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双向孟德尔随机化分析胃癌和肌肉减少症的遗传因果关系

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[目的]采用两样本双向孟德尔随机化(MR)分析遗传层面上肌肉减少症与胃癌之间的潜在因果关系.[方法]从公开发布的全基因组关联研究(GWAS)统计数据获取显著性的工具变量(IV)进行两样本MR分析,采用Cochran's Q检验等方法进行敏感性分析保证IV符合三大假设,采用逆方差加权(IVW)等方法评估胃癌和肌肉减少症之间的双向因果关系.[结果]正向MR分析结果显示:胃癌与四肢肌肉质量(ALM)(OR=-0.019,P=0.446)、左手握力(OR=-0.008,P=0.059)、右手握力(OR=-0.010,P=0.220)未发现因果关系(P>0.05);反向MR分析中也未发现上述指标的因果关系(P>0.05).[结论]胃癌与肌肉减少症在遗传层面上无直接因果关系.
Bidirectional Mendelian Randomization Analysis of Genetic Causal Relationships between Gas-tric Cancer and Sarcopenia
[Objective]To analyze the potential causal relationship between sarcopenia and gastric cancer at the genetic level using two sample bidirectional Mendelian randomization(MR).[Methods]Significant instru-mental variables(IV)were obtained from publicly available genome-wide association studies(GWAS)statistical data for two sample MR analysis.Sensitivity analysis was performed using methods such as Cochran's Q test to ensure that IV met the three major hypotheses.Methods such as inverse variance weighting(IVW)were used to evaluate the bidirectional causal relationship between gastric cancer and sarcopenia.[Results]The positive MR analysis results showed that no causal relationship was found between gastric cancer and limb muscle mass(ALM)(OR=-0.019,P=0.446),left hand grip strength(OR=-0.008,P=0.059),and right hand grip strength(OR=-0.010,P=0.220)(P>0.05);No causal relationship was found between the above indicators in the reverse MR analysis(P>0.05).[Conclusion]There is no direct causal relationship between gastric cancer and sarcopenia at the genetic level.

Stomach NeoplasmsSarcopeniaMendelian Randomization AnalysisHeredity

徐宏、陈鹳颐、吴晓欣、李辉、毛新展

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中南大学湘雅医学院,湖南 长沙 410000

中南大学湘雅二医院骨科,湖南 长沙 410011

胃肿瘤 肌减少症 孟德尔随机化分析 遗传

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(6)
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