首页|肠道菌群与急性髓系白血病发病风险:两样本双向孟德尔随机化研究

肠道菌群与急性髓系白血病发病风险:两样本双向孟德尔随机化研究

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目的 通过两样本双向孟德尔随机化的(MR)方法探索肠道菌群(IF)丰度与急性髓系白血病(AML)发病风险的因果关联。方法 IF丰度以及AML全基因组关联数据集分别来自MiBioGen联盟以及FinnGen数据库。方差逆加权方法作为主要分析方法,以Weighted median检验补充,Cochran's Q检验评估异质性,MR-随机化多效性残差和异常值(MR-PRESSO)检测是否存在离群值,MR-Egger intercept检验评估是否存在水平多效性。结果 遗传决定的较高丰度的小杆菌属(P=0。034,OR=4。373,95%CI:1。329~14。392)、韦荣球菌科(P=0。009,OR=2。029,95%CI:1。839~3。866)、毛螺科 UCG008 属(P=0。034,OR=3。827,95%CI:1。107~13。228)与较高的AML发病风险相关;较高丰度的瘤胃球菌科(P=0。042,OR=0。176,95%CI:0。033~0。939)、消化球菌科(P=0。025,OR=0。168,95%CI:0。035~0。803)与较低的 AML 发病风险相关。结论 遗传决定较高水平的小杆菌属、韦荣球菌科、毛螺科UCG008属是AML发病危险因素,瘤胃球菌科、消化球菌科是AML发病保护因素。
Intestinal flora and risk of acute myeloid leukemia:a two-sample bidirectional mendelian randomization study
Objective To explore the causal relationship between the abundance of intestinal flora(IF)and the risk of developing acute myeloid leukemia(AML)using two-sample bidirectional Mendelian randomization(MR)methods.Methods The MiBioGen Consortium and FinnGen databases were utilized for the IF abundance and AML genome-wide association datasets,respectively.The primary analysis method entailed variance inverse weigh-ting,supplemented by weighted median test,while heterogeneity was assessed using Cochran's Q test.Additional-ly,MR-PRESSO was employed to identify any outliers,while MR-Egger intercept was utilized to evaluate horizontal pleotropy.Results Higher abundance of genetically determined Dialister(P=0.034,OR=4.373,95%CI:1.329-14.392),Veillonaceae(P=0.009,OR=2.029,95%CI:1.839-3.866),and Lachnospiraceae UCG008(P=0.034,OR=3.827,95%CI:1.107-13.228)were found to be linked to an increased risk of AML.In contrast,Ruminococcaceae(P=0.042,OR=0.176,95%CI:0.033-0.939)and Peptococcaceae(P=0.025,OR=0.168,95%CI:0.035-0.803)were associated with a reduced risk of this disease.Conclusion Higher levels of the Dialister,the Veillonellaceae,and the Lachnospiraceae UCG008 are risk factors for AML,while the families Ruminococcaceae and Peptococcaceae are identified as protective factors against AML.

intestinal floraacute myeloid leukemiaMendelian randomisationcausal relationshipdisease risk

周艳群、赵世波、黄礼明

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贵州中医药大学第二临床医学院,贵阳 550000

贵州中医药大学第二附属医院血液科,贵阳 550000

肠道菌群 急性髓系白血病 孟德尔随机化 因果关联 发病风险

2024

安徽医科大学学报
安徽医科大学

安徽医科大学学报

CSTPCD北大核心
影响因子:1.095
ISSN:1000-1492
年,卷(期):2024.59(11)