首页|基于孟德尔随机化的甲状腺功能减退症与非酒精性脂肪性肝病的因果分析

基于孟德尔随机化的甲状腺功能减退症与非酒精性脂肪性肝病的因果分析

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目的 通过两样本孟德尔随机化方法探索甲状腺功能减退和非酒精性脂肪性肝病(NAFLD)之间的因果关系.方法 利用全基因组关联研究数据,确定与甲状腺功能减退相关遗传变异数据为工具变量(Ⅳ),使用MR-Egger回归、逆方差加权法(IVW)和加权中位数法(WME)检验甲状腺功能减退和非酒精性脂肪性肝病之间的因果效应,用OR对因果关系进行评价.结果 研究共纳入 334 个SNP位点作为工具变量,工具变量不存在异质性和多效性.IVW估计中,基于两个数据集分别得到暴露的OR值OR(95%CI):21.30(3.61~125.50)]和OR(95%CI):5.79(1.03~32.47)],均表明甲状腺功能减退与NAFLD之间存在显著的因果关联(P<0.05),且孟德尔随机化结果稳健.结论 甲状腺功能减退与NAFLD之间存在潜在的因果关系.
A Causal Analysis of Hypothyroidism and Nonalcoholic Fatty Liver Disease based on Mendelian Randomization
Objectives To explore the causal relationship between hypothyroidism and nonalcoholic fatty liver disease(NAFLD)by two-sample Mendelian randomization.Methods Genome-wide association study(GWAS)data was used to identify genetic variation data associated with hypothyroidism as instrumental variables(IVs).MR-Egger regression,inverse variance weighting method(IVW)and weighted median method(WME)were used to examine the causal effects between hypothyroidism and NAFLD.The causal association was evaluated with OR.Results A total of 334 SNP loci were included as Ⅳ,and there was no heterogeneity and pleiotropy in the Ivs.Based on IVW estimation mryhod,the OR with 95%CI of two different sets were 21.30(95%CI:93.61~125.50)]and 5.79(95%CI:1.03~32.47),which both indicated a significant causal association between the hypothyroidism and NAFLD(P<0.05).What′s more,the results of Mendelian randomization were robust.Conclusion Hypothyroidism is potentially associated with NAFLD.

HypothyroidismNonalcoholic fatty liver diseaseMendelian randomizationCausality

王冬冬、高梦瑶、穆华夏、卜伟晓、王蒙、孔雨佳、王素珍

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山东第二医科大学公共卫生学院(261053)

中国医科大学公共卫生学院

山东第二医科大学附属医院肝胆外科

甲状腺功能减退 非酒精性脂肪性肝病 孟德尔随机化 因果关系

国家自然科学基金项目山东省自然科学基金项目山东省自然科学基金项目山东省本科教学改革研究项目山东省本科教学改革研究项目

82003560ZR2020MH340ZR2023MH313M2021174M2021327

2024

中国卫生统计
中国卫生信息学会 中国医科大学

中国卫生统计

CSTPCD北大核心
影响因子:1.172
ISSN:1002-3674
年,卷(期):2024.41(3)
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