首页|心血管疾病与子宫内膜异位症因果关联的双样本孟德尔随机化研究

心血管疾病与子宫内膜异位症因果关联的双样本孟德尔随机化研究

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目的:采用孟德尔随机化(MR)方法研究心血管疾病(CVD)与子宫内膜异位症(EM)之间的双向因果关系.方法:根据预设的阈值从心血管疾病的全基因组关联研究数据中提取出与其强相关的独立单核苷酸多态性位点(SNP)作为工具变量,主要采用逆方差加权法(IVW)评估CVD与EM发生风险的关联;并辅以MR-Egger回归、MR-PRESSO、Cochran'sQ检验和"留一法"的敏感性分析来评估因果关系,检验结果的可靠性.结果:在MR分析中显示CVD和EM之间存在明显的因果关系(OR=1.333,95%CI:1.120~1.587,P=0.001).在反向MR分析中显示,EM与CVD之间不存在明显因果关系.结论:遗传学预测CVD与EM的发生风险升高有关.
A Two-Sample Mendelian Randomization Study of Causal Association Between Cardiovascular Disease and Endome-triosis
Objective:The bidirectional causal relationship between cardiovascular disease(CVD)and endometriosis(EM)was investigated using Mendelian randomization(MR).Methods:Independent single nucleotide polymorphism(SNP)loci strongly associated with CVD were extracted from the data of genome-wide association studies of CVD according to preset thresholds as instrumental variables,and the inverse variance weighted(IVW)method was mainly used to assess the risk of CVD and EM.MR-Egger regression,MR-PRESSO,Cochran'Q test,and the sensitivity analysis of the leave-one-out method were used to assess the causality and to test the reliability of the results.Results:A significant causal relationship between CVD and EM was demonstrated in the MR analysis(OR=1.333,95%CI:1.120~1.587,P=0.001).In reverse MR analysis showed no significant causal relationship between EM and CVD.Conclusion:Genetics predicts that CVD is associated with an elevated risk of developing EM.

Mendelian randomizationCardiovascular diseaseEndometriosisCausality

申梦琦、杜泓成、郑云飞、钟璐

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广西中医药大学研究生院,广西南宁市 530000

广西中医药大学附属瑞康医院妇科二区

孟德尔随机化 心血管疾病 子宫内膜异位症 因果关系

2025

医学理论与实践
河北省预防医学会 河北省药学会

医学理论与实践

影响因子:0.746
ISSN:1001-7585
年,卷(期):2025.38(1)