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摄入咖啡与免疫球蛋白A肾病的孟德尔随机化研究

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目的 利用孟德尔随机化(MR)方法探讨摄入咖啡与免疫球蛋白A肾病(IgAN)发生的因果关系。方法 从全基因组关联分析(GWAS)研究数据库中提取与咖啡摄入相关的单核苷酸多态性位点(SNP)作为工具变量,用逆方差加权法(IVW)、加权中位法、加权分析、MR-Egger法、简单分析法进行两样本MR分析,评价摄入咖啡与IgAN的因果关系。结果 筛选到30个相关SNP,IVW结果表明咖啡摄入与IgAN风险间不存在因果关系(OR=0。887,95%CI:0。591~1。329),加权中位法结果表明咖啡摄入与IgAN风险间不存在因果关系(OR=1。051,95%CI:0。625~1。760),加权分析结果表明咖啡摄入与IgAN风险间不存在因果关系(OR=1。063,95%CI:0。612~1。844),MR-Egger分析结果表明咖啡摄入与IgAN风险间不存在因果关系(OR=1。298,95%CI:0。531~3。172),简单分析结果表明咖啡摄入与IgAN风险间不存在因果关系(OR=0。815,95%CI:0。316~2。098),敏感性分析显示研究结果没有产生偏倚,异质性检验表明SNP不存在异质性。结论 摄入咖啡与IgAN之间不存在因果关系。
Mendelian Randomization Study on Coffee Intake and Immunoglobulin A Nephropathy
Objective To investigate the causal relationship between coffee intake and the incidence of immunoglobulin A nephropathy(IgAN)using the Mendelian randomization(MR)method.Methods Single nucleotide polymorphisms(SNPs)associated with coffee consumption were extracted from genome-wide association studies(GWAS)as instrumental variables.Two-sample MR analyses were performed using inverse variance weighting(IVW),weighted median method,weighted analysis,MR-Egger method,and simple analysis to evaluate the causal relationship between coffee consumption and IgAN.Results Thirty relevant SNPs were identified.The IVW results showed no causal relationship between coffee consumption and the risk of IgAN(OR=0.887,95%CI:0.591-1.329).The weighted median method indicated no causal relationship(OR=1.051,95%CI:0.625-1.760).Weighted analysis similarly showed no causal relationship(OR=1.063,95%CI:0.612-1.844).MR-Egger analysis also revealed no causal relationship(OR=1.298,95%CI:0.531-3.172).And simple analysis results confirmed no causal relationship(OR=0.815,95%CI:0.316-2.098).Sensitivity analysis indicated no bias in the results,and heterogeneity tests showed no heterogeneity among SNPs.Conclusion There is no causal relationship between coffee consumption and IgAN.

Coffee intakeImmunoglobulin A nephropathyMendelian randomizationGenome-wide association studies

张晓倩、王艺涵、樊均明

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西南医科大学附属中医医院 肾病科(泸州 646000)

成都医学院(成都 610500)

咖啡摄入 免疫球蛋白A肾病 孟德尔随机化 全基因组关联分析

2025

成都医学院学报
成都医学院

成都医学院学报

影响因子:0.933
ISSN:1674-2257
年,卷(期):2025.20(1)