首页|肠道菌群与斑秃的因果关系研究:一项双向双样本孟德尔随机化研究

肠道菌群与斑秃的因果关系研究:一项双向双样本孟德尔随机化研究

扫码查看
目的:明确肠道菌群与斑秃之间的因果关系,为早期斑秃预防和疾病改善提供参考.方法:选取与肠道菌群相关的显著单核苷酸多态性(SNP)作为工具变量,采用逆方差加权法(IVW)评估因果效应.通过Cochran's Q检验评估遗传工具变量的异质性,MR-Egger截距检验和MR-PRESSO检验评估多效性,"留一法"评估SNPs对斑秃因果关系的影响敏感性.结果:逆方差加权法显示,毛螺菌科 3-1-46FAA群、戴阿利斯特杆菌属、副拟杆菌属、瘤胃球菌属lactaris群、戴阿利斯特杆菌属in-visus群、PWY.6731 途径相关菌群、拟杆菌属faecis群与斑秃呈负相关;PWY0.1415 途径相关菌群、拟杆菌门、拟杆菌目、拟杆菌纲、拟杆菌属caccae群、PWY.5686 途径相关菌群与斑秃呈正相关;反向孟德尔随机化结果显示,斑秃与拟杆菌目、拟杆菌纲、拟杆菌门成正相关;敏感性分析:MR-Egger截距检验和MR-PRESSO检验表明不存在水平多效性,异质性检验显示两者关系无异质性,"留一法"分析结果稳健.结论:肠道微生物群中拟杆菌相关细菌性状与斑秃的发病有关.
Causal relationship between gut microbiota and alopecia areata:a bidirectional two-sample Mende-lian randomization study
Objective:To determin the relationship between gut microbiota and alopecia areata,and to provide reference for early prevention and disease improvement of alopecia areata.Methods:The study select-ed significant SNPs associated with gut microbiota as instrumental variables and used the inverse variance weighted(IVW)method as the primary analysis method for assessing causal effects.Heterogeneity of the ge-netic instrumental variables was evaluated with Cochran's Q test,and pleiotropy was assessed with the MR-Egger intercept test and the MR-PRESSO test.Sensitivity of the causal relationship between SNPs and alope-cia areata was evaluated using the leave-one-out approach.Results:The inverse variance weighted method showed that the Lachnospiraceae family group 3-1-46FAA,Dialister genus,Paraprevotella genus,Rumino-coccus genus lactaris group,Dialister invisus group,and the PWY.6731 pathway microbiota were negatively correlated with alopecia areata;the PWY0.1415 pathway microbiota,Bacteroidetes phylum,Bacteroidales or-der,Bacteroidia class,Bacteroides genus caccae group,and PWY.5686 pathway microbiota were positively correlated with alopecia areata;Mendelian randomization results showed a positive correlation between alopecia areata and the Bacteroidales order,Bacteroidia class,and Bacteroidetes phylum;Sensitivity analysis:The MR-Egger intercept test and MR-PRESSO test indicated no horizontal pleiotropy,and the heterogeneity test showed no heterogeneity in their relationship,with the leave-one-out analysis yielding robust results.Conclu-sion:The gut microbiota of Bacteroides were associated with alopecia areata.

alopecia areatagut microbiotaMendelian randomization

吕兴民、徐茂婷、陈贵全

展开 >

西南医科大学附属中医院针灸推拿康复科,四川沪州,646000

西南医科大学中西医结合学院,四川 泸州,646000

斑秃 肠道菌群 孟德尔随机化

2025

中国麻风皮肤病杂志
中国麻风防治协会,山东省皮肤病性病防治研究所

中国麻风皮肤病杂志

影响因子:0.302
ISSN:1009-1157
年,卷(期):2025.41(1)