首页|妊娠高血压与4种常见神经系统疾病的孟德尔随机化研究

妊娠高血压与4种常见神经系统疾病的孟德尔随机化研究

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目的 采用两样本孟德尔随机化(MR)方法探讨妊娠高血压疾病(HDP)与神经系统疾病之间的因果关系.方法 使用公开发表的全基因组关联研究汇总数据,以妊娠高血压疾病相关的遗传位点作为工具变量,采用逆方差加权法(IVW)作为主要的分析方法,评估妊娠高血压疾病与阿尔茨海默症(AD)、癫痫(EP)、帕金森病(PD)、偏头痛(migraine)之间的因果关系.并采用Cochran's Q检验,MR-PRESSO、MR-Egger回归法、留一法(leave-one-out)进行敏感性分析.结果 IVW结果显示妊娠高血压(GH)与偏头痛呈正相关(OR=1.207,95%CI:1.082~1.346,P=0.0007),与 AD、EP、PD 没有相关性(OR=0.878,95%CI:0.762~1.012,P=0.073;OR=1.105,95%CI:0.954~1.279,P=0.183;OR=0.988,95%CI:0.743~1.313,P=0.932).子痫前期/子痫(PE/E)与 EP 和偏头痛呈正相关(OR=1.131,95%CI:1.011~1.266,P=0.031;OR=1.126,95%CI:1.021~1.242,P=0.018),与 AD、PD 没有相关性(OR=0.931,95%CI:0.816~1.063,P=0.293;OR=0.970,95%CI:0.807~1.167,P=0.749).多种敏感性分析结果表明主分析具有稳健性.结论 GH与偏头痛存在相关性,PE/E与EP和偏头痛存在相关性.
Hypertensive disorders of pregnancy and neurological disease,a two-sample Mendelian randomization study
Objective To explore the causal relationship between hypertensive disorders of pregnancy(HDP),in-cluding gestational hypertension(GH)and preeclampsia/eclampsia(PE/E),and neurological disease using two-sample Men-delian randomization(MR).Methods Using the aggregated data of published genome-wide association studies,inverse vari-ance weighted(IVW)was adopted as the main analysis method,with the genetic loci associated with HDP as the instrumental variable.To evaluate the causal relationship between HDP and Alzheimer's disease(AD),epilepsy(EP),Parkinson's disease(PD)and migraine.Cochran's Q test,MR-PRESSO,MR-Egger regression and leave-one-out method were used for sensitivity analysis.Results IVW results showed that GH was positively correlated with migraine(OR=1.207,95%CI:1.082-1.346,P=0.0007);no association was found between GH and AD,EP,and PD(OR=0.878,95%CI:0.762-1.012,P=0.073;OR=1.105,95%CI:0.954-1.279,P=0.183;OR=0.988,95%CI:0.743-1.313,P=0.932).PE/E was positively correlated with EP and migraine(OR=1.131,95%CI:1.011-1.266,P=0.031;OR=1.126,95%CI:1.021-1.242,P=0.018);no association was found between PE/E and AD,PD(OR=0.931,95%CI:0.816-1.063,P=0.293;OR=0.970,95%CI:0.807-1.167,P=0.749).Conclusion GH was associated with migraine;PE/E was associated with migraine and EP.

Mendelian randomizationhypertensive disorders of pregnancy(HDP)preeclampsiaeclampsianeu-rological disease

韩莎莎、陈琼、张璟

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青岛市胶州中心医院康复医学科,山东青岛 266300

孟德尔随机化 妊娠高血压 子痫前期 子痫 神经系统疾病

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(11)