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阅读障碍与八种痴呆症风险之间的因果关系。

Causal relationships between dyslexia and the risk of eight dementias.

机构信息

Beijing Institute of Brain Disorders, Laboratory of Brain Disorders, Ministry of Science and Technology, Collaborative Innovation Center for Brain Disorders, Capital Medical University, 100069, Beijing, China.

Dr. Neher's Biophysics Laboratory for Innovative Drug Discovery, State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Taipa, 999078, Macao SAR, China.

出版信息

Transl Psychiatry. 2024 Sep 12;14(1):371. doi: 10.1038/s41398-024-03082-9.

Abstract

Observational and genetic studies have reported the relationship between dyslexia and Alzheimer's disease (AD). Until now, the causal effect of dyslexia on AD risk has remained unclear. We conducted a two-sample univariable Mendelian randomization (MR) analysis to determine the causal association between dyslexia and the risk of AD, vascular dementia (VD), Lewy body dementia (LBD), and frontotemporal dementia (FTD) and its four subtypes. First, we selected 42 dyslexia genetic variants from a large-scale genome-wide association studies (GWAS) dataset and extracted their corresponding GWAS summary statistics from AD, VD, LBD, and FTD. Second, we selected four MR methods, including inverse-variance weighted (IVW), weighted median, MR-Egger, and MR-PRESSO. Heterogeneity, horizontal pleiotropy, and leave-one-out sensitivity analysis were then used to evaluate the reliability of all causal estimates. We also conducted multivariable MR (MVMR) and mediation analysis to assess the potential mediating role of cognitive performance (CP) or educational achievement (EA) on the causal association between dyslexia and AD. Two MVMR methods, including MV IVW and MV-Egger, and two-step MR were used to perform the analysis. Using IVW, we found a significant causal association between increased dyslexia and increased risk of AD (OR = 1.15, 95% CI: 1.04-1.28, P = 0.006), but not VD, LBD, FTD, or its four subtypes. MR-PRESSO further supported the statistically significant association between dyslexia and AD (OR = 1.15, 95% CI: 1.05-1.27, P = 0.006). All sensitivity analyses confirmed the reliability of causal estimates. Using MV IVW and mediation analysis, we found no causal relationship between dyslexia and AD after adjusting for CP but not EA, CP mediated the total effect of dyslexia on AD with a proportion of 46.32%. We provide genetic evidence to support a causal effect of increased dyslexia on increased risk of AD, which was largely mediated by CP. Reading activity may be a potential intervention strategy for AD by improving cognitive function.

摘要

观察性研究和遗传研究报告了阅读障碍与阿尔茨海默病(AD)之间的关系。到目前为止,阅读障碍对 AD 风险的因果效应仍不清楚。我们进行了两样本单变量孟德尔随机化(MR)分析,以确定阅读障碍与 AD、血管性痴呆(VD)、路易体痴呆(LBD)和额颞叶痴呆(FTD)及其四个亚型的风险之间的因果关联。首先,我们从一项大规模全基因组关联研究(GWAS)数据集选择了 42 个阅读障碍遗传变异,并从 AD、VD、LBD 和 FTD 中提取了它们对应的 GWAS 汇总统计数据。其次,我们选择了四种 MR 方法,包括逆方差加权(IVW)、加权中位数、MR-Egger 和 MR-PRESSO。然后使用异质性、水平多效性和逐一删除敏感性分析来评估所有因果估计的可靠性。我们还进行了多变量 MR(MVMR)和中介分析,以评估认知表现(CP)或教育成就(EA)在阅读障碍与 AD 之间因果关联中的潜在中介作用。我们使用两种 MVMR 方法,包括 MV-IVW 和 MV-Egger,以及两步 MR 进行分析。使用 IVW,我们发现阅读障碍增加与 AD 风险增加之间存在显著的因果关系(OR=1.15,95%CI:1.04-1.28,P=0.006),但与 VD、LBD、FTD 或其四个亚型无关。MR-PRESSO 进一步支持阅读障碍与 AD 之间存在统计学上显著的关联(OR=1.15,95%CI:1.05-1.27,P=0.006)。所有敏感性分析都证实了因果估计的可靠性。使用 MV-IVW 和中介分析,我们发现调整 CP 后,阅读障碍与 AD 之间没有因果关系,但调整 EA 后则存在因果关系。CP 介导了阅读障碍对 AD 的总效应,占比为 46.32%。我们提供了遗传证据,支持阅读障碍增加与 AD 风险增加之间存在因果关系,而 CP 在其中起主要介导作用。阅读活动可能通过改善认知功能成为 AD 的一种潜在干预策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1352/11393330/01611261d75c/41398_2024_3082_Fig1_HTML.jpg

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