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线粒体功能与精神障碍的因果关系:来自双向两样本 Mendelian 随机研究的见解。

Causal association between mitochondrial function and psychiatric disorders: Insights from a bidirectional two-sample Mendelian randomization study.

机构信息

The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.

Children's Heart Center, The Second Affiliated Hospital and Yuying Children's Hospital, Institute of Cardiovascular Development and Translational Medicine, Wenzhou Medical University, Wenzhou 325027, Zhejiang, China; Department of Ultrasonography, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China.

出版信息

J Affect Disord. 2025 Jan 1;368:55-66. doi: 10.1016/j.jad.2024.09.039. Epub 2024 Sep 10.

Abstract

BACKGROUND

Previous observational studies have suggested that there appears to be a close association between mitochondrial function and psychiatric disorders, but whether a causal role exists remains unclear.

METHODS

We extracted genetic instruments for 67 mitochondrial-related proteins and 10 psychiatric disorders from publicly available genome-wide association studies, and employed five distinct MR methods and false discovery rate correction to detect causal associations between them. Additionally, we conducted a series of sensitivity tests and additional model analysis to ensure the robustness of the results. For potential causal associations, we further performed reverse MR analyses to assess the impact of reverse causality.

RESULTS

We identified a total of 2 significant causal associations and 24 suggestive causal associations. Specifically, Phenylalanine-tRNA ligase was found to increase the risk of Alzheimer's disease, while Mitochondrial glutamate carrier 2 decreased the risk of autism spectrum disorder. Furthermore, there was no evidence of significant pleiotropy, heterogeneity, or reverse causality.

LIMITATIONS

This study was limited to individuals of European ancestry, and the conclusions drawn are merely revelatory.

CONCLUSION

This study provides novel insights into the relationship between mitochondria and psychiatric disorders, as well as the pathogenesis and treatment strategies for psychiatric disorders.

摘要

背景

先前的观察性研究表明,线粒体功能与精神疾病之间似乎存在密切关联,但是否存在因果关系尚不清楚。

方法

我们从公开的全基因组关联研究中提取了 67 种与线粒体相关的蛋白质和 10 种精神疾病的遗传工具,并采用五种不同的 MR 方法和错误发现率校正来检测它们之间的因果关系。此外,我们进行了一系列敏感性测试和额外的模型分析,以确保结果的稳健性。对于潜在的因果关系,我们进一步进行了反向 MR 分析,以评估反向因果关系的影响。

结果

我们共发现了 2 个显著的因果关联和 24 个提示性的因果关联。具体来说,苯丙氨酸-tRNA 连接酶被发现会增加阿尔茨海默病的风险,而线粒体谷氨酸载体 2 则降低了自闭症谱系障碍的风险。此外,没有证据表明存在显著的多效性、异质性或反向因果关系。

局限性

本研究仅限于欧洲血统的个体,得出的结论仅仅是启示性的。

结论

本研究为线粒体与精神疾病之间的关系以及精神疾病的发病机制和治疗策略提供了新的见解。

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