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饮食习惯对多种心血管疾病的影响:一项全面的孟德尔随机化研究。

Effect of dietary habits on multiple cardiovascular diseases: A comprehensive Mendelian randomization study.

作者信息

He Youfu, Wu Qiang, Liu Debin, Meng Xuantong, Qian Yu

机构信息

Department of Cardiology, Guizhou Provincial People's Hospital, Guiyang, Guizhou Province, China.

Department of Cardiology, Affiliated People's Hospital of Guizhou University, Guiyang, Guizhou Province, China.

出版信息

Medicine (Baltimore). 2025 Sep 5;104(36):e44352. doi: 10.1097/MD.0000000000044352.

Abstract

The relationship between dietary habits, including the consumption of eggs, dairy products, and sugar, and the development of disease is well-established. However, further investigation is required to elucidate the precise associations between these dietary habits and cardiovascular disease (CVD). The objective of this study was to analyze existing genome-wide association studies in order to identify causal relationships between dietary habits and CVD. The 5 dietary habits rooted from the IEU database are categorized as: Never eat eggs, Never eat wheat products, Never eat sugar or foods/drinks containing sugar, Never eat wheat products, and I eat all of the above. CVDs are categorized into: heart failure, Myocardial infarction(MI), Arrhythmia, Hypertension, Coronary heart disease(CHD), Myocarditis, Cardiomyopathy, Valvular heart disease, and cardiac death. This was achieved by employing two-sample Mendelian randomization and co-localization analyses. The potential causative genes associated with 5 dietary habits and CVDs were also explored through bioinformatics and receiver operating characteristic curve analysis based on GeneChip GSE59867. Subsequently, we employed meta-analysis techniques to integrate the findings of these studies. The co-localization analysis, based on two-sample Mendelian randomization results, revealed that single nucleotide polymorphism (SNP) rs12740374 (PH4 = 0.855) was causally associated with MI and a balanced diet(I eat all of the above), while SNP rs7528419 (PH4 = 0.716) was causally associated with CHD and a balanced diet. Moreover, 2 SNPs, rs7528419 and rs12740374, were identified as drivers of common motifs in 6 genes. The following genes were identified as having driver effects on common motifs: KIAA1324, SARS, CELSR2, PSRC1, MYBPHL, and SORT1. PSRC1 (area under the curve [AUC]: 0.722), CELSR2 (AUC: 0.657), and MYBPHL (AUC: 0.677) have been identified as having high diagnostic value for CHD and MI. The results of the study indicate a strong correlation between dietary habits and a multitude of CVDs. In almost all populations, diets that do not consume eggs, dairy products, and sugar is a significant risk factor for CVD in nearly all groups, whereas a balanced diet is a protective factor for the majority of CVDs.

摘要

饮食习惯,包括鸡蛋、乳制品和糖的摄入,与疾病发展之间的关系已得到充分证实。然而,需要进一步研究以阐明这些饮食习惯与心血管疾病(CVD)之间的确切关联。本研究的目的是分析现有的全基因组关联研究,以确定饮食习惯与CVD之间的因果关系。源于IEU数据库的5种饮食习惯分类如下:从不吃鸡蛋、从不吃小麦制品、从不吃糖或含糖食品/饮料、从不吃小麦制品以及我食用上述所有食物。CVD分为:心力衰竭、心肌梗死(MI)、心律失常、高血压、冠心病(CHD)、心肌炎、心肌病、心脏瓣膜病和心源性死亡。这是通过采用两样本孟德尔随机化和共定位分析来实现的。还通过基于基因芯片GSE59867的生物信息学和受试者工作特征曲线分析,探索了与5种饮食习惯和CVD相关的潜在致病基因。随后,我们采用荟萃分析技术整合这些研究的结果。基于两样本孟德尔随机化结果的共定位分析表明,单核苷酸多态性(SNP)rs12740374(PH4 = 0.855)与MI和均衡饮食(我食用上述所有食物)存在因果关联,而SNP rs7528419(PH4 = 0.716)与CHD和均衡饮食存在因果关联。此外,2个SNP,即rs7528419和rs12740374,被确定为6个基因中共同基序的驱动因素。以下基因被确定对共同基序具有驱动作用:KIAA1324、SARS、CELSR2、PSRC1、MYBPHL和SORT1。PSRC1(曲线下面积[AUC]:0.722)、CELSR2(AUC:0.657)和MYBPHL(AUC:0.677)已被确定对CHD和MI具有较高的诊断价值。研究结果表明饮食习惯与多种CVD之间存在密切关联。在几乎所有人群中,不吃鸡蛋、乳制品和糖的饮食几乎在所有群体中都是CVD的重要危险因素,而均衡饮食对大多数CVD而言是一个保护因素。

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