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孟德尔随机化分析揭示了饮食摄入对炎症性肠病风险的因果影响。

Mendelian randomization analysis reveals causal effects of food intakes on inflammatory bowel disease risk.

机构信息

Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Nanfang Hospital, Southern Medical University, Guangzhou, China.

出版信息

Front Immunol. 2022 Sep 22;13:911631. doi: 10.3389/fimmu.2022.911631. eCollection 2022.

Abstract

Traditional observational studies have indicated a link between specific food intakes and inflammatory bowel disease (IBD), but the nature of such links remains unknown. We sought to assess the potential causal relationship between food intakes and IBD risk using Mendelian randomization methods. This study used summary statistics data from large-scale genome-wide association studies (GWAS) on food intakes, Crohn's disease (CD), and ulcerative colitis (UC). In the primary analysis, we used the inverse variance-weighted method to determine whether specific food was causal for CD and UC. In addition, we also ran four other Mendelian randomization methods, including MR Egger, weighted median, maximum likelihood, and weighted mode as a complement. The primary analysis showed that high consumption of poultry (OR, 3.696; 95% CI, 1.056-12.937; = 0.041) and cereal (OR, 2.449; 95% CI, 1.094-5.482; = 0.029) had a significant causal association with CD, while high oily fish intake level was found to be statistically significantly associated with the risk of UC (OR, 1.482; 95% CI, 1.002-2.194; = 0.049). This MR study provides evidence of a potential causal link between certain food intake and CD and UC.

摘要

传统的观察性研究表明,特定的食物摄入与炎症性肠病(IBD)之间存在关联,但这种关联的性质尚不清楚。我们试图使用孟德尔随机化方法评估食物摄入与 IBD 风险之间的潜在因果关系。本研究使用了来自大规模全基因组关联研究(GWAS)的食物摄入、克罗恩病(CD)和溃疡性结肠炎(UC)的汇总统计数据。在主要分析中,我们使用逆方差加权法来确定特定食物是否对 CD 和 UC 具有因果关系。此外,我们还运行了其他四种孟德尔随机化方法,包括 MR Egger、加权中位数、最大似然和加权模式作为补充。主要分析表明,高禽肉(OR,3.696;95%CI,1.056-12.937; = 0.041)和谷物(OR,2.449;95%CI,1.094-5.482; = 0.029)的摄入与 CD 有显著的因果关系,而高油性鱼类的摄入水平与 UC 的风险呈统计学显著相关(OR,1.482;95%CI,1.002-2.194; = 0.049)。这项 MR 研究提供了证据表明某些食物摄入与 CD 和 UC 之间存在潜在的因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8ee/9536736/37ef273715e8/fimmu-13-911631-g001.jpg

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