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循环炎症蛋白与良性前列腺疾病的关联:一项孟德尔随机化研究。

Association between circulating inflammatory proteins and benign prostatic disease: a Mendelian randomization study.

机构信息

Department of Urology, The First Hospital of Jilin University, Changchun, 130021, China.

Department of Urology, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, 830002, China.

出版信息

Sci Rep. 2024 Oct 10;14(1):23667. doi: 10.1038/s41598-024-74737-2.


DOI:10.1038/s41598-024-74737-2
PMID:39390078
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11467427/
Abstract

Previous research has suggested that circulating inflammatory proteins are associated with benign prostatic disease (BPD). This Mendelian randomization (MR) study was conducted to further investigate the causal relationship between 91 inflammatory proteins and BPD. Genome-wide association study (GWAS) summarized data of benign prostatic hyperplasia (BPH) and prostatitis were obtained from the FinnGen Biobank. The latest study offered the GWAS data on 91 proteins related to inflammation. We performed a bidirectional MR to investigate the causal association between inflammatory proteins and BPD. The outcomes of the IVW method indicated that decreased levels of circulating interleukin-17 C (IL-17 C) (OR = 0.92, 95%CI = 0.85-0.99, p-value = 0.0344) were suggestively associated with a higher risk of BPH and elevated levels of interleukin-10 receptor subunit alpha (IL-10RA) (OR = 1.24, 95%CI = 1.05-1.47, p-value = 0.0132) and urokinase-type plasminogen activator (uPA) (OR = 1.13, 95%CI = 1.00-1.28, p-value = 0.0421) were suggestively related to a higher risk of prostatitis. Furthermore, reverse MR revealed that BPH may promote the expression of circulating factors, including natural killer cell receptor 2B4 (CD244) (OR = 1.07, 95%CI = 1.01-1.13, p-value = 0.0192), T-cell surface glycoprotein CD6 isoform (CD6) (OR = 1.07, 95%CI = 1.01-1.13, p-value = 0.0192), and leukemia inhibitory factor receptor (LIF-R) (OR = 1.07, 95%CI = 1.01-1.15, p-value = 0.0163). Moreover, the results of sensitivity analyses indicate that heterogeneity and horizontal pleiotropy are unlikely to distort the findings. The results of this study indicate a potential association between circulating inflammatory proteins and BPD, which may become new diagnostic indicators or drug targets for clinical application in the prevention and treatment of BPD. However, further investigation is required.

摘要

先前的研究表明,循环炎症蛋白与良性前列腺疾病(BPD)有关。本孟德尔随机化(MR)研究旨在进一步探讨 91 种炎症蛋白与 BPD 之间的因果关系。全基因组关联研究(GWAS)从芬兰基因生物银行中获得了良性前列腺增生(BPH)和前列腺炎的汇总数据。最新研究提供了与炎症相关的 91 种蛋白质的 GWAS 数据。我们进行了双向 MR 分析,以研究炎症蛋白与 BPD 之间的因果关联。IVW 方法的结果表明,循环白细胞介素-17C(IL-17C)水平降低(OR=0.92,95%CI=0.85-0.99,p 值=0.0344)与 BPH 风险升高相关,而白细胞介素-10 受体亚单位 alpha(IL-10RA)水平升高(OR=1.24,95%CI=1.05-1.47,p 值=0.0132)和尿激酶型纤溶酶原激活物(uPA)(OR=1.13,95%CI=1.00-1.28,p 值=0.0421)与前列腺炎风险升高相关。此外,反向 MR 表明 BPH 可能促进循环因子的表达,包括自然杀伤细胞受体 2B4(CD244)(OR=1.07,95%CI=1.01-1.13,p 值=0.0192)、T 细胞表面糖蛋白 CD6 同工型(CD6)(OR=1.07,95%CI=1.01-1.13,p 值=0.0192)和白血病抑制因子受体(LIF-R)(OR=1.07,95%CI=1.01-1.15,p 值=0.0163)。此外,敏感性分析结果表明,异质性和水平多效性不太可能扭曲研究结果。本研究结果表明,循环炎症蛋白与 BPD 之间存在潜在关联,这可能成为 BPD 临床防治的新诊断指标或药物靶点。但是,还需要进一步的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/dd397188a83a/41598_2024_74737_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/ab8c99d1f2d5/41598_2024_74737_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/cdcc9eb02c12/41598_2024_74737_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/dd397188a83a/41598_2024_74737_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/ab8c99d1f2d5/41598_2024_74737_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/cdcc9eb02c12/41598_2024_74737_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f20/11467427/dd397188a83a/41598_2024_74737_Fig3_HTML.jpg

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引用本文的文献

[1]
Association between TyG-BMI and BPH in a national prospective cohort study.

Sci Rep. 2025-3-13

[2]
Circulating inflammatory cytokines and colorectal cancer: New insights from Mendelian randomization.

Medicine (Baltimore). 2025-1-24

本文引用的文献

[1]
Preliminary study of the effect of gut microbiota on the development of prostatitis.

BMC Med Genomics. 2024-1-25

[2]
Genetics of circulating inflammatory proteins identifies drivers of immune-mediated disease risk and therapeutic targets.

Nat Immunol. 2023-9

[3]
IL-17C neutralization protects the kidney against acute injury and chronic injury.

EBioMedicine. 2023-6

[4]
FinnGen provides genetic insights from a well-phenotyped isolated population.

Nature. 2023-1

[5]
Pathogenic Interleukin-10 Receptor Alpha Variants in Humans - Balancing Natural Selection and Clinical Implications.

J Clin Immunol. 2023-2

[6]
Effects of inflammatory prostatitis on the development and progression of benign prostatic hyperplasia: A literature review.

Int J Urol. 2021-11

[7]
Qianliexin capsule exerts anti-inflammatory activity in chronic non-bacterial prostatitis and benign prostatic hyperplasia via NF-κB and inflammasome.

J Cell Mol Med. 2021-6

[8]
Immunological alterations in patients with chronic prostatitis/chronic pelvic pain syndrome and experimental autoimmune prostatitis model: A systematic review and meta-analysis.

Cytokine. 2021-5

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The rising worldwide impact of benign prostatic hyperplasia.

BJU Int. 2021-6

[10]
Lycopene attenuates chronic prostatitis/chronic pelvic pain syndrome by inhibiting oxidative stress and inflammation via the interaction of NF-κB, MAPKs, and Nrf2 signaling pathways in rats.

Andrology. 2020-5

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