶酸/维生素B12状态与精神分裂症风险之间的潜在因果关系.
- 利用遗传变异作为工具变量来推断因果关系.
主要方法:
- 对Mendelian随机化研究的MEDLINE,Embase,PsycINFO和Cochrane数据库进行系统搜索.
- 包括34个病例控制研究,评估使用纽卡斯尔-太华尺度的偏差风险.
- 使用随机效应模型估计的赔率比率和置信区间.
主要成果:
- 甲基基叶酸减少酶 (MTHFR) 多态 (C677T,A1298C) 显示在同卵性细胞中与精神分裂症风险有显著的积极关联.
- 异性表明了同一个方向的减弱关联.
- 亚组分析不足;对MTHFR和精神分裂症症状或其他基因多态度的证据有限.
结论:
- 总体分析发现了MTHFR C677T和A1298C多态和精神分裂症风险之间的显著关联.
- 需要进一步的研究来澄清叶酸代谢在精神分裂症中的因果作用,特别是使用强大的门德尔随机化设计.
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