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帕金森病与心脏和血管疾病之间的因果关系:两样本孟德尔随机化研究。

Causal Relationship between Parkinson's Disease with Heart and Vascular Disease: A Two-Sample Mendelian Randomization Study.

机构信息

Department of Neurosurgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China,

Department of Neurosurgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Eur Neurol. 2024;87(1):11-16. doi: 10.1159/000536484. Epub 2024 Feb 6.

DOI:10.1159/000536484
PMID:38320540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10997265/
Abstract

INTRODUCTION

The aim of this study was to investigate the causal relationship between Parkinson's disease (PD) and myocardial infarction (MI), atrial fibrillation and flutter (AF), and venous thromboembolism (VTE) by Mendelian randomization (MR) analysis.

METHODS

By using data from publicly available genome-wide association studies from databases, single nucleotide polymorphisms were screened as instrumental variables, and the MR analysis was finished by inverse-variance weighted (IVW), MR-egger, weighted median methods.

RESULTS

The primary IVW method showed a negative association between genetically predicted PD and risk of MI (OR = 0.9989; 95% CI: 0.9980-0.9998; p = 0.02). However, PD was not significantly associated with AF or VTE.

CONCLUSION

This study suggests a negative association between PD with MI, which implies that PD has a protective effect on MI.

摘要

简介

本研究旨在通过孟德尔随机化(MR)分析,探讨帕金森病(PD)与心肌梗死(MI)、心房颤动和扑动(AF)以及静脉血栓栓塞症(VTE)之间的因果关系。

方法

利用数据库中公开的全基因组关联研究数据,筛选单核苷酸多态性作为工具变量,并采用逆方差加权(IVW)、MR-egger、加权中位数方法进行 MR 分析。

结果

主要的 IVW 方法表明,遗传预测的 PD 与 MI 风险呈负相关(OR=0.9989;95%CI:0.9980-0.9998;p=0.02)。然而,PD 与 AF 或 VTE 无显著相关性。

结论

本研究提示 PD 与 MI 之间存在负相关,这表明 PD 对 MI 具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd6/10997265/f14451310f1a/ene-2024-0087-0001-536484_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd6/10997265/6f12a961ba0e/ene-2024-0087-0001-536484_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd6/10997265/f14451310f1a/ene-2024-0087-0001-536484_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd6/10997265/6f12a961ba0e/ene-2024-0087-0001-536484_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fd6/10997265/f14451310f1a/ene-2024-0087-0001-536484_F02.jpg

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本文引用的文献

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Risk of myocardial infarction in Parkinson's disease: A systematic review and meta-analysis.帕金森病患者心肌梗死风险:系统评价和荟萃分析。
Eur J Neurol. 2023 Aug;30(8):2557-2569. doi: 10.1111/ene.15838. Epub 2023 May 21.
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Atrial fibrillation risk on Parkinson's disease - a systematic review and meta-analysis.帕金森病患者的房颤风险——一项系统评价与荟萃分析
J Thromb Thrombolysis. 2023 May;55(4):747-750. doi: 10.1007/s11239-023-02792-z. Epub 2023 Mar 25.
3
Parkinson's disease protein 7 protected against oxidative stress of myocardial infarction direct through p47phox and nicotinamide adenine dinucleotide phosphate oxidase 4.
帕金森病蛋白 7 通过 p47phox 和烟酰胺腺嘌呤二核苷酸磷酸氧化酶 4 直接保护心肌梗死后的氧化应激。
Hum Exp Toxicol. 2022 Jan-Dec;41:9603271221124099. doi: 10.1177/09603271221124099.
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Life style and Parkinson's disease.生活方式与帕金森病。
J Neural Transm (Vienna). 2022 Sep;129(9):1235-1245. doi: 10.1007/s00702-022-02509-1. Epub 2022 May 23.
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The Relationship between Parkinson's Disease and Acute Myocardial Infarction in Korea : A Nationwide Longitudinal Cohort Study.韩国帕金森病与急性心肌梗死之间的关系:一项全国性纵向队列研究
J Korean Neurosurg Soc. 2022 Jul;65(4):507-513. doi: 10.3340/jkns.2021.0195. Epub 2022 Mar 2.
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Genetic predisposition to Parkinson's disease and risk of cardio and cerebrovascular disease: a Mendelian randomization study.帕金森病的遗传易感性与心脑血管疾病风险:一项孟德尔随机化研究
Parkinsonism Relat Disord. 2022 Jan;94:49-53. doi: 10.1016/j.parkreldis.2021.11.021. Epub 2021 Nov 23.
7
Does Parkinson's Disease Increase the Risk of Atrial Fibrillation? Insights From Electrocardiogram and Risk Scores From a Case-Control Study.帕金森病会增加心房颤动的风险吗?一项病例对照研究中心电图和风险评分的见解。
Front Neurol. 2021 May 12;12:633900. doi: 10.3389/fneur.2021.633900. eCollection 2021.
8
Recent advances in understanding and treatment of Parkinson's disease.帕金森病理解与治疗的最新进展。
Fac Rev. 2020 Nov 10;9:6. doi: 10.12703/b/9-6. eCollection 2020.
9
Cardiovascular Risk Among Patients ≥65 Years of Age with Parkinson's Disease (From the National Inpatient Sample).≥65 岁帕金森病患者的心血管风险(来自全国住院患者样本)。
Am J Cardiol. 2020 Dec 1;136:56-61. doi: 10.1016/j.amjcard.2020.09.021. Epub 2020 Sep 15.
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Analysis of the Relationship between Type II Diabetes Mellitus and Parkinson's Disease: A Systematic Review.2型糖尿病与帕金森病关系的分析:一项系统综述
Parkinsons Dis. 2019 Nov 23;2019:4951379. doi: 10.1155/2019/4951379. eCollection 2019.