首页|肠道菌群与十二指肠溃疡的因果关系:双样本孟德尔随机化研究

肠道菌群与十二指肠溃疡的因果关系:双样本孟德尔随机化研究

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背景:肠道菌群的多样性和功能已被认为是影响人类健康的重要因素.遗传学和流行病学方法的进步,尤其是孟德尔随机化分析的应用,为深入揭示肠道菌群与十二指肠溃疡之间的因果关系提供了新的视角.目的:使用双样本孟德尔随机化分析研究肠道菌群与十二指肠溃疡之间的因果关系.方法:从MiBioGen数据库中筛选肠道菌群的遗传变异样本.从全基因组关联研究中筛选出与十二指肠溃疡相关的遗传位点作为工具变量.使用逆方差加权法、加权中位数法、MR-Egger回归分析法等评估肠道菌群与十二指肠溃疡之间的因果关系.同时行异质性和水平多效性检验以保证结果的稳定性.结果:拟杆菌属(Bacteroides;OR=0.998,95%CI:0.996~1.000,P=0.014)、普雷沃菌属_7(Prevotella_7;OR=0.999,95%CI:0.998~1.000,P=0.043)和土孢杆菌属(Terrisporobacter;OR=0.998,95%CI:0.997~1.000,P=0.029)与十二指肠溃疡之间呈负向因果关系,而双歧杆菌属(Bifidobacterium;OR=1.001,95%CI:1.000~1.003,P=0.046)、拉克梭状芽孢杆菌属(Lachnoclostridium;OR=1.002,95%CI:1.001~1.004,P=0.007)和欧陆森菌属(Olsenella;OR=1.001,95%CI:1.000~1.002,P=0.018)与十二指肠溃疡之间呈正向因果关系.敏感性分析显示可以剔除异质性和水平多效性对因果效应产生的影响.结论:双样本孟德尔随机化分析显示Bacteroides、Prevotella_7、Terrisporobacter可能是十二指肠溃疡的保护因素,而Bifidobacterium、Lachnoclostridium、Olsenella可能是危险因素.
Causal Relationship Between Gut Microbiota and Duodenal Ulcer:A Two-sample Mendelian Randomization Study
Background:The diversity and function of gut microbiota have been regarded as crucial factors affecting human health.With the advances in genetics and epidemiology,especially the application of Mendelian randomization analysis,a novel perspective has been provided for profoundly uncovering the causal relationship between gut microbiota and duodenal ulcer.Aims:To investigate the causal relationship between gut microbiota and duodenal ulcer through two-sample Mendelian randomization analysis.Methods:Genetic variation samples of the gut microbiota were screened from the MiBioGen database.Genetic loci related to duodenal ulcer were selected as instrumental variables from genome-wide association study.The inverse-variance weighted method,weighted median method,and MR-Egger regression analysis were used to assess the causal relationship between gut microbiota and duodenal ulcer.Tests for heterogeneity and horizontal pleiotropy were conducted to ensure the stability of the results.Results:Bacteroides(OR=0.998,95%CI:0.996-1.000,P=0.014),Prevotella_7(OR=0.999,95%CI:0.998-1.000,P=0.043)and Terrisporobacter(OR=0.998,95%CI:0.997-1.000,P=0.029)exhibited negative causal relationship with duodenal ulcer,while Bifidobacterium(OR=1.001,95%CI:1.000-1.003,P=0.046),Lachnoclostridium(OR=1.002,95%CI:1.001-1.004,P=0.007)and Olsenella(OR=1.001,95%CI:1.000-1.002,P=0.018)presented positive causal relationship with duodenal ulcer.The sensitivity analysis indicated that the influences of heterogeneity and horizontal pleiotropy on the causal relationship could be excluded.Conclusions:The two-sample Mendelian randomization analysis revealed that Bacteroides,Prevotella_7 and Terrisporobacter were protective factors for duodenal ulcer,while Bifidobacterium,Lachnoclostridium and Olsenella were risk factors.

Gut MicrobiotaDuodenal UlcerCausal RelationshipMendelian Randomization Analysis

侯雅琪、李渊、闫丽璇、龚万里、王洋、卢学春、贺培凤、于琦

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山西医科大学管理学院(030600)

临床决策研究大数据山西省重点实验室

中国人民解放军总医院第二医学中心血液科 国家老年疾病临床医学研究中心

肠道菌群 十二指肠溃疡 因果关系 孟德尔随机化分析

2024

胃肠病学
上海交通大学医学院附属仁济医院

胃肠病学

CSTPCD
影响因子:1.217
ISSN:1008-7125
年,卷(期):2024.29(5)