Department of Epidemiology, School of Public Health, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Institute of Basic Research in Clinical Medicine, School of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
BMC Gastroenterol. 2023 May 12;23(1):150. doi: 10.1186/s12876-023-02791-7.
BACKGROUND: Growing evidence has suggested that gut microbiota is closely related to the risk of irritable bowel syndrome (IBS), but whether there is a causal effect remains unknown. We adopted a Mendelian randomization (MR) approach to evaluate the potential causal relationships between gut microbiota and the risk of IBS. METHODS: Genetic instrumental variables for gut microbiota were identified from a genome-wide association study (GWAS) of 18,340 participants. Summary statistics of IBS were drawn from a GWAS including 53,400 cases and 433,201 controls. We used the inverse-variance weighted (IVW) method as the primary analysis. To test the robustness of our results, we further performed the weighted-median method, MR-Egger regression, and MR pleiotropy residual sum and outlier test. Finally, reverse MR analysis was performed to evaluate the possibility of reverse causation. RESULTS: We identified suggestive associations between three bacterial traits and the risk of IBS (odds ratio (OR): 1.08; 95% confidence interval (CI): 1.02, 1.15; p = 0.011 for phylum Actinobacteria; OR: 0.95; 95% CI: 0.91, 1.00; p = 0.030 for genus Eisenbergiella and OR: 1.10; 95% CI: 1.03, 1.18; p = 0.005 for genus Flavonifractor). The results of sensitivity analyses for these bacterial traits were consistent. We did not find statistically significant associations between IBS and these three bacterial traits in the reverse MR analysis. CONCLUSIONS: Our systematic analyses provide evidence to support a potential causal relationship between several gut microbiota taxa and the risk of IBS. More studies are required to show how the gut microbiota affects the development of IBS.
背景:越来越多的证据表明,肠道微生物群与肠易激综合征(IBS)的风险密切相关,但因果关系尚不清楚。我们采用孟德尔随机化(MR)方法来评估肠道微生物群与 IBS 风险之间的潜在因果关系。
方法:从 18340 名参与者的全基因组关联研究(GWAS)中确定了肠道微生物群的遗传工具变量。IBS 的汇总统计数据来自一项包含 53400 例病例和 433201 例对照的 GWAS。我们使用逆方差加权(IVW)法作为主要分析方法。为了检验结果的稳健性,我们进一步进行了加权中位数法、MR-Egger 回归和 MR 多效性残差和异常值检验。最后,进行了反向 MR 分析以评估反向因果关系的可能性。
结果:我们发现三种细菌特征与 IBS 风险之间存在提示性关联(比值比(OR):1.08;95%置信区间(CI):1.02,1.15;p=0.011 用于厚壁菌门;OR:0.95;95%CI:0.91,1.00;p=0.030 用于艾森伯格氏菌属和 OR:1.10;95%CI:1.03,1.18;p=0.005 用于黄杆菌属)。这些细菌特征的敏感性分析结果一致。在反向 MR 分析中,我们没有发现 IBS 与这三种细菌特征之间存在统计学上显著的关联。
结论:我们的系统分析提供了证据支持几种肠道微生物群与 IBS 风险之间存在潜在的因果关系。需要更多的研究来表明肠道微生物群如何影响 IBS 的发展。
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