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血清矿物质与抑郁症风险之间的遗传因果关系:一项孟德尔随机化研究。

Genetic Causal Associations between Various Serum Minerals and Risk of Depression: A Mendelian Randomization Study.

机构信息

College of Clinical Medicine, Hunan University of Chinese Medicine, 410208 Changsha, Hunan, China; Department of Psychiatry, The Second People's Hospital of Hunan Province, 410021 Changsha, Hunan, China.

Department of Psychiatry, The Second People's Hospital of Hunan Province, 410021 Changsha, Hunan, China.

出版信息

Actas Esp Psiquiatr. 2024 Jun;52(3):211-220. doi: 10.62641/aep.v52i3.1637.

Abstract

BACKGROUND

Previous observational studies have discovered a connection between depression and mineral status. Confirming this potential connection is challenging due to confounding factors and potential reverse causality which is inherent in observational studies.

MATERIALS AND METHODS

We performed a Mendelian randomization (MR) analysis to estimate the causal association of serum minerals with depression. Leveraging summary-level data on depression, a genome-wide association study (GWAS) was applied. The data on serum minerals were collected from the FinnGen Biobank database. MR assessments representing causality were produced by inverse-variance weighted approaches with multiplicative random and fixed effects.

RESULT

Sensitivity analyses were performed to validate the reliability of the results. A noteworthy correlation emerged between serum zinc levels and reduced risk of depression. An odds ratio (OR) of 0.917 for depression associated with a one standard deviation increase in serum zinc levels (OR = 0.968; 95% CI = 0.953-0.984, p = 1.19 × 10-4, random effects model inverse variance weighted (IVW)); (OR = 0.928; 95% CI = 0.634-1.358, p = 0.766, MR Egger). Sensitivity assessments supported this causation. However, the risk of depression did not exhibit an association with other minerals.

CONCLUSIONS

In summary, a higher zinc concentration is causally associated with a reduced depression risk. This MR outcome may assist clinicians in the regulation of specific mineral intake, particularly for high-risk patients with serum zinc deficiencies.

摘要

背景

先前的观察性研究发现,抑郁与矿物质状况之间存在关联。由于混杂因素和观察性研究固有的潜在反向因果关系,证实这种潜在关联具有挑战性。

材料和方法

我们进行了孟德尔随机化(MR)分析,以估计血清矿物质与抑郁之间的因果关系。利用关于抑郁的全基因组关联研究(GWAS)汇总数据,我们从芬兰遗传生物库数据库中收集了血清矿物质数据。通过逆方差加权方法以及乘法随机和固定效应,生成了代表因果关系的 MR 评估。

结果

进行了敏感性分析以验证结果的可靠性。血清锌水平与降低的抑郁风险之间存在显著相关性。血清锌水平每增加一个标准差,与抑郁相关的优势比(OR)为 0.917(OR = 0.968;95%CI = 0.953-0.984,p = 1.19×10-4,随机效应模型逆方差加权(IVW));(OR = 0.928;95%CI = 0.634-1.358,p = 0.766,MR Egger)。敏感性评估支持这种因果关系。然而,其他矿物质与抑郁风险之间没有关联。

结论

综上所述,较高的锌浓度与降低的抑郁风险具有因果关系。这种 MR 结果可能有助于临床医生调节特定的矿物质摄入,特别是对于血清锌缺乏的高危患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d50/11188766/3b9d71d47268/ActEsp-52-3-211-220-F1.jpg

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