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抑郁症与帕金森病风险:一项孟德尔随机化研究。

Depression and the risk of Parkinson's disease: A Mendelian randomization study.

作者信息

Du Yongjian, Tang Dong, Yang Guangcheng, Xu Dezhi

机构信息

Department of Neurosurgery, The Fifth People's Hospital of Jinan, Jinan, Shandong Province, China.

出版信息

Medicine (Baltimore). 2025 Feb 21;104(8):e41658. doi: 10.1097/MD.0000000000041658.

Abstract

This study aimed to investigate the potential causal relationship between depression and Parkinson's disease (PD) using Mendelian randomization (MR). Summary statistics for depression and PD were obtained from 2 large-scale genome-wide association studies (GWAS) involving individuals of European ancestry. Independent genetic loci associated with depression and PD were identified as instrumental variables. The inverse variance weighting (IVW) approach was used as the primary method for causal inference, while MR-Egger and weighted median methods served as supplementary analyses to verify the robustness of the results. Heterogeneity tests, multiple validity checks, and leave-one-out sensitivity analyses were conducted to assess the reliability of the findings. The IVW analysis yielded an odds ratio of 1.44 (95% confidence interval: 1.001-2.077, P = .048), suggesting a potential causal relationship between depression and PD. No evidence of heterogeneity or horizontal pleiotropy was found, and sensitivity analyses confirmed the reliability of the results. This study applied 2-sample MR analysis to genetic data, revealing a causal link between depression and the development of PD. These findings highlight the importance of early screening and intervention for individuals with depression to reduce the risk of developing PD.

摘要

本研究旨在利用孟德尔随机化(MR)探究抑郁症与帕金森病(PD)之间潜在的因果关系。抑郁症和PD的汇总统计数据来自2项涉及欧洲血统个体的大规模全基因组关联研究(GWAS)。与抑郁症和PD相关的独立基因位点被确定为工具变量。逆方差加权(IVW)方法用作因果推断的主要方法,而MR-Egger和加权中位数方法用作补充分析以验证结果的稳健性。进行了异质性检验、多项有效性检查和留一法敏感性分析以评估研究结果的可靠性。IVW分析得出的比值比为1.44(95%置信区间:1.001 - 2.077,P = 0.048),表明抑郁症与PD之间存在潜在的因果关系。未发现异质性或水平多效性的证据,敏感性分析证实了结果的可靠性。本研究对遗传数据应用了两样本MR分析,揭示了抑郁症与PD发生之间的因果联系。这些发现凸显了对抑郁症患者进行早期筛查和干预以降低患PD风险的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2987/11856917/ae5c5cc7eb63/medi-104-e41658-g001.jpg

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