genome-wide association studies (GWAS)

全基因组关联研究 (GWAS)
  • 文章类型: Journal Article
    Subclinical ketosis (SCK) is a prevalent metabolic disorder that occurs during the transition to lactation period. It is defined as a high blood concentration of ketone bodies (beta-hydroxybutyric acid f ≥ 1.2 mmol/L) within the first few weeks of lactation, and often presents without clinical signs. SCK is mainly caused by negative energy balance (NEB). The objective of this study is to identify single nucleotide polymorphisms (SNPs) associated with SCK using genome-wide association studies (GWAS), and to predict the biological functions of proximal genes using gene-set enrichment analysis (GSEA). Blood samples were collected from 112 Holstein cows between 5 and 18 days postpartum to determine the incidence of SCK. Genomic DNA extracted from both SCK and healthy cows was examined using the Illumina Bovine SNP50K BeadChip for genotyping. GWAS revealed 194 putative SNPs and 163 genes associated with those SNPs. Additionally, GSEA showed that the genes retrieved by Database for Annotation, Visualization, and Integrated Discovery (DAVID) belonged to calcium signaling, starch and sucrose, immune network, and metabolic pathways. Furthermore, the proximal genes were found to be related to germ cell and early embryo development. In summary, this study proposes several feasible SNPs and genes associated with SCK through GWAS and GSEA. These candidates can be utilized in selective breeding programs to reduce the genetic risk for SCK and subfertility in high-performance dairy cows.
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  • 文章类型: Journal Article
    肌肉减少症是一种进行性年龄相关的肌肉疾病,其特征是肌肉力量低,数量和质量,和低物理性能。这些亚型之间的临床重叠(肌肉力量降低,数量和质量,和物理性能)得到了证明,但是遗传重叠的研究仍然很少。在这里,我们调查了在寻找该疾病更有效的分子标记时,少肌症亚型之间是否存在遗传重叠.为此,a生物信息学方法用于识别和表征基因组上的多效性效应,使用全基因组关联研究结果的基因座和基因水平。因此,步态速度和肌肉力量之间存在高度遗传相关性(rG=0.5358,p=3.39×10-8)。使用多效性信息的条件和结合错误发现率方法,我们确定了两个多效性位点,用于肌肉力量和步态速度,其中一个在PHACTR1基因附近。此外,鉴定了11个多效性基因座和25个基因的肌肉质量和肌肉力量。最后,使用基于基因的GWAS方法,在三个肌肉减少亚型的重叠中鉴定出三个候选基因:FTO,RPS10和CALCR。目前的研究提供了肌少症亚型之间遗传重叠和多效性的证据,并强调了与肌少症风险相关的新候选基因和分子标记。
    Sarcopenia is a progressive age-related muscle disease characterized by low muscle strength, quantity and quality, and low physical performance. The clinical overlap between these subphenotypes (reduction in muscle strength, quantity and quality, and physical performance) was evidenced, but the genetic overlap is still poorly investigated. Herein, we investigated whether there is a genetic overlap amongst sarcopenia subphenotypes in the search for more effective molecular markers for this disease. For that, a Bioinformatics approach was used to identify and characterize pleiotropic effects at the genome, loci and gene levels using Genome-wide association study results. As a result, a high genetic correlation was identified between gait speed and muscle strength (rG=0.5358, p=3.39 × 10-8). Using a Pleiotropy-informed conditional and conjunctional false discovery rate method we identified two pleiotropic loci for muscle strength and gait speed, one of them was nearby the gene PHACTR1. Moreover, 11 pleiotropic loci and 25 genes were identified for muscle mass and muscle strength. Lastly, using a gene-based GWAS approach three candidate genes were identified in the overlap of the three Sarcopenia subphenotypes: FTO, RPS10 and CALCR. The current study provides evidence of genetic overlap and pleiotropy among sarcopenia subphenotypes and highlights novel candidate genes and molecular markers associated with the risk of sarcopenia.
