Department of Acupuncture and Rehabilitation, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, China.
Department of Ophthalmology, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, China.
Sci Rep. 2024 Oct 11;14(1):23785. doi: 10.1038/s41598-024-74717-6.
Functional dyspepsia (FD) is known to be influenced by gut microbiota (GM) and circulating inflammatory proteins (CIPs), however, the causal relationship between GM, CIPs and FD haven't been investigated. This study employed two-sample Mendelian Randomization (TSMR) to investigate their associations using data from Genome-Wide Association Studies (GWAS). In this study, Inverse-variance weighted (IVW) method was employed as the primary analysis, with supplementary approaches including weighted median, weighted mode, simple mode, and MR-Egger. Heterogeneity and pleiotropy were assessed using the Cochrane Q test, MR-Egger intercept test, and MR-PRESSO global test. Totally, 196 GM traits and 91 CIPs were analyzed, and the results uncovered the causal impact of 12 GM taxa and 5 proteins on functional dyspepsia (FD). 9 GM genera were linked to a reduced risk of FD, while 3 GM genera were associated with an increased risk of FD.Additionally, reverse analysis revealed no FD-GM causation. Furthermore, IL-12, IL-10, CXCL10, CXCL9 and VEGFA were significantly correlated with FD, with CXCL9 and VEGFA acting as mediators in the association between GM traits and FD. Taken together, our findings established a link between specific GM and CIPs in the pathogenesis of FD, offering novel insights for its diagnosis and treatment.
功能性消化不良(FD)已知受肠道微生物群(GM)和循环炎症蛋白(CIPs)的影响,然而 GM、CIPs 和 FD 之间的因果关系尚未被研究。本研究采用两样本 Mendelian Randomization(TSMR)利用来自全基因组关联研究(GWAS)的数据来研究它们之间的关联。在本研究中,采用逆方差加权(IVW)法作为主要分析方法,补充方法包括加权中位数、加权模式、简单模式和 MR-Egger。采用 Cochrane Q 检验、MR-Egger 截距检验和 MR-PRESSO 全局检验评估异质性和多效性。总共分析了 196 种 GM 特征和 91 种 CIPs,结果揭示了 12 种 GM 分类群和 5 种蛋白质对功能性消化不良(FD)的因果影响。9 种 GM 属与 FD 风险降低相关,而 3 种 GM 属与 FD 风险增加相关。此外,反向分析未发现 FD-GM 因果关系。此外,IL-12、IL-10、CXCL10、CXCL9 和 VEGFA 与 FD 显著相关,CXCL9 和 VEGFA 是 GM 特征与 FD 之间关联的中介物。总之,我们的研究结果在 FD 的发病机制中建立了特定 GM 和 CIPs 之间的联系,为其诊断和治疗提供了新的见解。
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