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干水果摄入与骨关节炎风险之间的因果关系:一项孟德尔随机化研究。

Causal association between dried fruit intake and risk of osteoarthritis: A Mendelian randomization study.

机构信息

School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.

出版信息

Medicine (Baltimore). 2024 Apr 5;103(14):e37710. doi: 10.1097/MD.0000000000037710.


DOI:10.1097/MD.0000000000037710
PMID:38579063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10994511/
Abstract

This study aimed to examine whether dried fruit intake is causally associated with Osteoarthritis (OA). A two-sample Mendelian randomization (MR) analysis using the inverse-variance weighted (IVW), weighted median (WM), and MR-Egger regression methods was performed. We used the publicly available summary statistics data sets of genome-wide association studies (GWAS) meta-analyses for dried fruit intake in individuals included in the UK Biobank (n = 421,764; MRC-IEU consortium) as the exposure and a GWAS publicly available in PubMed for OA (total n = 484,598; case = 39,515, control = 445,083) as the outcome. We selected 41 single nucleotide polymorphisms at genome-wide significance from GWASs on dried fruit intake as the instrumental variables. The IVW method showed evidence to support a causal association between dried fruit intake and OA (beta = -0.020, SE = 0.009, P = .039). MR-Egger regression indicated no directional pleiotropy (intercept = 1E-05; P = .984), but it showed no causal association between dried fruit intake and OA (beta = -0.020, SE = 0.043, P = .610). However, the WM approach yielded evidence of a causal association between dried fruit intake and OA (beta = -0.026, SE = 0.012, P = .026). Cochran's Q test showed the existence of heterogeneity, but the statistics of I2 showed low heterogeneity. The results of MR analysis support that dried fruit intake may be causally associated with a decreased risk of OA.

摘要

本研究旨在探讨干水果摄入量是否与骨关节炎(OA)有因果关系。采用两样本孟德尔随机化(MR)分析,使用逆方差加权(IVW)、加权中位数(WM)和 MR-Egger 回归方法。我们使用了 UK Biobank 中个体干水果摄入量的全基因组关联研究(GWAS)荟萃分析的公开可用汇总统计数据集(n=421764;MRC-IEU 联盟)作为暴露因素,以及在 PubMed 中公开的全基因组关联研究(GWAS)作为 OA 的结果(总 n=484598;病例=39515,对照=445083)。我们从 GWAS 中选择了 41 个干水果摄入量的全基因组显著单核苷酸多态性作为工具变量。IVW 方法表明,干水果摄入量与 OA 之间存在因果关系(beta=-0.020,SE=0.009,P=0.039)。MR-Egger 回归表明不存在方向性偏倚(截距=1E-05;P=0.984),但干水果摄入量与 OA 之间没有因果关系(beta=-0.020,SE=0.043,P=0.610)。然而,WM 方法表明干水果摄入量与 OA 之间存在因果关系(beta=-0.026,SE=0.012,P=0.026)。Cochran's Q 检验表明存在异质性,但 I2 统计显示异质性较低。MR 分析的结果支持干水果摄入量可能与 OA 风险降低有因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/67589fa1acd8/medi-103-e37710-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/64b1ac6b0fe2/medi-103-e37710-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/823c4b969149/medi-103-e37710-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/a8746507c4ac/medi-103-e37710-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/67589fa1acd8/medi-103-e37710-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/64b1ac6b0fe2/medi-103-e37710-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/823c4b969149/medi-103-e37710-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/a8746507c4ac/medi-103-e37710-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d759/10994511/67589fa1acd8/medi-103-e37710-g004.jpg

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