循环中的较高丸激素与男性较高的CAD风险有关:孟德尔随机化和生存分析
Emily J Morbey1, Felix R Day1, Adam S Butterworth2
1MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, L3 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge CB2 0SL, UK.
The Journal of clinical endocrinology and metabolism
|October 24, 2025
概括
较高的丸激素水平增加冠状动脉疾病的风险在男性,但不是女性,根据孟德尔随机化. 这一发现凸显了与补充剂相关的潜在心血管风险.
科学领域:
- 内分泌学 在内分泌学.
- 心血管医学 心血管医学
- 遗传流行病学遗传流行病学
背景情况:
- 补充剂被广泛用于性和代谢健康益处.
- 与丸激素治疗相关的心血管风险仍然不确定.
- 门德尔随机化 (MR) 研究可以调查因果关系.
研究的目的:
- 评估高循环对冠状动脉疾病 (CAD) 的因果作用,使用MR.
- 为了检查40-69岁男性测量丸激素和CAD之间的表型关联.
主要方法:
- 使用来自英国生物库 (n=425,097) 的遗传数据进行MR研究,用于丸激素和用于CAD的CARDIoGRAMplusC4D (n=1,165,690).
- 在40-69岁的男性队伍中进行了表型关联分析.
- 通过CARDIoGRAMplusC4D和纵向医疗记录/自我报告定义的CAD.
主要成果:
- 较高的基因预测丸激素增加了男性的CAD风险 (OR1.17,P=3.32×10-4),由血压介导.
- 在女性中没有观察到有意义的CAD风险.
- 观察性分析显示男性的反向关联,可能是由于混因素,如2型糖尿病和BMI.
结论:
- 丸激素水平升高可能会增加男性心血管疾病的风险.
- 这一安全问题在未来的补充剂临床试验中值得关注.
- 需要进一步的研究来澄清丸激素治疗对心血管的影响.
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