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2 型糖尿病和血糖因素与中枢神经系统原发性肿瘤的遗传关联。

Genetic association of type 2 diabetes mellitus and glycaemic factors with primary tumours of the central nervous system.

机构信息

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, People's Republic of China.

Department of Neurosurgery, The Second Hospital of Tianjin Medical University, Tianjin, China.

出版信息

BMC Neurol. 2024 Nov 25;24(1):458. doi: 10.1186/s12883-024-03969-6.

Abstract

Type 2 diabetes mellitus (T2DM) is a pivotal chronic disease with an increasing prevalence. Recent studies have found associations between T2DM and the development of central nervous system (CNS) tumours, a special class of solid tumours with an unclear pathogenesis. In this study, we aimed to explore the relationship between T2DM and certain glycaemic factors with common CNS tumours by using genetic data to conduct Mendelian randomization (MR) and co-localisation analysis. We found a causal relationship between T2DM and glioblastoma, fasting glucose and spinal cord tumours, glycated haemoglobin and spinal cord tumours, and insulin-like growth factor-1 and spinal cord tumours, pituitary tumours, and craniopharyngiomas. These results clarify the relationship between T2DM, glucose-related factors, and common CNS tumours, and they provide valuable insight into further clinical and basic research on CNS tumours, as well as new ideas for their diagnosis and treatment.

摘要

2 型糖尿病(T2DM)是一种发病率不断增加的重要慢性疾病。最近的研究发现,T2DM 与中枢神经系统(CNS)肿瘤的发展之间存在关联,CNS 肿瘤是一类具有不明确发病机制的特殊实体瘤。在这项研究中,我们旨在通过使用遗传数据进行孟德尔随机化(MR)和共定位分析,探讨 T2DM 与某些血糖因素与常见 CNS 肿瘤之间的关系。我们发现 T2DM 与胶质母细胞瘤、空腹血糖与脊髓肿瘤、糖化血红蛋白与脊髓肿瘤、胰岛素样生长因子-1 与脊髓肿瘤、垂体肿瘤和颅咽管瘤之间存在因果关系。这些结果阐明了 T2DM、葡萄糖相关因素与常见 CNS 肿瘤之间的关系,为进一步开展 CNS 肿瘤的临床和基础研究提供了有价值的见解,并为 CNS 肿瘤的诊断和治疗提供了新的思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f0/11587545/4f261fb4ce29/12883_2024_3969_Fig1_HTML.jpg

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