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  • 文章类型: Journal Article
    线性混合模型(LMM)是全基因组关联研究(GWAS)的常用方法,旨在检测个体群体中遗传标记和表型测量之间的关联,同时考虑群体结构和隐秘的相关性。在标准GWAS中,进行了数十万到数百万次的统计测试,需要控制多个假设检验。通常,惩罚所执行测试数量的静态校正用于控制家庭错误率,这是使至少一个假阳性的概率。然而,研究表明,在实践中,该阈值对于正态分布表型过于保守,对于非正态分布表型不够严格.因此,最近提出了基于置换的LMM方法,以提供考虑表型分布的更现实的阈值。在这项工作中,我们将讨论基于排列的GWAS方法的优势,包括对AraPheno数据库中所有公开的拟南芥表型进行重新分析的新模拟和结果。
    Linear mixed models (LMMs) are a commonly used method for genome-wide association studies (GWAS) that aim to detect associations between genetic markers and phenotypic measurements in a population of individuals while accounting for population structure and cryptic relatedness. In a standard GWAS, hundreds of thousands to millions of statistical tests are performed, requiring control for multiple hypothesis testing. Typically, static corrections that penalize the number of tests performed are used to control for the family-wise error rate, which is the probability of making at least one false positive. However, it has been shown that in practice this threshold is too conservative for normally distributed phenotypes and not stringent enough for non-normally distributed phenotypes. Therefore, permutation-based LMM approaches have recently been proposed to provide a more realistic threshold that takes phenotypic distributions into account. In this work, we will discuss the advantages of permutation-based GWAS approaches, including new simulations and results from a re-analysis of all publicly available Arabidopsis thaliana phenotypes from the AraPheno database.
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  • 文章类型: Journal Article
    内皮功能障碍与脑血管病理和阿尔茨海默病(AD)有关。然而,循环内皮细胞与AD风险之间的联系仍不确定.目的是利用Framingham心脏研究的数据来研究各种循环内皮亚型及其与AD风险的潜在相关性。
    该研究使用Cox比例风险回归和线性回归方法进行了数据分析。此外,进行了全基因组关联研究(GWAS)以进一步探索数据.
    在11种不同的循环内皮亚型中,发现仅循环中表达CD34+CD133+的内皮祖细胞(EPCs)与AD风险降低呈负相关性和剂量依赖性.即使在调整了年龄后,这种联系仍然存在,性别,多年的教育,载脂蛋白E(APOE)ε4状态,和各种血管疾病。特别值得注意的是在高血压和脑微出血的个体中观察到的显着关联。始终如一,CD34+CD133+EPCs与特定脑区呈正相关,例如与白质和海马体积增加相关的循环CD34+CD133+细胞比例更高。此外,一项GWAS研究揭示了CD34+CD133+细胞对两个干细胞相关基因变异的纯合基因型个体的AD风险的影响:kirre样nephrin家族粘附分子3(KIRREL3,rs580382CC和rs4144611TT)和外囊复合物6B(EXOC6B,rs61619102CC)。
    研究结果表明,循环CD34+CD133+EPCs具有保护作用,可能为AD提供新的治疗途径,尤其是在具有血管病理学和携带KIRREL3和EXOC6B基因的特定基因型的个体中。
    UNASSIGNED: Endothelial dysfunction has been associated with both cerebrovascular pathology and Alzheimer\'s disease (AD). However, the connection between circulating endothelial cells and the risk of AD remains uncertain. The objective was to leverage data from the Framingham Heart Study to investigate various circulating endothelial subtypes and their potential correlations with the risk of AD.
    UNASSIGNED: The study conducted data analyses using Cox proportional hazard regression and linear regression methods. Additionally, genome-wide association study (GWAS) was carried out to further explore the data.
