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肌肉减少症与骨关节炎之间的遗传因果关系及位点特异性关系:一项双向孟德尔随机化研究。

Genetic causality and site-specific relationship between sarcopenia and osteoarthritis: a bidirectional Mendelian randomization study.

作者信息

Jia Xue-Min, Deng Ting-Ting, Su Hang, Shi Hao-Jun, Qin Hao, Yu Gong-Chang, Yin Ying, Liu Fan-Jie, Shi Bin

机构信息

Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.

Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China.

出版信息

Front Genet. 2024 Jan 8;14:1340245. doi: 10.3389/fgene.2023.1340245. eCollection 2023.


DOI:10.3389/fgene.2023.1340245
PMID:38264210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10804883/
Abstract

Previous studies demonstrated a controversial relationship between sarcopenia (SP) and osteoarthritis (OA) and their genetic causality is unclear. Thus, we conducted a Mendelian randomization (MR) analysis to evaluate the possible causal association between sarcopenia-related traits (appendicular lean mass (ALM), grip strength, usual walking pace) and OA. We used pooled genetic data from the UK Biobank for ALM(n = 450,243), left-hand grip strength (n = 461,026), right-hand grip strength (n = 461,089) and usual walking pace (n = 459,915). Moreover, summary statistics for OA were obtained from the latest study conducted by the Genetics of Osteoarthritis Consortium, including all OA (n = 826,690), hand OA (n = 303,7782), hip OA (n = 353,388) and knee OA (n = 396,054). The primary method for estimating causal effects was the inverse-variance weighted (IVW) method, with the utilizing of false discovery rate adjusted values ( ). Additional MR methods such as MR-Egger regression, MR pleiotropy residual sum and outlier (MR-PRESSO), weighted median were employed as supplementary analyses. We discovered ALM (odds ratio (OR) = 1.103, 95% confidence interval (CI) = 1.052-1.156, = 2.87E-04), hand grip strength (left, IVW OR = 0.823, 95% CI = 0.712 to 0.952, = 0.020; right, OR = 0.826, 95% CI = 0.718 to 0.950, = 0.020), and usual walking pace (OR = 0.339, 95% CI = 0.204 to 0.564, = 2.38E-04) were causally associated with OA risk. In the reverse MR analysis, we identified a causal effect of OA on ALM (β = -0.258, 95% CI = -0.369 to 0.146, = 0.6.07E-06), grip strength (left, β = -0.064, 95% CI = -0.104 to 0.024, = 0.002; right, β = -0.055, 95% CI = -0.095 to 0.014, = 0.008), and usual walking pace (β = -0.104, 95% CI = -0.147 to 0.061, = 1.61E-05). This present study suggests an obvious causality of SP on OA, with condition exhibiting site-specific effects, while evidence was also provided for the causal effect of OA on SP.

摘要

以往的研究表明,肌肉减少症(SP)与骨关节炎(OA)之间的关系存在争议,其遗传因果关系尚不清楚。因此,我们进行了一项孟德尔随机化(MR)分析,以评估肌肉减少症相关特征(四肢瘦体重(ALM)、握力、通常步行速度)与OA之间可能的因果关联。我们使用了英国生物银行的汇总遗传数据,用于分析ALM(n = 450,243)、左手握力(n = 461,026)、右手握力(n = 461,089)和通常步行速度(n = 459,915)。此外,OA的汇总统计数据来自骨关节炎联盟进行的最新研究,包括所有OA(n = 826,690)、手部OA(n = 303,7782)、髋部OA(n = 353,388)和膝部OA(n = 396,054)。估计因果效应的主要方法是逆方差加权(IVW)方法,并使用错误发现率调整值( )。还采用了其他MR方法,如MR-Egger回归、MR多效性残差和异常值(MR-PRESSO)、加权中位数作为补充分析。我们发现ALM(优势比(OR) = 1.103,95%置信区间(CI) = 1.052 - 1.156, = 2.87E - 04)、握力(左手,IVW OR = 0.823,95% CI = 0.712至0.952, = 0.020;右手,OR = 0.826,95% CI = 0.718至0.950, = 0.020)和通常步行速度(OR = 0.339,95% CI = 0.204至0.564, = 2.38E - 04)与OA风险存在因果关联。在反向MR分析中,我们确定了OA对ALM(β = -0.258,95% CI = -0.369至0.146, = 0.6.07E - 06)、握力(左手,β = -0.064,95% CI = -0.104至0.024, = 0.002;右手,β = -0.055,95% CI = -0.095至0.014, = 0.008)和通常步行速度(β = -0.104,95% CI = -0.147至0.061, = 1.61E - 05)的因果效应。本研究表明SP对OA存在明显的因果关系,且该情况表现出部位特异性效应,同时也为OA对SP的因果效应提供了证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f5d/10804883/a04ad8e8f6e9/fgene-14-1340245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f5d/10804883/a04ad8e8f6e9/fgene-14-1340245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f5d/10804883/a04ad8e8f6e9/fgene-14-1340245-g001.jpg

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引用本文的文献

[1]
Using Mendelian randomization analyses in osteoarthritis: state of art and future perspectives.

Ann Med. 2025-12

[2]
Association Between Sarcopenia and Buttock Pain Among Middle-Aged and Older Chinese People: Evidence from the China Health and Retirement Longitudinal Study.

Healthcare (Basel). 2025-5-31

[3]
Causal relationship between sarcopenia with osteoarthritis and the mediating role of obesity: a univariate, multivariate, two-step Mendelian randomization study.

BMC Geriatr. 2024-5-29

本文引用的文献

[1]
Exploring molecular mechanisms underlying the pathophysiological association between knee osteoarthritis and sarcopenia.

Osteoporos Sarcopenia. 2023-9

[2]
Sarcopenia and Sarcopenic Obesity and Osteoarthritis: A Discussion among Muscles, Fat, Bones, and Aging.

Life (Basel). 2023-5-24

[3]
Cell-Based Therapies for Degenerative Musculoskeletal Diseases.

Adv Sci (Weinh). 2023-7

[4]
Comparative Analysis on the Effect of Sarcopenia in Patients with Knee Osteoarthritis before and after Total Knee Arthroplasty.

Diseases. 2023-2-22

[5]
Prevalence of Sarcopenia in Knee Osteoarthritis: A Systematic Review and Meta-Analysis.

J Clin Med. 2023-2-15

[6]
[Research progress on the correlation between sarcopenia and osteoarthritis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022-12-15

[7]
Advances in osteoarthritis research in 2021 and beyond.

J Orthop Translat. 2022-3-22

[8]
Increased recurrent falls experience in older adults with coexisting of sarcopenia and knee osteoarthritis: a cross-sectional study.

BMC Geriatr. 2021-12-15

[9]
Disease-modifying therapeutic strategies in osteoarthritis: current status and future directions.

Exp Mol Med. 2021-11

[10]
Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta-analysis.

J Cachexia Sarcopenia Muscle. 2022-2

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