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特应性皮炎与脑癌之间的因果关系:一项双向孟德尔随机化研究。

The causal relationship between atopic dermatitis and brain cancer: A bidirectional Mendelian randomization study.

作者信息

Xin Yu, Yuan Tao, Wang Jun

机构信息

Department of Dermatology, Yijishan Hospital Affiliated With Wannan Medical College, Wuhu, Anhui Province, China.

出版信息

Skin Res Technol. 2024 Apr;30(4):e13715. doi: 10.1111/srt.13715.

DOI:10.1111/srt.13715
PMID:38646850
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11033834/
Abstract

BACKGROUND

Atopic dermatitis ranks among the prevalent skin disorders. Research has indicated a potential association with brain cancer. Yet, establishing a direct causal relationship between atopic dermatitis and brain cancer continues to be challenging.

MATERIALS AND METHODS

We extracted single nucleotide polymorphisms (SNPs) significantly associated with atopic dermatitis (sample size = 382 254) at a genome-wide level from a large Finnish Genome-Wide Association Study (GWAS) dataset (n cases = 15 208, n controls = 367 046). Summary data for 372 622 cases of brain cancer (n cases = 606, n controls = 372 016) were obtained via the IEU Open GWAS database. We employed the Inverse Variance Weighted (IVW) method as our primary analytical approach for Mendelian Randomization (MR) analysis. Additionally, heterogeneity was measured using Cochran's Q value, and horizontal pleiotropy was evaluated using MR-Egger 、Mendelian Randomization Pleiotropy RESidual Sum and Outlier and leave-one-out analyses.

RESULTS

The risk of brain cancer increases with the presence of atopic dermatitis, as evidenced by the odds ratios (ORs) and 95% confidence intervals (CIs),(OR = 1.0005; 95% CI = 1.0001, 1.0009; p = 0.0096). However, when conducting the analysis in reverse, no significant link was observed.

CONCLUSION

The findings from our study indicate a causative link between atopic dermatitis and brain cancer, highlighting the importance of conducting broader clinical investigations into their potential association going forward.

摘要

背景

特应性皮炎是常见的皮肤疾病之一。研究表明其与脑癌之间可能存在关联。然而,确立特应性皮炎与脑癌之间的直接因果关系仍具有挑战性。

材料与方法

我们从芬兰一项大型全基因组关联研究(GWAS)数据集(病例数 = 15208,对照数 = 367046)中提取了在全基因组水平上与特应性皮炎显著相关的单核苷酸多态性(SNP)(样本量 = 382254)。通过IEU开放GWAS数据库获得了372622例脑癌病例(病例数 = 606,对照数 = 372016)的汇总数据。我们采用逆方差加权(IVW)方法作为孟德尔随机化(MR)分析的主要分析方法。此外,使用 Cochr an's Q值测量异质性,并使用MR-Egger、孟德尔随机化多效性残差和离群值分析以及留一法分析评估水平多效性。

结果

特应性皮炎的存在会增加患脑癌的风险,优势比(OR)和95%置信区间(CI)证明了这一点,(OR = 1.0005;95% CI = 1.0001,1.0009;p = 0.0096)。然而,当进行反向分析时,未观察到显著关联。

结论

我们的研究结果表明特应性皮炎与脑癌之间存在因果关系,凸显了今后对它们潜在关联进行更广泛临床研究的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49b4/11033834/8811a3a52919/SRT-30-e13715-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49b4/11033834/2954dc9e521e/SRT-30-e13715-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49b4/11033834/8811a3a52919/SRT-30-e13715-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49b4/11033834/2954dc9e521e/SRT-30-e13715-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49b4/11033834/8811a3a52919/SRT-30-e13715-g001.jpg

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