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肠道微生物群对牙周炎风险的因果效应:两样本孟德尔随机化研究。

Causal effects of gut microbiota on the risk of periodontitis: a two-sample Mendelian randomization study.

机构信息

Department of Prosthodontics, Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, China.

出版信息

Front Cell Infect Microbiol. 2023 May 25;13:1160993. doi: 10.3389/fcimb.2023.1160993. eCollection 2023.


DOI:10.3389/fcimb.2023.1160993
PMID:37305424
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10248501/
Abstract

INTRODUCTION: The oral cavity and the gut tract are interconnected, and both contain abundant natural microbiota. Gut microbiota may interact with oral flora and participate in the development of periodontitis. However, the specific role of certain gut microbiota taxa for periodontitis has not been investigated. Mendelian Randomization is an ideal method to explore causal relationships avoiding reverse causality and potential confounding factors. Thus, we conducted a two-sample Mendelian Randomization study to comprehensively reveal the potential genetic causal effect of gut microbiota on periodontitis. METHODS: SNPs strongly associated with 196 gut microbiota taxa (18,340 individuals) were selected as instrument variables, and periodontitis (17,353 periodontitis cases and 28,210 controls) was used as the outcome. The causal effect was analyzed via random effect inverse variance-weighted, weighted median, and MR-Egger. The sensitivity analyses were conducted using Cochran's Q tests, funnel plots, leave-one-out analyses, and MR-Egger intercept tests. RESULTS: Nine gut microbiota taxa ( 7, UCG-008, , , , , S24.7 group, , and ) are predicted to play a causal role in enhancing the risk of periodontitis (< 0.05). Besides, two gut microbiota taxa ( and 6) have potentially inhibitive causal effects on the risk of periodontitis (< 0.05). No significant estimation of heterogeneity or pleiotropy is detected. CONCLUSION: Our study demonstrates the genetic causal effect of 196 gut microbiota taxa on periodontitis and provides guidance for the clinical intervention of periodontitis.

摘要

简介:口腔和肠道相互连通,两者都含有丰富的天然微生物群。肠道微生物群可能与口腔菌群相互作用,并参与牙周炎的发展。然而,某些肠道微生物群类群对牙周炎的确切作用尚未得到研究。孟德尔随机化是一种探索因果关系的理想方法,可以避免反向因果关系和潜在的混杂因素。因此,我们进行了一项两样本孟德尔随机化研究,以全面揭示肠道微生物群对牙周炎的潜在遗传因果效应。

方法:选择与 196 种肠道微生物群(18340 人)强烈相关的 SNP 作为工具变量,并将牙周炎(17353 例牙周炎病例和 28210 例对照)作为结局。通过随机效应逆方差加权、加权中位数和 MR-Egger 分析因果效应。使用 Cochran's Q 检验、漏斗图、逐一剔除分析和 MR-Egger 截距检验进行敏感性分析。

结果:9 种肠道微生物群(7、UCG-008、Roseburia intestinalis、Faecalibacterium prausnitzii、Bacteroides thetaiotaomicron、Ruminococcus gnavus、Eubacterium eligens、S24.7 群和 Barnesiella intestinihominis)被预测为增强牙周炎风险的因果作用(<0.05)。此外,两种肠道微生物群(Lachnospiraceae_NK4A136_group 和 Parabacteroides distasonis)对牙周炎的风险有潜在的抑制作用(<0.05)。未检测到显著的异质性或多效性估计。

结论:本研究表明 196 种肠道微生物群对牙周炎的遗传因果效应,并为牙周炎的临床干预提供了指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/b321fc150e26/fcimb-13-1160993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/413b0bd18858/fcimb-13-1160993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/46e6efb24e30/fcimb-13-1160993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/d07270443910/fcimb-13-1160993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/b321fc150e26/fcimb-13-1160993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/413b0bd18858/fcimb-13-1160993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/46e6efb24e30/fcimb-13-1160993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/d07270443910/fcimb-13-1160993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd93/10248501/b321fc150e26/fcimb-13-1160993-g004.jpg

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[1]
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J Affect Disord. 2022-11-1

[2]
Mendelian randomization highlights the causal association of obesity with periodontal diseases.

J Clin Periodontol. 2022-7

[3]
Causal relationship between physical activity, leisure sedentary behaviors and COVID-19 risk: a Mendelian randomization study.

J Transl Med. 2022-5-13

[4]
Relationship between periodontitis and psoriasis: A two-sample Mendelian randomization study.

J Clin Periodontol. 2022-6

[5]
Gut Microbiota and Psychiatric Disorders: A Two-Sample Mendelian Randomization Study.

Front Microbiol. 2022-2-4

[6]
Associations between self-reported periodontal disease and nutrient intakes and nutrient-based dietary patterns in the UK Biobank.

J Clin Periodontol. 2022-5

[7]
No Genetic Causal Association Between Periodontitis and Arthritis: A Bidirectional Two-Sample Mendelian Randomization Analysis.

Front Immunol. 2022

[8]
Supplemental or dietary intake of omega-3 fatty acids for the treatment of periodontitis: A meta-analysis.

J Clin Periodontol. 2022-4

[9]
Causal Relationship Between Gut Microbiota and Autoimmune Diseases: A Two-Sample Mendelian Randomization Study.

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[10]
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