首页|胃食管反流病与慢性阻塞性肺疾病:两样本孟德尔随机化研究

胃食管反流病与慢性阻塞性肺疾病:两样本孟德尔随机化研究

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目的 通过两样本孟德尔随机化方法,探讨胃食管反流病(GERD)和慢性阻塞性肺疾病(COPD)之间的因果关系.方法 从全基因组关联研究(GWAS)汇总数据中筛选出与GERD相关的单核苷酸多态性(SNP)作为基因工具变量,主要分析采用逆方差加权法(IVW)来估计因果效应,用MR-Egger、加权中位数法、simple mode法和weighted mode法作为补充方法.为评估结果的稳健性,进行了敏感性分析,包括Cochran's Q检验、MR-Egger截距和留一法.结果 GERD可能与COPD风险增加有关[IVW:优势比(OR)=1.80,95%置信区间(confidence interval,CI)为 1.55~2.08,P<0.01].此外,MR-Egger 截距、Cochran'sQ检验及留一法未观察到水平多效性和异质性.结论 GERD可增加COPD风险,建议积极控制GERD以降低COPD的发生.
Gastroesophageal reflux disease and chronic obstructive pulmonary disease:Two samples Mendelian randomization study
Objective To explore the causal relationship between gastro esophageal reflux disease(GERD)and chronic obstructive pulmonary disease(COPD)by a two-sample Mendelian randomization method.Methods From the summary data of genome-wide association studies(GWAS),single nucleotide polymorphisms(SNP)associated with GERD were selected as genetic instrumental variables.The primary analysis employed the inverse variance weighted(IVW)method for estimating causal effects,with MR-Egger,weighted median,simple mode,and weighted mode methods as supplementary approaches.Sensitivity analyses were conducted to assess the robustness of the results,including Cochran's Q test,MR-Egger intercept,and leave-one-out analysis.Results There might be an association between GERD and an increased risk of COPD[IVW:odds ratio(OR)=1.80,95%confidence interval(CI)1.55-2.08,P<0.01].Furthermore,no evidence of horizontal pleiotropy and heterogeneity was observed through MR-Egger intercept,Cochran's Q test,and leave-one-out analysis.Conclusion GERD can increase the risk of COPD,and aggressive control of GERD is recommended to reduce the incidence of COPD.

gastroesophageal reflux diseasechronic obstructive pulmonary diseaseMendelian randomization study

张露、郭娜、郭鸿、刘健

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兰州大学第一临床医学院,甘肃兰州 730000

兰州大学第一医院重症医学科,甘肃兰州 730000

甘肃省妇幼保健院、甘肃省中心医院重症医学科,甘肃兰州 730000

胃反流性食管炎 慢性阻塞性肺疾病 孟德尔随机化研究

甘肃省自然科学基金资助项目

20YF8FA082

2024

中国临床药理学杂志
中国药学会

中国临床药理学杂志

CSTPCD北大核心
影响因子:1.91
ISSN:1001-6821
年,卷(期):2024.40(3)
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