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自身免疫性疾病与神经发育障碍之间的关联:孟德尔随机化分析

Association between autoimmune disease and neurodevelopmental disorder: a Mendelian randomization analysis.

作者信息

Qin Jiangwei, Zhang Yunfan, Hu Ruolan, Lin Mingying, Yu Ruixin, Hua Yimin, Li Yifei

机构信息

Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE, Department of Pediatrics, West China Second University Hospital, Sichuan University, 20 3rd Section, Renmin S.Rd., Chengdu, 610041, Sichuan, China.

出版信息

Ital J Pediatr. 2025 Mar 13;51(1):76. doi: 10.1186/s13052-025-01910-2.

Abstract

INTRODUCTION

Neurodevelopmental disorders such as attention deficit and disruptive behaviour disorders (ADHD), autism spectrum disorder (ASD), and schizophrenia have been increasingly prevalent recently. Previous research has demonstrated that inflammatory activity from autoimmune diseases is involved in neurological diseases. However, some studies question the association between inflammatory activities and neurodevelopmental disorders. Herein, we attempt to clarify this relationship using Mendelian randomization (MR) analysis.

METHODS

We used systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and type 1 diabetes mellitus (T1D) to represent autoimmune diseases. First, we conducted MR analysis to examine associated SNPs between autoimmune and neurodevelopmental disorders. Second, we performed bidirectional MR analysis to identify 429 types of signalling peptides and proteins or relevant receptors with causality reported diseases. Finally, we compared the genes with the gene loci identified in the available TWAS-hub site.

RESULTS

The MR results of autoimmune diseases on neurodevelopmental disorders did not present any significant association in all models. However, we identified 20-45 factors in ADHD, ASD, and schizophrenia, including semaphorin 3, IL-27 receptor subunit alpha, and fibroblast growth factor 16, which were considered clinically significant pro-inflammatory mediators. GO and KEGG enrichment analyses revealed unequal integrities among the three neurodevelopmental diseases, and we failed to identify a shared pathway linking autoimmune diseases and neurodevelopmental disorders. TWAS analysis indicated that CHRNA5 potentially mediates inflammatory activities in schizophrenia.

CONCLUSION

According to our data, we failed to identify an association between autoimmune diseases and neurodevelopmental disorders. However, we demonstrated that some pro-inflammatory factors are involved in neurodevelopmental disorders.

摘要

引言

注意缺陷多动障碍(ADHD)、自闭症谱系障碍(ASD)和精神分裂症等神经发育障碍近年来日益普遍。先前的研究表明,自身免疫性疾病的炎症活动与神经系统疾病有关。然而,一些研究对炎症活动与神经发育障碍之间的关联提出了质疑。在此,我们试图通过孟德尔随机化(MR)分析来阐明这种关系。

方法

我们使用系统性红斑狼疮(SLE)、类风湿性关节炎(RA)和1型糖尿病(T1D)来代表自身免疫性疾病。首先,我们进行MR分析以检查自身免疫性疾病与神经发育障碍之间的相关单核苷酸多态性(SNPs)。其次,我们进行双向MR分析以鉴定429种信号肽和蛋白质或与疾病因果关系相关的受体。最后,我们将这些基因与在可用的全转录组关联研究(TWAS)中心位点鉴定的基因座进行比较。

结果

在所有模型中,自身免疫性疾病对神经发育障碍的MR结果均未显示出任何显著关联。然而,我们在ADHD、ASD和精神分裂症中鉴定出20 - 45个因素,包括信号素3、白细胞介素27受体亚基α和成纤维细胞生长因子16,这些被认为是具有临床意义的促炎介质。基因本体(GO)和京都基因与基因组百科全书(KEGG)富集分析揭示了三种神经发育疾病之间的完整性不平等,并且我们未能识别出连接自身免疫性疾病和神经发育障碍的共同途径。TWAS分析表明,CHRNA5可能介导精神分裂症中的炎症活动。

结论

根据我们的数据,我们未能识别出自身免疫性疾病与神经发育障碍之间的关联。然而,我们证明了一些促炎因素与神经发育障碍有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c71/11905720/3e6f4357f3c8/13052_2025_1910_Fig1_HTML.jpg

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