基于两样本孟德尔随机化分析睡眠障碍与胃溃疡发病风险的因果关系
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四川省中医药管理局(2024MS174);


The causal relationship between sleep disorders and gastric ulcer incidence based on two-sample Mendelian randomization
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    摘要:

    目的:采用两样本孟德尔随机化(MR)分析方法,探究睡眠障碍(SD)与胃溃疡(GU)发病之间是否有潜在的双向因果关系。方法:通过IEU数据库获取暴露和结局的数据集,从中筛选出合适的单核苷酸多态性(SNPs)作为工具变量(IVs),然后采用逆方差加权法(IVW)、MR-Egger回归法、加权中位数法(WME)、简单模式、加权模式进行双向MR分析。采用Cochran′s Q检验、MR-Egger截距检验进行敏感度分析。结果:IVW结果表明,SD与GU发病之间存在单向因果关系。当SD作为暴露因素时,其正向MR分析具有统计学意义(OR=1.009,95%CI:1.004~1.015,P=0.001);当GU作为暴露因素时,其反向MR分析不具有统计学意义(OR=1.197,95%CI:0.425~3.371,P=0.734)。进一步的敏感度分析显示,没有明显的异质性及水平多效性。结论:MR分析发现,SD与GU发病风险之间存在潜在的单向因果关系,SD为GU的危险因素。

    Abstract:

    Objective:To investigate whether there was a potential two-way causal relationship between sleep disorder(SD)and the incidence of gastric ulcer(GU)by two sample Mendelian randomization(MR)analysis.Methods:The data sets of exposure and outcome were obtained from IEU database,from which suitable Single Nucleotide Poly Morphisms(SNPs)were selected as instrumental variables(IVs),and then inverse variance weighting(IVW),MR-Egger regression,weighted median(WME),simple model and weigh-ted model were used for two-way MR Analysis.Cochran's Q test and MR-Egger intercept test were used for sensitivity analysis.Results:The IVW method showed that there was a significant unidirectional causal relationship between SD and the incidence of GU.When SD were used as exposure factors,the positive MR Analysis had significant statistical significance(OR=1.009,95%CI:1.004~1.015,P=0.001).When GU used as an exposure factor,reverse MR Analysis was not statistically s-ignificant(OR=1.197,95%CI:0.425~3.371,P=0.734).Further sensitivity analysis showed no significant heterogeneity and horizontal pleiotropy.Conclusion:Mendelian randomization analysis found that there is a potential one-way causal relationship between SD and the risk of GU,and SD are risk factors for GU.

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王娟;刘浩;.基于两样本孟德尔随机化分析睡眠障碍与胃溃疡发病风险的因果关系[J].川北医学院学报,2025,40(6):693-698.

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  • 在线发布日期: 2025-07-09
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