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[抑郁症与压力性尿失禁之间的因果关联:一项两样本双向孟德尔随机化研究]

[Causal association between depression and stress urinary incontinence: A two-sample bidirectional Mendelian randomization study].

作者信息

Jiang Cheng-Xiao, Yin Wei-Qi, Xu Jing-Jing, Shi Ying-Jiao, Wang Li, Zheng Zhi-Bo, Su Rui, Hu Qin-Bo, Qian Jun-Hai, Sun Shu-Ben

机构信息

Department of Urology, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang 315010, China.

Center of Reproductive Medicine, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang 315010, China.

出版信息

Zhonghua Nan Ke Xue. 2024 Mar;30(3):217-223.

Abstract

OBJECTIVE

To investigate the causal correlation between depression and stress urinary incontinence (SUI) using Mendelian randomization (MR) analysis.

METHODS

We searched the FinnGen Consortium database for genome-wide association studies (GWAS) on depression and obtained 23 424 case samples and 192 220 control samples, with the GWAS data on SUI provided by the UK Biobank, including 4 340 case samples and 458 670 control samples. We investigated the correlation between depression and SUI based on the depression data collected from the Psychiatric Genomics Consortium (PGC). We employed inverse-variance weighting as the main method for the MR study, and performed sensitivity analysis to verify the accuracy and stability of the findings.

RESULTS

Analysis of the data from the UK Biobank and FinnGen Consortium showed that depression was significantly correlated with an increased risk of SUI (P=0.005), but not SUI with the risk of depression (P=0.927). And analysis of the PGC data verified the correlation of depression with the increased risk of SUI (P=0.043).

CONCLUSION

Depression is associated with an increased risk of SUI, while SUI does not increase the risk of depression.

摘要

目的

采用孟德尔随机化(MR)分析方法,研究抑郁症与压力性尿失禁(SUI)之间的因果关系。

方法

我们在芬兰基因联盟数据库中搜索了关于抑郁症的全基因组关联研究(GWAS),获得了23424例病例样本和192220例对照样本,而关于SUI的GWAS数据则由英国生物银行提供,其中包括4340例病例样本和458670例对照样本。我们基于从精神基因组学联盟(PGC)收集的抑郁症数据,研究了抑郁症与SUI之间的相关性。我们采用逆方差加权作为MR研究的主要方法,并进行了敏感性分析,以验证研究结果的准确性和稳定性。

结果

对来自英国生物银行和芬兰基因联盟的数据进行分析后发现,抑郁症与SUI风险增加显著相关(P = 0.005),但SUI与抑郁症风险之间无显著相关性(P = 0.927)。对PGC数据的分析也证实了抑郁症与SUI风险增加之间的相关性(P = 0.043)。

结论

抑郁症与SUI风险增加有关,而SUI不会增加抑郁症风险。

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