Yang Yanjiang, Wang Xiaorui, Yang Wenwen
Department of Rheumatology and Immunology, The people's Hospital of Qiandongnan Autonomous Prefecture, Kaili 556000, Guizhou Province, China.
School of Pharmacy, Chengdu University, Chengdu 610106, China.
J Dairy Sci. 2025 Jan 29. doi: 10.3168/jds.2024-25926.
This study explores the association of cheese consumption with stroke using a Mendelian randomization (MR) approach, which leverages genetic variations to minimize confounding. The study analyzed the impact of cheese cheese dietary habits on stroke, mediated by 44 biomarkers, including blood cells, biochemical markers, and blood pressure indicators. The findings show that cheese consumption is associated with lower stroke risk (OR = 0.715, P = 0.000279). Seven key biomarkers were identified as intermediaries in this relationship: apolipoprotein B (1.70%), aspartate aminotransferase (1.68%), cystatin C (2.50%), glucose (4.40%), sex hormone binding globulin (2.14%), urate (3.70%), and diastolic blood pressure (11.94%). These biomarkers help explain the biological pathways through which cheese intake may influence stroke risk, with diastolic blood pressure contributing the most to the protective effect. Despite these findings, the study notes limitations, such as the absence of specific data on cheese types and the emphasis on individuals of European ancestry may restrict the applicability of the findings to broader populations. Further research is required to validate these results and clarify the underlying mechanisms of the identified biomarkers in stroke prevention.
本研究采用孟德尔随机化(MR)方法探讨奶酪摄入量与中风之间的关联,该方法利用基因变异来最小化混杂因素。研究分析了由44种生物标志物介导的奶酪饮食习惯对中风的影响,这些生物标志物包括血细胞、生化标志物和血压指标。研究结果表明,食用奶酪与较低的中风风险相关(比值比=0.715,P=0.000279)。七种关键生物标志物被确定为这种关系的中介因素:载脂蛋白B(1.70%)、天冬氨酸转氨酶(1.68%)、胱抑素C(2.50%)、葡萄糖(4.40%)、性激素结合球蛋白(2.14%)、尿酸盐(3.70%)和舒张压(11.94%)。这些生物标志物有助于解释奶酪摄入可能影响中风风险的生物学途径,其中舒张压对保护作用的贡献最大。尽管有这些发现,但研究指出了局限性,例如缺乏关于奶酪类型的具体数据,以及研究对象主要为欧洲血统个体,这可能会限制研究结果在更广泛人群中的适用性。需要进一步研究来验证这些结果,并阐明已确定的生物标志物在中风预防中的潜在机制。