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特应性皮炎与帕金森病之间的因果关联:一项双向孟德尔随机化研究。

Causal association between atopic dermatitis and Parkinson's disease: A bidirectional Mendelian randomization study.

作者信息

Zhou Taofeng, Wei Baohao, Hu Yachun, Zhou Xiaoming, Cai Xiaoying, Shi Xiaolei

机构信息

Department of Neurology, Yijishan Hospital, Wannan Medical College, Wuhu, China.

Department of Neurology, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China.

出版信息

Brain Behav. 2024 Mar;14(3):e3468. doi: 10.1002/brb3.3468.

Abstract

BACKGROUND

Atopic dermatitis is one of the most common skin disorders. Evidence has suggested an association between skin disorders, such as atopic dermatitis, and Parkinson's disease (PD). However, whether atopic dermatitis has a causal effect on PD remains unknown.

METHODS

The study aimed to determine whether their association between atopic dermatitis and PD is causal, using a bidirectional two-sample Mendelian randomization method. Genetic variants from the public genome-wide association studies for atopic dermatitis (n = 10788 cases and 30047 controls) were selected to evaluate their causal effects on the risk of PD (33,674 cases and 449,056 controls). The inverse variance weighted (IVW) method was used as the primary analysis.

RESULTS

The IVW results indicated that atopic dermatitis was associated with decreased risk of PD {fixed effects: odds ratio [OR] [95% confidence interval (CI)]: .905 [.832-.986], p = .022; OR [95% CI]: .905 [.827-.991], p = .032}. However, we failed to detect the causal effects of PD on risk of atopic dermatitis in the reverse causation analysis.

CONCLUSION

This study indicated causal association of genetically proxied atopic dermatitis with the risk of PD. Future studies are warranted to explore the underlying mechanism and investigate the targeting effect of atopic dermatitis on PD.

摘要

背景

特应性皮炎是最常见的皮肤疾病之一。有证据表明,特应性皮炎等皮肤疾病与帕金森病(PD)之间存在关联。然而,特应性皮炎是否对帕金森病有因果影响仍不清楚。

方法

本研究旨在使用双向双样本孟德尔随机化方法,确定特应性皮炎与帕金森病之间的关联是否具有因果关系。从公开的全基因组关联研究中选择特应性皮炎的基因变异(10788例病例和30047例对照),以评估其对帕金森病风险的因果影响(33674例病例和449056例对照)。采用逆方差加权(IVW)方法作为主要分析方法。

结果

IVW结果表明,特应性皮炎与帕金森病风险降低相关{固定效应:比值比[OR][95%置信区间(CI)]:0.905[0.832 - 0.986],p = 0.022;OR[95%CI]:0.905[0.827 - 0.991],p = 0.032}。然而,在反向因果分析中,我们未能检测到帕金森病对特应性皮炎风险的因果影响。

结论

本研究表明,基因代理的特应性皮炎与帕金森病风险之间存在因果关联。未来的研究有必要探索其潜在机制,并研究特应性皮炎对帕金森病的靶向作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67d1/10928334/da739457cc55/BRB3-14-e3468-g001.jpg

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