文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

英国生物银行中黑人种族个体的遗传血统与心房颤动风险

Genetic Ancestry and Risk of Atrial Fibrillation in Individuals of Black Ethnicity in the UK Biobank.

作者信息

Liu Chang, Sun Yan V, Li Linzi, Collin Lindsay J, Shah Amit J, Alonso Alvaro

机构信息

Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.

Atlanta VA Healthcare System, Decatur, GA, USA.

出版信息

medRxiv. 2025 Jul 14:2025.07.12.25331418. doi: 10.1101/2025.07.12.25331418.


DOI:10.1101/2025.07.12.25331418
PMID:40791710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12338908/
Abstract

BACKGROUND: Black individuals have a lower incidence of atrial fibrillation (AF) than White individuals, despite a higher burden of traditional risk factors. Prior studies have suggested that European genetic ancestry may contribute to this paradox, but findings have been inconsistent. METHODS: We examined the association between European genetic ancestry and incident AF among 6,920 UK Biobank (UKB) participants who self-identified as Black and were free of AF at baseline. European ancestry proportions were estimated by comparing participants to HapMap reference populations and were analyzed both continuously and categorically using Cox proportional hazards models. Non-linear associations were evaluated using flexible hazard ratio spline curves. We then conducted a meta-analysis combining these results with those from the Atherosclerosis Risk in Communities Study, the Cardiovascular Health Study, and the Women's Health Initiative (WHI). RESULTS: During a median follow-up of 13.7 years, 205 (3%) participants developed incident AF. Each 10% increase in European ancestry was nominally associated with increased AF risk (HR 1.07, 95% CI: 0.95-1.20), and individuals in the highest ancestry category had a higher AF incidence rate. Random-effects meta-analysis of all four cohorts yielded a pooled relative risk (RR) of 1.09 (95% CI: 0.99-1.21), with substantial heterogeneity largely driven by the WHI study. Excluding WHI resulted in a pooled estimate (RR 1.14, 95% CI: 1.05-1.23) without heterogeneity. CONCLUSION: Our findings suggest a modest association between European genetic ancestry and increased AF risk among admixed Black individuals. Future studies should confirm these results, explore underlying mechanisms, and assess their clinical implications.

摘要

背景:尽管黑人个体传统风险因素负担较高,但房颤(AF)发病率低于白人个体。先前的研究表明欧洲遗传血统可能导致这一矛盾现象,但研究结果并不一致。 方法:我们在6920名英国生物银行(UKB)参与者中研究了欧洲遗传血统与新发房颤之间的关联,这些参与者自我认定为黑人且基线时无房颤。通过将参与者与HapMap参考人群进行比较来估计欧洲血统比例,并使用Cox比例风险模型对其进行连续和分类分析。使用灵活的风险比样条曲线评估非线性关联。然后,我们进行了一项荟萃分析,将这些结果与社区动脉粥样硬化风险研究、心血管健康研究和妇女健康倡议(WHI)的结果相结合。 结果:在中位随访13.7年期间,205名(3%)参与者发生了新发房颤。欧洲血统每增加10%,名义上与房颤风险增加相关(风险比1.07,95%置信区间:0.95 - 1.20),且血统类别最高的个体房颤发病率更高。对所有四个队列进行随机效应荟萃分析得出合并相对风险(RR)为1.09(95%置信区间:0.99 - 1.21),异质性主要由WHI研究驱动。排除WHI后得到无异质性的合并估计值(RR 1.14,95%置信区间:1.05 - 1.23)。 结论:我们的研究结果表明,在混血黑人个体中,欧洲遗传血统与房颤风险增加之间存在适度关联。未来的研究应证实这些结果,探索潜在机制,并评估其临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/c86dce8e1b99/nihpp-2025.07.12.25331418v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/098c9e6b8bc9/nihpp-2025.07.12.25331418v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/742a06f637e9/nihpp-2025.07.12.25331418v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/c86dce8e1b99/nihpp-2025.07.12.25331418v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/098c9e6b8bc9/nihpp-2025.07.12.25331418v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/742a06f637e9/nihpp-2025.07.12.25331418v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db2a/12338908/c86dce8e1b99/nihpp-2025.07.12.25331418v1-f0003.jpg

相似文献

[1]
Genetic Ancestry and Risk of Atrial Fibrillation in Individuals of Black Ethnicity in the UK Biobank.

medRxiv. 2025-7-14

[2]
Intravenous magnesium sulphate and sotalol for prevention of atrial fibrillation after coronary artery bypass surgery: a systematic review and economic evaluation.

Health Technol Assess. 2008-6

[3]
Prescription of Controlled Substances: Benefits and Risks

2025-1

[4]
Healthcare outcomes assessed with observational study designs compared with those assessed in randomized trials.

Cochrane Database Syst Rev. 2014-4-29

[5]
Falls prevention interventions for community-dwelling older adults: systematic review and meta-analysis of benefits, harms, and patient values and preferences.

Syst Rev. 2024-11-26

[6]
Resting Heart Rate and Incident Atrial Fibrillation in Black Adults in the Jackson Heart Study.

JAMA Netw Open. 2024-10-1

[7]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2017-12-22

[8]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2020-1-9

[9]
Sertindole for schizophrenia.

Cochrane Database Syst Rev. 2005-7-20

[10]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2021-4-19

本文引用的文献

[1]
Ethnic Differences in Atrial Fibrillation in the United Kingdom.

JACC Adv. 2024-7-3

[2]
Atrial Fibrillation: A Review.

JAMA. 2025-1-28

[3]
Atrial fibrillation in Black American patients: A review of genetics, risk factors, and outcomes.

Heart Rhythm. 2025-3

[4]
Transforming Atrial Fibrillation Research to Integrate Social Determinants of Health: A National Heart, Lung, and Blood Institute Workshop Report.

JAMA Cardiol. 2023-2-1

[5]
Racial and Ethnic Differences in All-Cause and Cardiovascular Disease Mortality: The MESA Study.

Circulation. 2022-7-19

[6]
Epidemiology of atrial fibrillation in the All of Us Research Program.

PLoS One. 2022

[7]
Race, Racism, and Cardiovascular Health: Applying a Social Determinants of Health Framework to Racial/Ethnic Disparities in Cardiovascular Disease.

Circ Cardiovasc Qual Outcomes. 2022-1

[8]
Social determinants of atrial fibrillation.

Nat Rev Cardiol. 2021-11

[9]
Gender Differences in Atrial Fibrillation: A Review of Epidemiology, Management, and Outcomes.

Curr Cardiol Rev. 2019

[10]
Lifetime Risk of Atrial Fibrillation by Race and Socioeconomic Status: ARIC Study (Atherosclerosis Risk in Communities).

Circ Arrhythm Electrophysiol. 2018-7

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索