Department of Otorhinolaryngology Head & Neck Surgery, Huadong Hospital affiliated Fudan University, Shanghai 200040, China.
Department of Algology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China.
Hear Res. 2024 Nov;453:109128. doi: 10.1016/j.heares.2024.109128. Epub 2024 Oct 2.
Presbycusis, or age-related hearing loss (ARHL) has been a common disability disease among the elderly population. It is particularly essential to identify the underlying role of related risk factors for ARHL diagnosis and treatment. Observational studies have shown that cardiovascular disease may be a factor in ARHL. Serum lipids are a key risk factor for cardiovascular disease. Therefore, it may be a potentially influencing factor for elderly deafness. We conduct the study to analyze the causal relationship between serum lipids and European elderly deafness.
Using genetic variation data related to serum lipids (total cholesterol levels [TCL], total triglycerides levels [TGL], and lipoprotein fractions, including apolipoprotein A1 levels [APOA1L], apolipoprotein B levels [APOBL], high-density lipoprotein cholesterol levels [HDL], and low-density lipoprotein cholesterol levels [LDL]) as instrumental variables, the outcome events were summarized from the genome-wide association study data of elderly deafness, and Mendelian randomization (MR) analysis was used in our analysis. The relationship between serum lipids levels and ARHL was analyzed using five methods, including inverse variance weighted, weighted mode, MR-Egger, weighted median, and simple mode. The study aims to use bidirectional MR analysis.
Among all 5 methods, no significant causal effects were found between serum lipids (TCL OR = 0.936, p = .488; TGL OR = 0.955, p = 0.657; APOA1L OR = 0.864, p = .061; APOBL OR = 0.979, p = .786; HDL OR = 0.998, p = .979; LDL OR = 1.089, p = .281) and presbycusis.
The findings of MR causal inference analysis did not support the causal relationship between presbycusis and serum lipids, including cholesterol, triglycerides, and lipoprotein fractions (APOA1L, APOBL, HDL and LDL).
老年性聋,又称年龄相关性听力损失(ARHL),是老年人常见的残疾性疾病。对于 ARHL 的诊断和治疗,确定相关风险因素的潜在作用尤为重要。观察性研究表明,心血管疾病可能是 ARHL 的一个因素。血清脂质是心血管疾病的一个关键危险因素。因此,它可能是老年聋的一个潜在影响因素。我们进行这项研究是为了分析血清脂质与欧洲老年聋之间的因果关系。
使用与血清脂质(总胆固醇水平[TCL]、总甘油三酯水平[TGL]和脂蛋白分数,包括载脂蛋白 A1 水平[APOA1L]、载脂蛋白 B 水平[APOBL]、高密度脂蛋白胆固醇水平[HDL]和低密度脂蛋白胆固醇水平[LDL])相关的遗传变异数据作为工具变量,将来自老年聋全基因组关联研究数据的结局事件进行总结,并在我们的分析中使用孟德尔随机化(MR)分析。使用逆方差加权、加权平均、MR-Egger、加权中位数和简单模式等 5 种方法分析血清脂质水平与 ARHL 之间的关系。本研究旨在使用双向 MR 分析。
在所有 5 种方法中,血清脂质(TCL OR=0.936,p=0.488;TGL OR=0.955,p=0.657;APOA1L OR=0.864,p=0.061;APOBL OR=0.979,p=0.786;HDL OR=0.998,p=0.979;LDL OR=1.089,p=0.281)与 presbycusis 之间没有发现显著的因果关系。
MR 因果推断分析的结果不支持 presbycusis 与血清脂质(包括胆固醇、甘油三酯和脂蛋白分数[APOA1L、APOBL、HDL 和 LDL])之间的因果关系。