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Mendelian randomization analyses explore the effects of micronutrients on different kidney diseases.

作者信息

Shi Chengdong, Cao Hongliang, Zeng Guoqiang, Wu Hao, Wang Yuantao

机构信息

Department of Urology II, The First Hospital of Jilin University, Changchun, China.

出版信息

Front Nutr. 2024 Sep 13;11:1440800. doi: 10.3389/fnut.2024.1440800. eCollection 2024.


DOI:10.3389/fnut.2024.1440800
PMID:39346645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11428537/
Abstract

BACKGROUND: The impact of micronutrients, including vitamins and minerals, on different kidney diseases has been reported in some observational studies; however, their causal relationship remains uncertain. We aimed to ascertain the causal genetic relationships between micronutrients and different kidney diseases using the Mendelian randomization (MR) method. METHODS: Instrumental variables (IVs) for genetically predicting calcium (Ca), iron (Ir), Zinc (Zn), selenium (Se), copper (Cu), vitamin D (Vit D), and vitamin C (Vit C) levels in humans were obtained, and a bidirectional two-sample MR was used to examine potential associations between the levels of these seven micronutrients and the risk of seven different kidney diseases including hypertensive renal disease, diabetic nephropathy, IgA nephropathy, membranous nephropathy, cystic nephropathy, chronic kidney disease (CKD), and chronic tubulo-interstitial nephritis. Five different MR analyses were conducted, with the main method being the inverse variance-weighted (IVW) method. Moreover, sensitivity analyses were performed to assess heterogeneity and potential pleiotropy. RESULTS: The IVW method revealed that Ca levels were associated with a decreased risk of hypertensive renal disease (OR = 0.61, 95% CI: 0.40-0.93, -value = 0.022), and Se levels were associated with a decreased risk of hypertensive renal disease (OR = 0.72, 95% CI: 0.53-0.99, -value = 0.040), diabetic nephropathy (OR = 0.83, 95% CI: 0.73-0.93, -value = 0.002), and CKD (OR = 0.87, 95% CI: 0.77-0.99, -value = 0.028). Conversely, Vit D levels were associated with an increased risk of polycystic kidney disease (OR = 1.76, 95% CI: 1.15-2.69, -value = 0.0095). In addition, no potential causal relationship was found between vitamin C levels, iron levels, zinc levels, and copper levels and different kidney diseases. Meanwhile, inverse Mendelian randomization showed no potential causal relationship between different chronic kidney diseases and micronutrients. The Cochrane's Q test, MR-Egger regression, and MR-PRESSO did not suggest heterogeneity and pleiotropy, providing evidence of the validity of the MR estimates. CONCLUSION: Our results indicate a cause-and-effect connection between micronutrients and certain kidney diseases, but additional study is required to provide more conclusive evidence. This research has the potential to assist clinicians in managing the consumption of specific micronutrients among individuals with chronic kidney diseases, as well as in promoting disease prevention among both healthy populations and those who are susceptible to chronic underlying conditions.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/7b883d2087e3/fnut-11-1440800-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/3f65e0d7bdaa/fnut-11-1440800-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/cedc7c183046/fnut-11-1440800-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/1773006492b7/fnut-11-1440800-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/7b883d2087e3/fnut-11-1440800-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/3f65e0d7bdaa/fnut-11-1440800-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/cedc7c183046/fnut-11-1440800-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/1773006492b7/fnut-11-1440800-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35dc/11428537/7b883d2087e3/fnut-11-1440800-g004.jpg

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引用本文的文献

[1]
Association of multiple dietary metal intake with cardiovascular-kidney-metabolic syndrome: a cross-sectional study based on NHANES 2003-2018.

Front Nutr. 2025-7-21

[2]
Exploring the impact of physical activity and micronutrients on diabetic nephropathy: a subtype-specific genetic correlation and Mendelian randomization study.

Nutr Metab (Lond). 2025-8-1

本文引用的文献

[1]
Current perspectives and trends of the research on hypertensive nephropathy: a bibliometric analysis from 2000 to 2023.

Ren Fail. 2024-12

[2]
The relationship between kidney disease and mitochondria: a bibliometric study.

Ren Fail. 2024-12

[3]
Synergistic effects of T-2 toxin and selenium deficiency exacerbate renal fibrosis through modulation of the ERα/PI3K/Akt signaling pathway.

Ecotoxicol Environ Saf. 2024-1-1

[4]
Cystic Kidney Diseases in Children and Adults: Differences and Gaps in Clinical Management.

Semin Nephrol. 2023-7

[5]
Mineral Metabolism in Children: Interrelation between Vitamin D and FGF23.

Int J Mol Sci. 2023-4-3

[6]
Selenium deficiency causes hypertension by increasing renal AT receptor expression via GPx1/HO/NF-κB pathway.

Free Radic Biol Med. 2023-5-1

[7]
Dietary oxalate-calcium balance and the incidence of hypertension and chronic kidney disease: a prospective study among an Asian population.

Nutr Metab (Lond). 2022-11-3

[8]
Assessing the causal association between human blood metabolites and the risk of epilepsy.

J Transl Med. 2022-9-30

[9]
Micronutrients and Renal Outcomes: A Prospective Cohort Study.

Nutrients. 2022-7-26

[10]
Association between Selenium Status and Chronic Kidney Disease in Middle-Aged and Older Chinese Based on CHNS Data.

Nutrients. 2022-6-28

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