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哈尔滨医药  2024, Vol. 44 Issue (4): 37-40    DOI: 10.3969/j.issn.1001-8131.2024.04.011
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脂质与糖尿病视网膜病变因果关系的孟德尔随机化分析
王鑫1, 刘行海2
1.川北医学院影像学院2021级,四川 南充 637000;
2.川北医学院基础医学与法医学院,四川 南充 637000
A Mendelian Randomization Analysis on the Causal Associations between Lipids and Diabetic Retinopathy
Wang Xin1, Liu Xinghai2
1. Grade 2021 of School of Medical Imaging,
2. Institute of Basic Medicine and Forensic Medicine,North Sichuan Medical College,NanChong 637000,SiChuan,China
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摘要 目的 探讨脂质与糖尿病视网膜病变的双向因果关系。方法 利用脂质和糖尿病视网膜病变(diabetic retinopathy,DR)全基因组关联研究汇总数据,通过逆方差加权法、MR-Egger 回归法和加权中位数法进行两样本双向孟德尔随机化分析,并采用Cochran's Q检验评估结果的异质性、MR-Egger 回归截距项检验水平多效性。结果 逆方差加权法结果显示,磷脂酰乙醇胺(16:0_18:2)(OR=0.916,95%CI:0.864~0.971,P=0.003,PFDR=0.174),三酰甘油50:2(OR=0.850,95%CI:0.760~0.952,P=0.005,PFDR=0.174)会降低DR发病风险。反向MR分析结果显示,DR与甘油二酯(16:0_18:2)(OR=1.064,95%CI:1.021~1.109,P=0.003,PFDR=0.194)、三酰甘油50:1(OR=1.067,95%CI:1.026~1.109,P=0.001,PFDR=0.194)的增加有因果关联。多种孟德尔随机化方法的结果都基本一致,且敏感性分析结果证明上述结果具有一致性和可靠性。结论 磷脂酰乙醇胺(16:0_18:2),三酰甘油50:2与DR发病风险有负向因果关系,DR对甘油二酯(16:0_18:2)、三酰甘油50:1有正向因果关系。
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王鑫
刘行海
关键词 脂质糖尿病视网膜病变孟德尔随机化因果推断    
AbstractObjective To investigate the bidirectional causal relationship between lipid and diabetic retinopathy(DR).Methods Data of genome-wide association study on lipid and DR were collected.The bidirectional Mendelian randomization(MR)of two samples was performed by inverse variance weighted method,MR-Egger regression method and weighted median method.Cochran's Q test was used to check the heterogeneity of the results and the MR-Egger regression method to evaluate of the results.Results The results of inverse variance weighted method showed that phosphatidylethanolamine(16:0_18:2)(OR=0.916,95%CI:0.864~0.971,P=0.003,PFDR=0.174)and triacylglycerol 50:2(OR=0.850,95%CI:0.760~0.952,P=0.005,PFDR=0.174)decreased the risk of DR.The results of reverse MR analysis showed that DR was causally associated with increased diglycerol(16:0_18:2)(OR=1.064,95%CI:1.021~1.109,P=0.003,PFDR=0.194)and triacylglycerol 50:1(OR=1.067,95%CI:1.026~1.109,P=0.001,PFDR=0.194).The results of various MR methods were basically consistent,and the results of sensitivity analysis showed that the above results were consistent and reliable.Conclusion Phosphatidylethanolamine(16:0_18:2)and triacylglycerol 50:2 have negative causal associations with the risk of DR,while DR has positive causal effects on diglycerol(16:0_18:2)and triacylglycerol 50:1.
Key wordslipid    Diabetic retinopathy    Mendelian randomization    Causal inference
收稿日期: 2024-03-14     
PACS:  R587.1  
基金资助:南充市市校合作科研专项(22SXQT0128); 川北医学院大学生创新创业训练计划项目(XJ202310634335)
通讯作者: 刘行海   
引用本文:   
王鑫, 刘行海. 脂质与糖尿病视网膜病变因果关系的孟德尔随机化分析[J]. 哈尔滨医药, 2024, 44(4): 37-40.
Wang Xin, Liu Xinghai. A Mendelian Randomization Analysis on the Causal Associations between Lipids and Diabetic Retinopathy. journal1, 2024, 44(4): 37-40.
链接本文:  
http://www.hrbyybjb.org.cn/CN/10.3969/j.issn.1001-8131.2024.04.011     或     http://www.hrbyybjb.org.cn/CN/Y2024/V44/I4/37
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