母体妊娠质谱衍生代谢物与子代先天性心脏病的关系:多变量和孟德尔随机化分析结果
The Relationship of Maternal Gestational Mass Spectrometry-Derived Metabolites with Offspring Congenital Heart Disease: Results from Multivariable and Mendelian Randomization Analyses.
作者信息
Taylor Kurt, McBride Nancy, Zhao Jian, Oddie Sam, Azad Rafaq, Wright John, Andreassen Ole A, Stewart Isobel D, Langenberg Claudia, Magnus Maria Christine, Borges Maria Carolina, Caputo Massimo, Lawlor Deborah A
机构信息
Population Health Science, Bristol Medical School, Bristol BS8 2PS, UK.
MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK.
出版信息
J Cardiovasc Dev Dis. 2022 Jul 27;9(8):237. doi: 10.3390/jcdd9080237.
Background: It is plausible that maternal pregnancy metabolism influences the risk of offspring congenital heart disease (CHD). We sought to explore this through a systematic approach using different methods and data. Methods: We undertook multivariable logistic regression of the odds of CHD for 923 mass spectrometry (MS)-derived metabolites in a sub-sample of a UK birth cohort (Born in Bradford (BiB); N = 2605, 46 CHD cases). We considered metabolites reaching a p-value threshold <0.05 to be suggestively associated with CHD. We sought validation of our findings, by repeating the multivariable regression analysis within the BiB cohort for any suggestively associated metabolite that was measured by nuclear magnetic resonance (NMR) or clinical chemistry (N = 7296, 87 CHD cases), and by using genetic risk scores (GRS: weighted genetic risk scores of single nucleotide polymorphisms (SNPs) that were associated with any suggestive metabolite) in Mendelian randomization (MR) analyses. The MR analyses were performed in BiB and two additional European birth cohorts (N = 38,662, 319 CHD cases). Results: In the main multivariable analyses, we identified 44 metabolites suggestively associated with CHD, including those from the following super pathways: amino acids, lipids, co-factors and vitamins, xenobiotics, nucleotides, energy, and several unknown molecules. Of these 44, isoleucine and leucine were available in the larger BiB cohort (NMR), and for these the results were validated. The MR analyses were possible for 27/44 metabolites and for 11 there was consistency with the multivariable regression results. Conclusions: In summary, we have used complimentary data sources and statistical techniques to construct layers of evidence. We found that pregnancy amino acid metabolism, androgenic steroid lipids, and levels of succinylcarnitine could be important contributing factors for CHD.
背景
母体孕期代谢影响子代先天性心脏病(CHD)风险这一观点看似合理。我们试图通过使用不同方法和数据的系统方法来探究这一问题。方法:我们对英国一个出生队列(布拉德福德出生队列(BiB);N = 2605,46例CHD病例)的一个子样本中923种质谱(MS)衍生代谢物进行CHD发生几率的多变量逻辑回归分析。我们将p值阈值<0.05的代谢物视为与CHD有提示性关联。我们通过在BiB队列中对任何通过核磁共振(NMR)或临床化学测量的有提示性关联的代谢物重复多变量回归分析(N = 7296,87例CHD病例),以及在孟德尔随机化(MR)分析中使用遗传风险评分(GRS:与任何有提示性代谢物相关的单核苷酸多态性(SNP)的加权遗传风险评分)来寻求对我们研究结果的验证。MR分析在BiB队列和另外两个欧洲出生队列(N = 38,662,319例CHD病例)中进行。结果:在主要的多变量分析中,我们鉴定出44种与CHD有提示性关联的代谢物,包括来自以下超级途径的代谢物:氨基酸、脂质、辅因子和维生素、外源性物质、核苷酸、能量以及几种未知分子。在这44种代谢物中,异亮氨酸和亮氨酸在更大的BiB队列(NMR)中有数据,并且对这些代谢物的结果得到了验证。对44种代谢物中的27种进行了MR分析,其中11种与多变量回归结果一致。结论:总之,我们使用了互补的数据源和统计技术来构建证据层次。我们发现孕期氨基酸代谢、雄激素类固醇脂质和琥珀酰肉碱水平可能是CHD的重要促成因素。