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膜性肾病与恶性肿瘤的遗传关联:两样本孟德尔随机化研究。

Genetic association between membranous nephropathy and malignancies: a two-sample Mendelian randomisation study.

机构信息

Department of Nephrology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

出版信息

Int Urol Nephrol. 2024 Jun;56(6):2103-2109. doi: 10.1007/s11255-023-03938-x. Epub 2024 Feb 10.

Abstract

BACKGROUND

Various studies have reported that individuals with membranous nephropathy (MN) exhibit an elevated susceptibility to cancers. However, a causal relationship has not been clearly established.

METHODS

We constructed a genetic score that predicts MN by utilizing genetic variants linked to this condition as instrumental variables. These genetic scores were then compared with lung, colon, breast, and prostate cancer risks by a two-sample Mendelian randomisation analysis involving the following methods: MR-Egger, weighted median, inverse variance weighted, simple mode, and weighted mode.

RESULTS

This study demonstrated a lack of empirical substantiation for a causal association between genetic variants in MN and the susceptibility to lung, colon, prostate, or breast cancer.

CONCLUSION

Overall, we did not detect a causal link between MN and lung, colon, breast, or prostate cancer. Hence, additional research is imperative to elucidate the underlying factors contributing to the heightened occurrence of tumour in patients with MN.

摘要

背景

多项研究报告称,膜性肾病 (MN) 患者易患癌症。然而,尚未明确其因果关系。

方法

我们构建了一个遗传评分,通过将与该疾病相关的遗传变异用作工具变量来预测 MN。然后,通过两样本孟德尔随机化分析,利用 MR-Egger、加权中位数、逆方差加权、简单模式和加权模式等方法,将这些遗传评分与肺癌、结肠癌、乳腺癌和前列腺癌风险进行比较。

结果

本研究表明,MN 中的遗传变异与肺癌、结肠癌、前列腺癌或乳腺癌易感性之间不存在因果关系的经验证据。

结论

总体而言,我们未发现 MN 与肺癌、结肠癌、乳腺癌或前列腺癌之间存在因果关系。因此,需要进一步研究阐明导致 MN 患者肿瘤发生率升高的潜在因素。

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