Integrated Genetics and Micronutrient Data to Inform the Causal Association Between Serum Calcium Levels and Ischemic Stroke.

Integrated Genetics and Micronutrient Data to Inform the Causal Association Between Serum Calcium Levels and Ischemic Stroke.
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整合遗传学和微量营养素数据,以了解血清钙水平与缺血性中风之间的因果关系。

DOI:
10.3389/fcell.2020.590903
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发表时间:
2020
影响因子:
5.5
通讯作者:
Cai Q
Cai Q
中科院分区:
生物学2区
文献类型:
--
作者:
Meng Q;Huang L;Tao K;Liu Y;Jing J;Wang W;Qin H;Feng D;Cai Q

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观察性研究或随机对照试验探索钙摄入对心血管疾病(CVD)的影响,包括冠状动脉疾病(CAD)和缺血性中风(IS)的兴趣越来越大。然而,总钙摄入量与心血管疾病之间的直接关系尚未得到很好的确立,并且仍存在争议。已经进行了孟德尔随机化(MR)研究,以评估血清钙水平与冠心病风险之间的因果关系,并发现血清钙水平升高可能增加冠心病风险。然而,磁共振分析发现遗传性高血钙水平与IS及其亚型之间没有显著关联。因此,三个磁共振研究报告了不一致的血清钙水平对CAD和IS的影响。在这里,我们使用大规模全基因组关联研究(GWAS)数据集进行了一项更新的MR研究,以调查血清钙水平与IS风险的关系。我们从大规模血清钙GWAS数据集中选择了14个独立的遗传变异作为潜在的工具变量,并从MEGASTROKE Consortium IS GWAS数据集中提取了14个血清钙遗传变异的汇总统计数据。有趣的是,我们使用稳健反方差加权(IVW)和惩罚稳健IVW方法发现血清钙水平与IS风险之间存在显著关联,β = 0.243, P = 0.002。重要的是,稳健MR- egger和惩罚稳健MR- egger方法的MR结果进一步支持了血清钙水平与IS风险之间的因果关系,β = 0.256, P = 0.005。同时,其他MR方法的估计结果也与上述结果一致。
There has been an increased interest for observational studies or randomized controlled trials exploring the impact of calcium intake on cardiovascular diseases (CVD) including coronary artery disease (CAD) and ischemic stroke (IS). However, a direct relationship between total calcium intake and CVD has not been well established and remains controversial. Mendelian randomization (MR) studies have been performed to evaluate the causal association between serum calcium levels and CAD risk and found that increased serum calcium levels could increase the risk of CAD. However, MR analysis found no significant association between genetically higher serum calcium levels and IS as well as its subtypes. Hence, three MR studies reported inconsistent effects of serum calcium levels on CAD and IS. Here, we performed an updated MR study to investigate the association of serum calcium levels with the risk of IS using large-scale genome-wide association study (GWAS) datasets. We selected 14 independent genetic variants as the potential instrumental variables from a large-scale serum calcium GWAS dataset and extracted summary statistics corresponding to the 14 serum calcium genetic variants from the MEGASTROKE Consortium IS GWAS dataset. Interestingly, we found a significant association between serum calcium levels and IS risk using the robust inverse-variance weighted (IVW) and penalized robust IVW methods, with β = 0.243 and P = 0.002. Importantly, the MR results from the robust MR-Egger and penalized robust MR-Egger methods further supported the causal association between serum calcium levels and IS risk, with β = 0.256 and P = 0.005. Meanwhile, the estimates from other MR methods are also consistent with the above findings.
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