COVID-19 and risk of neurodegenerative disorders: A Mendelian randomization study.

COVID-19 and risk of neurodegenerative disorders: A Mendelian randomization study.
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COVID-19 和神经退行性疾病的风险:孟德尔随机化研究

DOI:
10.1038/s41398-022-02052-3
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发表时间:
2022-07-14
影响因子:
6.8
通讯作者:
Shang, Huifang
Shang, Huifang
中科院分区:
医学1区
文献类型:
--
作者:
Li, Chunyu;Liu, Jiayan;Lin, Junyu;Shang, Huifang

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新出现的证据表明,COVID-19与神经退行性疾病之间存在密切关联。然而,是否存在因果关系和影响方向尚不清楚。为了研究COVID-19在神经退行性疾病风险中的致病作用,我们估计了它们的遗传相关性,然后使用汇总统计的全基因组关联研究对COVID-19的易感性、住院率和严重程度以及阿尔茨海默病(AD)、肌萎缩性侧索硬化症、额颞叶痴呆、路易体痴呆、多发性硬化症、和帕金森病我们发现COVID-19住院与AD之间存在显著的正遗传相关(遗传相关性:0.23,P = 8.36E-07)。同时,COVID-19住院与AD的高风险显著相关(OR: 1.02, 95% CI: 1.01-1.03, P: 1.19E-03)。一致地,COVID-19的易感性(OR: 1.05, 95% CI: 1.01 - 1.09, P: 9.30E-03)和严重程度(OR: 1.01, 95% CI: 1.00-1.02, P: 0.012)名义上与AD的高风险相关。在所有敏感性分析下,结果都是稳健的。这些结果表明,COVID-19可增加AD的风险。未来预防或治疗干预措施的发展应重视这一点,以减轻COVID-19的并发症。
Emerging evidence has suggested a close correlation between COVID-19 and neurodegenerative disorders. However, whether there exists a causal association and the effect direction remains unknown. To examine the causative role of COVID-19 in the risk of neurodegenerative disorders, we estimated their genetic correlation, and then conducted a two-sample Mendelian randomization analysis using summary statistics from genome-wide association studies of susceptibility, hospitalization, and severity of COVID-19, as well as six major neurodegenerative disorders including Alzheimer’s disease (AD), amyotrophic lateral sclerosis, frontotemporal dementia, Lewy body dementia, multiple sclerosis, and Parkinson’s disease. We identified a significant and positive genetic correlation between hospitalization of COVID-19 and AD (genetic correlation: 0.23, P = 8.36E–07). Meanwhile, hospitalization of COVID-19 was significantly associated with a higher risk of AD (OR: 1.02, 95% CI: 1.01–1.03, P: 1.19E–03). Consistently, susceptibility (OR: 1.05, 95% CI: 1.01–1.09, P: 9.30E–03) and severity (OR: 1.01, 95% CI: 1.00–1.02, P: 0.012) of COVID-19 were nominally associated with higher risk of AD. The results were robust under all sensitivity analyses. These results demonstrated that COVID-19 could increase the risk of AD. Future development of preventive or therapeutic interventions could attach importance to this to alleviate the complications of COVID-19.
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