首页|维生素D与妊娠剧吐的因果关联:两样本孟德尔随机化研究

维生素D与妊娠剧吐的因果关联:两样本孟德尔随机化研究

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目的:采用两样本孟德尔随机化研究维生素D与妊娠剧吐之间的因果关联.方法:基于IEU OpenGWAS project网站,搜寻样本量最大的维生素D的GWAS数据集以及妊娠剧吐的GWAS数据集.从ieu-b-4808 库中选取维生素D强相关的SNPs,设置P<5×10-8 且连锁不平衡系数0.001 及其区域宽度 10 000 kb;从finn-b-O15_EXCESS_VOMIT_PREG中选择妊娠剧吐关联SNPs.合并数据集纳入 174 个SNPs为工具变量.采用随机效应逆方差加权(IVW)、MR-Egger、加权中值、加权模型等4 种回归模型分析维生素D与妊娠剧吐之间的关联.结果:MR-Egger回归截距项是0.005,相应P值为0.513,提示SNPs没有基因多效性.IVW回归结果发现OR(95%CIs)是0.478(0.303~0.753),P值为0.001;MR-Egger、加权中值、加权模型结果与IVW结果类似.IVW和MR-Egger回归的 Cochran's Q值分别为 143.733(P =0.893)和143.303(P=0.888),提示SNPs间没有异质性.结论:维生素D是妊娠剧吐的保护因素.
Causal association between vitamin D and hyperemesis gravidarum:a two-sample Mendelian randomization study
Objective:To study the causal relationship between vitamin D and hyperemesis gravi-darum by two-sample Mendelian randomization.Methods:Based on the IEU OpenGWAS project website,the GWAS data set of vitamin D with the largest sample size and the GWAS data set of hy-peremesis gravidarum were searched.The SNPs strongly associated with vitamin D were selected from the ieu-b-4808 library,and P<5×10-8 with a linkage disequilibrium coefficient of 0.001 and a region width of 10 000 kb were set.SNPs associated with hyperemesis gravidarum were selected from finn-b-O15_EXCESS_VOMIT_PREG.The combined data set included 174 SNPs as instrumental variables.The association between vitamin D and hyperemesis gravidarum was analyzed by four regres-sion models:random effect inverse variance weighting(IVW),MR-Egger,weighted median,and weighted model.Results:The MR-Egger regression intercept was 0.005,and the corresponding P value was 0.513,suggesting that the SNPs had no gene pleiotropy.IVW regression results showed that OR(95%CIs)was 0.478(0.303-0.753),P value was 0.001;the results of MR-Egger,weighted median and weighted model were similar to those of IVW.The Cochran's Q values of IVW and MR-Egger regression were 143.733(P=0.893)and 143.303(P =0.888),respectively,suggesting that there was no heterogeneity between SNPs.Conclusion:Vitamin D is one of the protective factors of hyperemesis gravidarum in pregnancy.

Hyperemesis gravidarum in pregnancyVitamin DMendelian randomization study

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阜阳职业技术学院医学护理学院,安徽 阜阳 236031

妊娠剧吐 维生素D 因果关联 孟德尔随机化

安徽省高校自然科学研究项目阜阳职业技术学院校科研项目

KJ2020A09482021KYXM09

2024

包头医学院学报
内蒙古科技大学包头医学院

包头医学院学报

影响因子:0.543
ISSN:1006-740X
年,卷(期):2024.40(2)
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