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过敏性疾病对近视风险的因果效应:一项两样本孟德尔随机化研究。

Causal effects of allergic diseases on the risk of myopia: a two-sample Mendelian randomization study.

作者信息

Wei Ximin, Li Weitao, Liu Rong

机构信息

Refractive Center of Ophthalmology, 3201 Hospital, Hanzhong, Shaanxi, China.

Non-communicable Diseases Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Shaanxi Center for Disease Control and Prevention, Xi'an, Shaanxi, China.

出版信息

Eye (Lond). 2025 Mar 22. doi: 10.1038/s41433-025-03749-7.

DOI:10.1038/s41433-025-03749-7
PMID:40121349
Abstract

OBJECTIVE

Myopia is a common eye disease, and the effect of allergic diseases on myopia is unclear. This study was to explore the causal relationship between allergic diseases and myopia risk through a two-sample Mendelian randomization (MR) analysis.

MATERIALS AND METHODS

Genetic variants related to allergic diseases (allergic conjunctivitis, atopic dermatitis, allergic rhinitis, and asthma) and immunoglobulin E and myopia were extracted from the MRC-IEU Open genome-wide association studies (GWAS) project. The results of MR were based on the inverse-variance weighted (IVW) analysis. The odds ratio (OR) and 95% confidence interval (CI) were used to report causal relationships.

RESULTS

Genetically predicted asthma [IVW: OR = 1.233 (95% CI: 1.043-1.456), P = 0.0140] and higher immunoglobulin E levels [IVW: OR = 1.136 (95% CI: 1.020-1.265), P = 0.0207] increased the risk of myopia. There was no significant causal relationship between allergic conjunctivitis (IVW: P = 0.2916), atopic dermatitis (IVW: P = 0.3168), and allergic rhinitis (IVW: P = 0.8297) and risk of myopia. Further analysis revealed that the causal correlation of immunoglobulin E levels with myopia risk was caused by outliers.

CONCLUSIONS

Genetically predicted asthma increased the risk of myopia.

摘要

目的

近视是一种常见的眼部疾病,过敏性疾病对近视的影响尚不清楚。本研究旨在通过两样本孟德尔随机化(MR)分析探讨过敏性疾病与近视风险之间的因果关系。

材料与方法

从MRC-IEU开放全基因组关联研究(GWAS)项目中提取与过敏性疾病(过敏性结膜炎、特应性皮炎、过敏性鼻炎和哮喘)、免疫球蛋白E以及近视相关的基因变异。MR结果基于逆方差加权(IVW)分析。采用优势比(OR)和95%置信区间(CI)报告因果关系。

结果

基因预测的哮喘[IVW:OR = 1.233(95%CI:1.043 - 1.456),P = 0.0140]和较高的免疫球蛋白E水平[IVW:OR = 1.136(95%CI:1.020 - 1.265),P = 0.0207]增加了近视风险。过敏性结膜炎(IVW:P = 0.2916)、特应性皮炎(IVW:P = 0.3168)和过敏性鼻炎(IVW:P = 0.8297)与近视风险之间无显著因果关系。进一步分析显示,免疫球蛋白E水平与近视风险的因果相关性是由异常值导致的。

结论

基因预测的哮喘增加了近视风险。

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