首页|孟德尔随机化法探究新生儿高胆红素血症与抽动障碍的因果关联

孟德尔随机化法探究新生儿高胆红素血症与抽动障碍的因果关联

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目的 采用两样本孟德尔随机化(TSMR)分析法,探讨新生儿高胆红素血症与抽动障碍(TD)的因果关联,以期为TD的机制研究提供线索。方法 利用全基因组关联研究(GWAS)的数据,暴露因素为新生儿高胆红素血症,结局变量分别为TD、短暂性TD和发声性TD,通过MR分析,将逆方差加权(IVW)作为主要分析方法,MR-Egger回归和加权中位数(WM)补充方法分析二者之间的潜在关系,利用Cochran Q检验、MR-Egger回归截距进行敏感性分析。结果 逆方差加权法分析显示,新生儿高胆红素血症与TD发病风险之间存在潜在因果关系(OR=1。053,95%CI:1。006~1。102,P=0。024),但与其他类型抽动无潜在因果关联。敏感性分析显示不存在多效性和异质性(P>0。05),结果可靠。结论 新生儿高胆红素血症与TD之间存在潜在因果关系,但二者关联需要更大样本量进一步验证。
Causal relationship between neonatalhy perbilirubinemia and tic disorder by Mendelian randomization
Objective To explore the causal relationship between neonatal hyperbilirubinemia and tic disorder(TD)by two-sample Mendelian randomized analysis(TSMR),in order to provide insights for the mechanism research of TD.Methods Data of genome-wide association study(GWAS)was used in this study.The exposure factor was neonatal hyperbilirubinemia,and the outcome variables were TD,multiple TD and vocal TD,respectively.Through MR analysis,inverse variance weighted(inverse-variance weighted,I VW)was used as the main analysis method,MR-Egger regression and weighted median(weighted median,WM)supplementary methods were used to analyze the potential relationship between them.Cochran Q test and MR-Egger regression intercept were used to analyze the sensitivity.Results The inverse variance weighting method,showed that there was a potential causal relationship between neonatal hyperbilirubinemia and the risk of TD(OR=1.053,95%CI:1.006-1.102,P=0.024),but there was no potential causal correlation with other types of TD.Sensitivity analysis showed that there was no pleiotropy and heterogeneity(P>0.05),and the result was reliable.Conclusions There is a potential causal relationship between neonatal hyperbilirubinemia and TD,but the relationship needs to be further verified by a larger sample size.

neonatal hyperbilirubinemiatic disorderMendelian randomization

崔鹏源、李贵平

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西南医科大学中西医结合学院,四川泸州 646000

西南医科大学附属中医医院新生儿科

新生儿高胆红素血症 抽动障碍 孟德尔随机化

四川省中医药管理局中医药科研专项面上项目

2021MS162

2024

中国儿童保健杂志
西安交通大学,中华预防医学会

中国儿童保健杂志

CSTPCD北大核心
影响因子:1.199
ISSN:1008-6579
年,卷(期):2024.32(10)