Graduate School of Kunming Medical University, Kunming, China.
Department of Orthopaedics, 920th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, China.
Medicine (Baltimore). 2024 Oct 4;103(40):e39828. doi: 10.1097/MD.0000000000039828.
This study aimed to explore the causal relationship between trace elements and osteoarthritis (OA). The results showed a relatively weak association between copper and OA, while vitamin D showed a significant positive association with OA. Mendelian randomization (MR) analysis was used to investigate the causal relationship between copper and vitamin D and OA. A variety of MR methods including inverse variance weighting, weighted median, MR-Egger, simple model, and multi-text mixed model were analyzed to confirm the consistency of these results. Sensitivity analysis further confirmed the reliability of these causal relationships and excluded the interference of pleiotropy. These findings add to the understanding of the potential role of micronutrients in the prevention and treatment of OA and support the idea of vitamin D as a potential therapy for the prevention and treatment of OA. Future studies should further explore the specific biological mechanisms of these trace elements and the differences in their effects in different populations in order to develop more effective treatment strategies to reduce the health burden of degenerative joint diseases.
本研究旨在探讨微量元素与骨关节炎(OA)之间的因果关系。结果表明,铜与 OA 之间存在相对较弱的关联,而维生素 D 与 OA 呈显著正相关。采用孟德尔随机化(MR)分析来研究铜和维生素 D 与 OA 之间的因果关系。使用多种 MR 方法,包括逆方差加权、加权中位数、MR-Egger、简单模型和多文本混合模型,来分析以确认这些结果的一致性。敏感性分析进一步证实了这些因果关系的可靠性,并排除了多效性的干扰。这些发现增加了对微量营养素在预防和治疗 OA 中潜在作用的理解,并支持维生素 D 作为预防和治疗 OA 的潜在治疗方法的观点。未来的研究应进一步探索这些微量元素的具体生物学机制及其在不同人群中的作用差异,以便制定更有效的治疗策略,减轻退行性关节疾病的健康负担。