Du Wei, Tang Biqiu, Liu Senhao, Zhang Wenjing, Lui Su
Department of Radiology, and Functional and Molecular Imaging Key Laboratory of Sichuan Province, West China Hospital of Sichuan University, Chengdu, China.
Transl Psychiatry. 2025 Jan 22;15(1):19. doi: 10.1038/s41398-025-03231-8.
Despite observational studies linking brain iron levels to psychiatric disorders, the exact causal relationship remains poorly understood. This study aims to examine the relationship between iron levels in specific subcortical brain regions and the risk of psychiatric disorders. Utilizing two-sample Mendelian randomization (MR) analysis, this study investigates the causal associations between iron level changes in 16 subcortical nuclei and eight major psychiatric disorders, including schizophrenia (SCZ), major depressive disorder (MDD), autism spectrum disorders (ASD), attention-deficit/hyperactivity disorder, bipolar disorder, anxiety disorders, obsessive-compulsive disorder, and insomnia. The genetic instrumental variables linked to iron levels and psychiatric disorders were derived from the genome-wide association studies data of the UK Biobank Brain Imaging and Psychiatric Genomics Consortium. Bidirectional causal estimation was primarily obtained using the inverse variance weighting (IVW) method. Iron levels in the left substantia nigra showed a negative association with the risk of MDD (OR = 0.94, 95% CI = 0.91-0.97, p < 0.001) and trends with risk of SCZ (OR = 0.90, 95% CI = 0.82-0.98, p = 0.020). Conversely, iron levels in the left putamen were positively associated with the risk of ASD (OR = 1.11, 95% CI = 1.04-1.19, p = 0.002). Additionally, several bidirectional trends were observed between subcortical iron levels and the risk for psychiatric disorders. Lower iron levels in the left substantia nigra may increase the risk of MDD, and potentially increase the risk of SCZ, indicating a potential shared pathogenic mechanism. Higher iron levels in the left putamen may lead to the development of ASD. The observed bidirectional trends between subcortical iron levels and psychiatric disorders, indicate the importance of the underlying biomechanical interactions between brain iron regulation and these disorders.
尽管观察性研究将脑铁水平与精神疾病联系起来,但确切的因果关系仍知之甚少。本研究旨在探讨特定皮质下脑区的铁水平与精神疾病风险之间的关系。利用两样本孟德尔随机化(MR)分析,本研究调查了16个皮质下核中铁水平变化与8种主要精神疾病之间的因果关联,包括精神分裂症(SCZ)、重度抑郁症(MDD)、自闭症谱系障碍(ASD)、注意力缺陷多动障碍、双相情感障碍、焦虑症、强迫症和失眠症。与铁水平和精神疾病相关的遗传工具变量来自英国生物银行脑成像和精神基因组学联盟的全基因组关联研究数据。双向因果估计主要使用逆方差加权(IVW)方法获得。左侧黑质中的铁水平与MDD风险呈负相关(OR = 0.94,95%CI = 0.91 - 0.97,p < 0.001),与SCZ风险呈趋势性相关(OR = 0.90,95%CI = 0.82 - 0.98,p = 0.020)。相反,左侧壳核中的铁水平与ASD风险呈正相关(OR = 1.11,95%CI = 1.04 - 1.19,p = 0.002)。此外,在皮质下铁水平与精神疾病风险之间观察到了几种双向趋势。左侧黑质中铁水平较低可能会增加MDD的风险,并可能增加SCZ的风险,这表明存在潜在的共同致病机制。左侧壳核中铁水平较高可能会导致ASD的发生。皮质下铁水平与精神疾病之间观察到的双向趋势,表明脑铁调节与这些疾病之间潜在的生物力学相互作用的重要性。