中华肝胆外科杂志2024,Vol.30Issue(10) :771-775.DOI:10.3760/cma.j.cn113884-20240605-00175

酒精性及急、慢性胰腺炎与胰腺癌的相关性研究:基于双样本孟德尔随机化

Association between acute,chronic,alcoholic pancreatitis and pancreatic cancer:based on two-sam-ple Mendelian randomization

肖玉婷 戴婷 刘丹 张红辉
中华肝胆外科杂志2024,Vol.30Issue(10) :771-775.DOI:10.3760/cma.j.cn113884-20240605-00175

酒精性及急、慢性胰腺炎与胰腺癌的相关性研究:基于双样本孟德尔随机化

Association between acute,chronic,alcoholic pancreatitis and pancreatic cancer:based on two-sam-ple Mendelian randomization

肖玉婷 1戴婷 1刘丹 1张红辉1
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作者信息

  • 1. 湖南省人民医院肝胆外科,长沙 410005
  • 折叠

摘要

目的 明确急、慢性胰腺炎与酒精性胰腺炎是否在基因层面与胰腺癌的发病相关.方法 使用欧洲血统的全基因组关联研究(GWAS)的汇总数据,从GWAS网站获得英国人群胰腺癌相关数据,从芬兰数据库R10版本中分别获得芬兰人群急、慢性胰腺炎及急慢性酒精性胰腺炎数据.通过以逆方差加权法为主的5种孟德尔分析方法,分别对急、慢性胰腺炎及急、慢性酒精性胰腺炎与胰腺癌的相关性进行双样本孟德尔随机化分析.对符合假设的分析结果分别进行Q异质性检验、多效性检验及反向检验以确保结果稳健.结果 慢性胰腺炎与胰腺癌发病呈现显著的正向相关性(OR=1.332,95%CI:1.044~1.698,P=0.021),Q异质性检验、多效性检验及反向孟德尔随机化结果提示结果稳健,均P>0.05.而急性胰腺炎(P=0.953)、急性酒精性胰腺炎(P=0.862)与慢性酒精性胰腺炎(P=0.682)则未发现与胰腺癌发病的显著相关关系.结论 本研究进一步从基因层面明确了慢性胰腺炎与胰腺癌发生存在较强的相关关系.

Abstract

Objective To explore whether acute pancreatitis,chronic pancreatitis and alcoholic pancreatitis are related to the incidence of pancreatic cancer in Mendelian randomization study.Methods Using data from a genome-wide association study(GWAS)of European ancestry,the pancreatic cancer data in the UK population is obtained from the GWAS.Acute,chronic,and alcoholic pancreatitis data in the Finnish population is obtained from the Finnish database version R10.The correlation between acute,chro-nic pancreatitis,alcoholic pancreatitis and pancreatic cancer was analyzed by two-sample Mendelian randomi-zation through five Mendelian analysis methods mainly based on inverse variance weighting.Q heterogeneity test,pleiotropy test and reverse test were carried out to ensure the robustness of the results.Results Chro-nic pancreatitis was positively associated with pancreatic cancer(OR=1.332,95%CI:1.044-1.698,P=0.021).The results of Q heterogeneity test,pleiotropy test and reverse Mendelian randomization showed that the conclusions were reliability,all P>0.05.While acute pancreatitis(P=0.953),acute alcoholic pancreatitis(P=0.862)and chronic alcoholic pancreatitis(P=0.682)were not significantly associated with pancreatic cancer.Conclusion This study further confirmed the strong correlation between chronic pancreatitis and pancreatic cancer at the genetic level.

关键词

胰腺炎/胰腺癌/孟德尔随机化

Key words

Pancreatitis/Pancreatic cancer/Mendelian randomization

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基金项目

2022年湖南省卫生健康人才青年骨干人才(20230508-1020)

出版年

2024
中华肝胆外科杂志
中华医学会

中华肝胆外科杂志

CSTPCDCSCD北大核心
影响因子:1.846
ISSN:1007-8118
参考文献量18
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