首页|基于两样本孟德尔随机化方法分析低密度脂蛋白胆固醇与哮喘的因果关系

基于两样本孟德尔随机化方法分析低密度脂蛋白胆固醇与哮喘的因果关系

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目的 以单核苷酸多态性(single nucleotide polymorphism,SNP)为工具变量,基于孟德尔随机化(Mendelian randomiza-tion,MR)法探究低密度脂蛋白胆固醇(LDL-C)与哮喘的因果关系.方法 根据全基因组关联研究(GWAS)的基因数据,借助MR-base平台,获得2020年3月10日至2023年3月10日样本量最大的LDL-C及哮喘的GWAS数据,筛选出与LDL-C相关的SNP(筛选条件设定为P<5 × 10-8),通过逆方差加权分析法(IVW)、加权中位数法(WME)、加权模型、简单模型和MR-Egger法分析LDL-C与哮喘风险的关系,同时绘制SNP相关的LDL-C与哮喘风险的森林图及散点图.结果 筛选出的301个SNP均与哮喘不存在基因多效性(MR-Egger回归截距0.007).所有的回归结果均显示,LDL-C为哮喘的危险因素,MR-Egger 回归 OR=1.609(95%CI 1.228~2.107)、WME OR=1.448(95%CI 1.266~1.656)、IVW OR=1.499(95%CI 1.348~1.667)、加权模型 OR=1.462(95%CI 1.212~1.763)、简单模型 OR=1.374(95%CI 1.024~1.846).MR-Egger 回归结果显示统计量Q=1 095.819(P<0.001),提示SNP间存在异质性,故选择随机效应IVW模型.结论 LDL-C与哮喘之间存在因果关系,LDL-C水平越高,哮喘发病风险越大.
Causal relationship between low-density lipoprotein cholesterol and asthma based on two-sample Mendelian randomization method
Objective To investigate the causal relationship between LDL-C and asthma based on Mendelian randomization(MR)method using single nucleotide polymorphism(SNP)as an instrumental variable.Methods Based on gene data from genome-wide association studies(GW AS)and the MR base platform,the largest sample size of LDL-C and GW AS data for asthma from March 10,2020 to March 10,2023 were obtained,and SNPs associated with LDL-C were screened when P<5 × 10-8.The relationship between LDL-C and asthma risk was analyzed by inverse variance weighted analysis(IVW),weighted median method(WME),weighted model,simple model and MR-Egger method,and forest plots and scatter plots of SNP-related LDL-C and asthma risk were drawn.Results None of the 301 screened SNPs had polymorphism with asthma(MR-Egger regression intercept was 0.007).All the regression results showed that LDL-C was a risk factor for asthma[MR-Egger regression OR=1.609(95%CI 1.228-2.107),WME OR=1.448(95%CI 1.266-1.656),IVW OR=1.499(95%CI 1.348-1.667),weighted model OR=1.462(95%CI 1.212-1.763),simple model OR=1.374(95%CI 1.024-1.846)].The MR-Egger regression results showed that the statistic Q=1 095.819(P<0.001),indicating the heterogeneity among SNPs,so the random effects IVW model was selected.Conclusion There is a causal relationship between LDL-C and asthma.The higher the LDL-C level is,the greater the risk of asthma development is.

Mendelian randomizationlow-density lipoprotein cholesterolasthmacausalitygenomics

阿衣古丽·阿布来提、辛莹、黄小荣

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新疆维吾尔自治区人民医院呼吸四病区,乌鲁木齐 830001

新疆维吾尔自治区人民医院肾病科

新疆维吾尔自治区人民医院耳鼻喉诊疗中心

孟德尔随机化 低密度脂蛋白胆固醇 哮喘 因果关系 基因组学

新疆维吾尔自治区自然科学基金

2022D01C588

2024

山西医科大学学报
山西医科大学

山西医科大学学报

CSTPCD
影响因子:0.931
ISSN:1007-6611
年,卷(期):2024.55(3)
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