Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Medical Sciences Building, Room 5326A, 1 King's College Circle, Toronto, ON M5S 1A8, Canada.
Int J Mol Sci. 2023 Aug 30;24(17):13458. doi: 10.3390/ijms241713458.
Iron has been shown to play a dual role in health and disease, with either a protective or harmful effect. Some of the contradictory findings from observational studies may be due to reverse causation, residual confounding, or small sample size. One approach that may overcome these limitations without the high cost of randomized control trials is the use of Mendelian randomization to examine the long-term role of iron in a variety of health outcomes. As there is emerging evidence employing Mendelian randomization as a method of assessing the role of micronutrients in health and disease, this narrative review will highlight recent Mendelian randomization findings examining the role of iron in cardiometabolic disorders, inflammation, neurological disorders, different cancers, and a number of other health-related outcomes.
铁在健康和疾病中扮演着双重角色,既有保护作用,也有有害作用。一些来自观察性研究的相互矛盾的发现可能是由于反向因果关系、残余混杂或样本量小所致。一种可能克服这些限制而无需进行随机对照试验的高成本的方法是使用孟德尔随机化来检查铁在各种健康结果中的长期作用。由于越来越多的证据表明,孟德尔随机化是一种评估微量营养素在健康和疾病中的作用的方法,因此本叙述性综述将重点介绍最近使用孟德尔随机化来检查铁在心血管代谢紊乱、炎症、神经紊乱、不同癌症和许多其他健康相关结果中的作用的研究发现。