遗传风险分层和女性早期更年期的风险因素:利用多基因风险得分的多中心研究
Wei Zhong1,2,3, Qihang Wang1, Dingchuan Peng2
1Department of Obstetrics and Gynecology, The Seventh Medical Center of People's Liberation Army General Hospital, Beijing, China.
Frontiers in endocrinology
|December 17, 2024
概括
多基因风险评分 (PRS) 可以预测早期更年期 (EM) 的风险. 高风险女性表现出明显的特征和潜在的风险因素,如COVID-19疫苗接种和深夜被确定.
科学领域:
- 遗传学和生殖健康 遗传学和生殖健康
背景情况:
- 早期更年期 (EM) 影响女性的健康和生育能力.
- 遗传倾向对更年期的时间起着重要作用.
研究的目的:
- 评估多基因风险评分 (PRS) 对预测早期更年期 (EM) 的有用性.
- 根据遗传风险确定与EM相关的临床特征和风险因素.
主要方法:
- 使用英国生物银行和中国PGT-M数据开发和验证了一个PRS模型.
- 根据PRS,将参与者分为高风险和中等风险组.
- 分析了与EM相关的人口,临床特征和风险因素.
主要成果:
- 与对照组相比,高风险个体的EM患病率明显高 (PGT-M组的OR=3.78,UKB组的OR=5.11).
- 在高风险和中等风险EM组之间观察到不同的临床特征.
- 确定了潜在的风险因素,包括过度的家庭满足,COVID-19疫苗接种,深夜睡觉和伴侣吸烟/滥用酒精等.
结论:
- 一个PRS模型是预测早期更年期风险的宝贵工具.
- 发生EM的遗传因素可能会影响生长和发育 (例如身高).
- 生活方式和环境因素可能与EM的遗传倾向相互作用.
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