数理医药学杂志2024,Vol.37Issue(7) :490-499.DOI:10.12173/j.issn.1004-4337.202405001

多不饱和脂肪酸与结直肠癌的关系:一项两样本孟德尔随机化研究

The relationship between polyunsaturated fatty acids and colorectal cancer:a two-sample Mendelian randomization study

杨宇琳 沈瑞博 李振翔 赵鑫
数理医药学杂志2024,Vol.37Issue(7) :490-499.DOI:10.12173/j.issn.1004-4337.202405001

多不饱和脂肪酸与结直肠癌的关系:一项两样本孟德尔随机化研究

The relationship between polyunsaturated fatty acids and colorectal cancer:a two-sample Mendelian randomization study

杨宇琳 1沈瑞博 2李振翔 3赵鑫4
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作者信息

  • 1. 甘肃中医药大学中医临床学院(兰州 730000)
  • 2. 甘肃中医药大学第一临床医学院(兰州 730000)
  • 3. 甘肃中医药大学公共卫生学院(兰州 730000)
  • 4. 甘肃省第三人民医院重症医学科(兰州 730010)
  • 折叠

摘要

目的 通过两样本孟德尔随机化(Mendelian randomization,MR)研究评估多不饱和脂肪酸(polyunsaturated fatty acids,PUFA)与结直肠癌(colorectal cancer,CRC)之间的因果关系.方法 基于全基因关联研究(genome-wide association study,GWAS)数据,以PUFA相关遗传变异为工具变量,从GWAS数据集提取CRC作为结局指标.采用逆方差加权法、MR-Egger回归和加权中位数法作为主要分析方法,评价ω-3 脂肪酸、ω-6 脂肪酸、ω-3 脂肪酸/总脂肪酸比值、ω-6 脂肪酸/总脂肪酸比值、ω-6/ω-3脂肪酸比值与CRC风险的因果关系.结果 逆方差加权法分析结果显示,ω-3脂肪酸[OR=1.14,95%CI(1.06,1.23),P=0.014]、ω-6脂肪酸[OR=1.10,95%CI(1.03,1.18),P=0.007]、ω-6/ω-3脂肪酸比值[OR=0.91,95%CI(0.84,0.99),P=0.006]与CRC有直接因果关系.ω-3脂肪酸/总脂肪酸比值[OR=1.09,95%CI(0.94,1.26),P=0.164]、ω-6 脂肪酸/总脂肪酸比值[OR=1.07,95%CI(0.97,1.18),P=0.226]与CRC不存在因果关系.结论 MR分析结果表明,ω-3 脂肪酸、ω-6 脂肪酸、ω-6/ω-3脂肪酸比值与CRC之间存在因果关系,而ω-3 脂肪酸/总脂肪酸比值、ω-6 脂肪酸/总脂肪酸比值无因果关系.

Abstract

Objective To evaluate the causal relationship between polyunsaturated fatty acids(PUFA)and colorectal cancer(CRC)through a two-sample Mendelian randomization(MR)study.Methods Based on genome-wide association study(GWAS)data,genetic variations related to PUFA were used as instrumental variables,and CRC was extracted from the GWAS dataset as the outcome indicator.The inverse-variance weighted method MR-Egger regression and weighted median method were used as the main analytical method to assess the causal relationship between omega-3 fatty acids,omega-6 fatty acids,the ratio of omega-3 to total fatty acids,the ratio of omega-6 to total fatty acids,and the omega-6 to omega-3 ratio with CRC risk.Results The inverse variance weighting analysis showed that omega-3 fatty acids[OR=1.14,95%CI(1.06,1.23),P=0.014],omega-6 fatty acids[OR=1.10,95%CI(1.03,1.18),P=0.007],and the omega-6 to omega-3 ratio[OR=0.91,95%CI(0.84,0.99),P=0.006]have direct causal relationships with CRC.The ratio of omega-3 to total fatty acids[OR=1.09,95%CI(0.94,1.26),P=0.164]and the ratio of omega-6 to total fatty acids[OR=1.07,95%CI(0.97,1.18),P=0.226]have no causal relationship with CRC.Conclusion The MR analysis results suggest that there are causal relationships between omega-3 fatty acids,omega-6 fatty acids,and the omega-6 to omega-3 ratio with CRC,while there is no causal relationship for the ratio of omega-3 to total fatty acids and the ratio of omega-6 to total fatty acids.

关键词

结直肠癌/多不饱和脂肪酸/孟德尔随机化/因果推断

Key words

Colorectal cancer/Polyunsaturated fatty acids/Mendelian randomization/Causal inference

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出版年

2024
数理医药学杂志
武汉大学,中国工业与应用数学学会,医药数学专业委员会

数理医药学杂志

影响因子:0.479
ISSN:1004-4337
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