使用孟德尔随机化评估叶酸对男性不孕症的影响:综合分析
Weizhuo Wang1, Kang Chen2, Yi Yu3
1Center for Reproductive Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
The world journal of men's health
|February 13, 2025
概括
叶酸补充剂可以预防男性不孕,尽管血清叶酸水平没有直接的因果关系. 特定的基因SERPINE1和LDLR与叶酸代谢有关.
科学领域:
- 生殖生物学和遗传学 生殖生物学和遗传学
- 营养科学 营养科学
- 统计遗传学 统计遗传学
背景情况:
- 在全球范围内,男性不孕不育的发病率正在上升.
- 关于治疗男性不孕症的叶酸补充剂的临床决定缺乏可靠的证据.
- 门德尔随机化 (MR) 提供了一种研究因果关系的方法.
研究的目的:
- 评估叶酸水平和补充剂对男性不孕症风险的因果关系.
- 为了确定影响男性不孕症的叶酸代谢中的潜在遗传因素.
主要方法:
- 使用大规模遗传数据进行双样双向孟德尔随机化 (MR) 分析.
- 使用的叶酸和男性不孕症全基因组关联研究 (GWAS) 数据.
- 使用多种MR方法 (IVW,MR-Egger) 和灵敏度分析 (MR-PRESSO).
主要成果:
- 血清叶酸水平与男性不孕不育之间没有发现因果关系.
- 叶酸补充剂表明对男性不孕不育有保护作用.
- 确定了SERPINE1和LDLR作为与男性不育相关的叶酸代谢中的潜在因果基因.
结论:
- 叶酸补充作为男性生育能力的保护因素.
- 建议SERPINE1和LDLR作为影响男性不孕症的叶酸代谢中的关键基因.
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