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The relationship between amino acids and gastroesophageal reflux disease: evidence from a mendelian randomization analysis combined with a meta-analysis.

作者信息

Shen Jianjun, Guo Yongqing, Cao Rui

机构信息

Jiamusi College, Heilongjiang University of Chinese Medicine, Jiamusi, China.

Capital University of Physical Education and Sports, Beijing, China.

出版信息

Front Immunol. 2025 Mar 4;16:1420132. doi: 10.3389/fimmu.2025.1420132. eCollection 2025.


DOI:10.3389/fimmu.2025.1420132
PMID:40103821
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11914792/
Abstract

BACKGROUND: Gastroesophageal Reflux Disease (GERD), a prevalent gastrointestinal disorder globally, exhibits variable prevalence across regions, with higher frequencies observed in Western nations and lower in Asian countries. Key contributing factors encompass unhealthy eating patterns, tobacco use, consumption of alcohol, excess weight, and obesity, along with health conditions such as gestation and diabetes. Common manifestations include heartburn and a burning discomfort behind the breastbone, which, without appropriate management, can progress to more severe issues like esophagitis and Barrett's esophagus. Approaches to management and prevention primarily involve modifications in lifestyle, pharmacotherapy, and surgical interventions when deemed necessary. Utilizing Omics Mendelian Randomization (OMR) to investigate the causative links between genetic variants and diseases provides insights into the biological underpinnings of gastroesophageal reflux diseasec. It aids in pinpointing novel targets for therapy. The influence of amino acids in gastroesophageal reflux disease demonstrates the complexity, having the potential to both mitigate and intensify symptoms, underscoring the significance of personalized nutrition and therapeutic strategies. METHODS: This study is based on the omics mendelian randomization method, coupled with meta-analysis techniques, to enhance the precision of the research findings. Furthermore, a reverse validation procedure was implemented to validate the association between the positive findings and disease outcomes further. Throughout the study, multiple correction measures were employed to ensure the accuracy and reliability of the results. RESULTS: Based on our research methodology, we have ultimately discovered that glutamate exacerbates gastroesophageal reflux disease, increasing its risk. The data supporting this includes analysis of 20 amino acids and outcomes from the Finnish database, which showed that glutamate had an odds ratio (OR) for gastroesophageal reflux disease risk of 1.175(95% confidence interval (CI): 1.000 ~ 1.380, P = 0.05), and a beta value of 0.161. Analysis with outcomes from the UK database indicated that glutamate had an OR for gastroesophageal reflux disease risk of 1.399(95% CI: 1.060 ~ 1.847, P = 0.018) and a beta value of 0.336. After conducting a meta-analysis of the MR results and applying multiple corrections, the combined OR of glutamate for gastroesophageal reflux disease risk was 1.227 (95% CI: 1.068 ~ 1.411 P = 0.043); the beta values of the three primary MR outcomes were consistent in direction. Building on the positive results, reverse validation with outcome data from two different database sources for glutamate showed: in the Finngen database, with gastroesophageal reflux disease as the exposure, the Inverse Variance Weighted (IVW) method resulted in a P-value of 0.059; in the IEU database under the same condition, the IVW P-value was 1.433. CONCLUSIONS: Glutamate may increase the risk and exacerbate the progression of gastroesophageal reflux disease through mechanisms such as impacting the nervous system and promoting inflammatory responses. Delving into the role of glutamate in gastroesophageal reflux disease enriches our understanding of the disease's biological mechanisms and may offer new strategies for clinical treatment and nutritional management. This insight can aid in developing healthier dietary plans, thereby benefiting patients.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/26114e4472da/fimmu-16-1420132-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/8ed601d45616/fimmu-16-1420132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/da5031989eb6/fimmu-16-1420132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/08d8c4d3b599/fimmu-16-1420132-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/26114e4472da/fimmu-16-1420132-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/8ed601d45616/fimmu-16-1420132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/da5031989eb6/fimmu-16-1420132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/08d8c4d3b599/fimmu-16-1420132-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb90/11914792/26114e4472da/fimmu-16-1420132-g004.jpg

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引用本文的文献

[1]
Causal validation of the relationship between air pollution and lung cancer: A bidirectional Mendelian randomization study and meta-analysis.

Medicine (Baltimore). 2025-5-23

本文引用的文献

[1]
Effect of Fermented Soybean (FSB) Supplementation on Gastroesophageal Reflux Disease (GERD).

Nutrients. 2024-8-20

[2]
Bidirectional two-sample Mendelian randomization analysis identifies causal associations between cardiovascular diseases and frozen shoulder.

J Orthop Surg Res. 2024-2-3

[3]
Gut microbiota, circulating cytokines and dementia: a Mendelian randomization study.

J Neuroinflammation. 2024-1-4

[4]
The association between walking pace and hand grip strength with the risk of chronic obstructive pulmonary disease: a bidirectional Mendelian randomization study.

BMC Pulm Med. 2023-11-20

[5]
Association between gut microbiota and sensorineural hearing loss: a Mendelian randomization study.

Front Microbiol. 2023-10-17

[6]
Mendelian randomization study of gastroesophageal reflux disease and major depression.

PLoS One. 2023-9-28

[7]
Causal role of immune cells in schizophrenia: Mendelian randomization (MR) study.

BMC Psychiatry. 2023-8-15

[8]
Association Between Anxiety/Depression and Gastroesophageal Reflux: A Systematic Review and Meta-Analysis.

Am J Gastroenterol. 2023-12-1

[9]
Genetically predicted 486 blood metabolites in relation to risk of colorectal cancer: A Mendelian randomization study.

Cancer Med. 2023-6

[10]
Burden of gastroesophageal reflux disease in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of disease study 2019.

BMC Public Health. 2023-3-29

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