评估动脉粥样硬化对椎间盘退化风险的因果影响

IF 3.4 3区 医学 Q1 ORTHOPEDICS
JOR Spine Pub Date : 2024-03-04 DOI:10.1002/jsp2.1319
Yang-Ting Cai, Xian-Xing Zhong, Ling Mo, Rui-Ze Huang, Qiang Lin, Cai-Jun Liu, Shun-Cong Zhang
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引用次数: 0

摘要

背景 椎间盘退变(IDD)和动脉粥样硬化是两种常见的与年龄有关的疾病,可导致严重的发病率。虽然以前的研究表明这两种疾病之间存在关联,但这种关联的性质仍不清楚。 方法 我们采用孟德尔随机法(MR)研究 IDD 和动脉粥样硬化之间的因果关系。我们利用大型全基因组关联研究(GWAS)的汇总统计数据确定了与 IDD 相关的遗传变异。然后将这些变异作为工具变量,从另一项全基因组关联研究的汇总统计中推断与动脉粥样硬化的因果关系。 结果 我们的磁共振分析为 IDD 与动脉粥样硬化之间的因果关系提供了证据。我们发现,动脉粥样硬化的遗传易感性与较高的 IDD 风险相关(比值比 [OR] = 3.55,95% 置信区间 [CI]:1.07-11.74,p = 0.04)。IVW估计值与观察结果和其他稳健的磁共振方法一致。敏感性分析表明,我们的研究结果对潜在的偏倚来源是稳健的。 结论 我们的研究为 IDD 与动脉粥样硬化之间的因果关系提供了证据,表明针对动脉粥样硬化的干预措施可能对降低 IDD 风险有益。还需要进一步的研究来探索将这两种疾病联系在一起的潜在机制,并调查潜在的治疗干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluating the causal effect of atherosclerosis on the risk of intervertebral disc degeneration

Evaluating the causal effect of atherosclerosis on the risk of intervertebral disc degeneration

Background

Intervertebral disc degeneration (IDD) and atherosclerosis are two common age-related conditions that can cause significant morbidity. While previous studies have suggested an association between the two conditions, the nature of this association remains unclear.

Methods

We used Mendelian randomization (MR) to investigate the causal relationship between IDD and atherosclerosis. We identified genetic variants associated with IDD using summary statistics from a large genome-wide association study (GWAS). These variants were then used as instrumental variables to infer causal relationships with atherosclerosis in summary statistics from a separate GWAS.

Results

Our MR analysis provided evidence for a causal relationship between IDD and atherosclerosis. We found that the genetic predisposition to atherosclerosis was associated with a higher risk of IDD (odds ratio [OR] = 3.55, 95% confidence interval [CI]: 1.07–11.74, p = 0.04). The IVW estimates were consistent with the observational findings and other robust MR methods. Sensitivity analyses suggested that our findings were robust to potential sources of bias.

Conclusions

Our study provides evidence for a causal link between IDD and atherosclerosis, suggesting that interventions targeting atherosclerosis could have potential benefits for reducing the risk of IDD. Further research is needed to explore the underlying mechanisms that link these two conditions and to investigate potential therapeutic interventions.

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来源期刊
JOR Spine
JOR Spine ORTHOPEDICS-
CiteScore
6.40
自引率
18.90%
发文量
42
审稿时长
10 weeks
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