Causal associations between changes in lipid profiles and risk of gallstone disease: a two-sample Mendelian randomization study.

Causal associations between changes in lipid profiles and risk of gallstone disease: a two-sample Mendelian randomization study.
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血脂变化与胆结石疾病风险之间的因果关系:两样本孟德尔随机化研究

DOI:
10.21037/atm-21-4007
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发表时间:
2022-08
影响因子:
--
通讯作者:
Zheng, Jun
Zheng, Jun
中科院分区:
医学4区
文献类型:
--
作者:
Yuan, Xiaofeng;Chen, Haitian;Zeng, Kaining;Xiao, Jiaqi;Liu, Jiaqing;Lin, Guowang;Zhang, Jiebin;Lu, Tongyu;Cai, Jianye;Yao, Jia;Zhang, Yingcai;Sui, Xin;Liang, Jinliang;Zheng, Jun

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观察性研究显示,非酒精性脂肪肝 (NAFLD) 与胆石病 (GSD) 有关;然而,某些血脂谱与 GSD 之间的关系仍不清楚。我们采用了两个样本孟德尔随机化 (MR) 框架,通过应用不同的统计方法来评估血脂谱和 GSD 之间的因果关系。我们从之前的全基因组关联研究 (GWAS) 中鉴定出了血脂和 NAFLD 的单核苷酸多态性 (SNP)。我们检索了 10,520 个病例和 361,194 个对照的 GSD SNP,并使用英国生物银行的 GWAS 摘要数据验证了我们的估计。我们还进行了性别分层分析。根据对低密度脂蛋白胆固醇 (LDLC)、高密度脂蛋白胆固醇 (HDLC)、甘油三酯 (TG) 和 NAFLD 分别 41、59、35 和 2 个 SNP 的汇总估计,我们没有发现遗传预测血脂谱与 GSD 之间存在因果关系的证据。每 0.98 mmol/L,LDLC 的比值比为 0.995 [95% 置信区间 (CI):0.994–0.998];每 0.41 mmol/L,HDLC 的比值比为 0.999(95% CI:0.996–1.003);TG 的比值比为 0.997(95% CI:0.994–1.001)每 1 毫摩尔/升,以及 NAFLD 为 0.993(95% CI:0.984–1.003)。在验证 MR 分析或性别分层分析中,没有发现血脂谱与 GSD 之间存在关联的证据。基因预测的高脂血症或 NAFLD 与 GSD 没有因果关系。
Nonalcoholic fatty liver disease (NAFLD) has been linked to gallstone disease (GSD) in observational studies; however, the relationships between certain lipid profiles and GSD remain unclear. We adopted a two-sample Mendelian randomization (MR) framework by applying different statistical methods to assess causalities between lipid profiles and GSD. We identified single-nucleotide polymorphisms (SNPs) for blood lipids and NAFLD from separate previous genome-wide association studies (GWASs). We retrieved GSD SNPs attributed to 10,520 cases and 361,194 controls and validated our estimates using GWAS summary data from UK Biobank. We also performed sex-stratified analyses. Based on the summary estimates of 41, 59, 35, and 2 SNPs for low-density lipoprotein cholesterol (LDLC), high-density lipoprotein cholesterol (HDLC), triglycerides (TGs), and NAFLD, respectively, we found no evidence of a causal relationship between genetically-predicted lipid profiles and GSD. The odds ratios were 0.995 for LDLC [95% confidence interval (CI): 0.994–0.998] per 0.98 mmol/L, 0.999 for HDLC (95% CI: 0.996–1.003) per 0.41 mmol/L, 0.997 for TGs (95% CI: 0.994–1.001) per 1 mmol/L, and 0.993 for NAFLD (95% CI: 0.984–1.003). No evidence of associations between lipid profile s and GSD in validation MR analyses or the sex-stratification analyses was noted. Genetically predicted hyperlipidemia or NAFLD is not causally associated with GSD.
全基因组关联荟萃分析产生了20个与胆结石疾病相关的基因座。
DOI: 10.1038/s41467-018-07460-y
发表时间: 2018-11-30
影响因子: 16.6
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DOI: 10.3109/00365521.2011.643481
发表时间: 2012-02-01
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DOI: 10.1002/ijc.23307
发表时间: 2008-05-15
影响因子: 6.4
作者:
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