    UNASSIGNED: Among the eleven distinct circulating endothelial subtypes, only circulating endothelial progenitor cells (EPCs) expressing CD34+CD133+ were found to be negatively and dose-dependently associated with reduced AD risk. This association persisted even after adjusting for age, sex, years of education, apolipoprotein E (APOE) ε4 status, and various vascular diseases. Particularly noteworthy was the significant association observed in individuals with hypertension and cerebral microbleeds. Consistently, positive associations were identified between CD34+CD133+ EPCs and specific brain regions, such as higher proportions of circulating CD34+CD133+ cells correlating with increased volumes of white matter and the hippocampus. Additionally, a GWAS study unveiled that CD34+CD133+ cells influenced AD risk specifically in individuals with homozygous genotypes for variants in two stem cell-related genes: kirre like nephrin family adhesion molecule 3 (KIRREL3, rs580382 CC and rs4144611 TT) and exocyst complex component 6B (EXOC6B, rs61619102 CC).
    UNASSIGNED: The findings suggest that circulating CD34+CD133+ EPCs possess a protective effect and may offer a new therapeutic avenue for AD, especially in individuals with vascular pathology and those carrying specific genotypes of KIRREL3 and EXOC6B genes.
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  • 文章类型: Journal Article
    大麦是世界上最重要的谷类作物之一,它作为食物的价值不断被揭示,因此,大麦种质资源的研究和利用对全球粮食安全非常重要。尽管在全球范围内收集了大量的大麦种质样本,它们的特定遗传组成还没有被很好地理解,在许多情况下,它们的起源甚至有争议。在这项研究中,利用基因分型测序(GBS)技术对上海农业基因库的183份大麦种质样品进行基因分型,识别SNP并估计其遗传参数,进行了主成分分析(PCA),并分析了样本的系统发育树和种群结构。此外,进行了全基因组关联研究(GWAS),使用相关的SNP开发了KASP标记。结果表明,共鉴定出181,906个SNP,根据系统发育分析,这些大麦种质样本可以大致分为三类,这与行型和皮壳/裸粒性状的分类基本一致。种群结构分析表明,整个大麦种群可分为4个亚种群,与以前分类的主要区别在于,两排和去壳基因型被细分为两个SP。壳/裸性状的GWAS分析表明,许多相关基因座与Nud/nud基因座无关,表明可能有新的基因座控制该性状。为染色体7上的一个外显子型SNP开发了KASP标记。基于KASP分析的基因分型与基于SNP的基因分型一致,表明该基因座的基因可能与皮壳/裸露性状有关。以上工作不仅为该大麦种质种群的未来利用奠定了良好的基础,而且为壳/裸性状提供了新的基因座和候选基因。
    Barley is one of the most important cereal crops in the world, and its value as a food is constantly being revealed, so the research into and the use of barley germplasm are very important for global food security. Although a large number of barley germplasm samples have been collected globally, their specific genetic compositions are not well understood, and in many cases their origins are even disputed. In this study, 183 barley germplasm samples from the Shanghai Agricultural Gene Bank were genotyped using genotyping-by-sequencing (GBS) technology, SNPs were identified and their genetic parameters were estimated, principal component analysis (PCA) was preformed, and the phylogenetic tree and population structure of the samples were also analyzed. In addition, a genome-wide association study (GWAS) was carried out for the hulled/naked grain trait, and a KASP marker was developed using an associated SNP. The results showed that a total of 181,906 SNPs were identified, and these barley germplasm samples could be roughly divided into three categories according to the phylogenetic analysis, which was generally consistent with the classification of the traits of row type and hulled/naked grain. Population structure analysis showed that the whole barley population could be divided into four sub-populations (SPs), the main difference from previous classifications being that the two-rowed and the hulled genotypes were sub-divided into two SPs. The GWAS analysis of the hulled/naked trait showed that many associated loci were unrelated to the Nud/nud locus, indicating that there might be new loci controlling the trait. A KASP marker was developed for one exon-type SNP on chromosome 7. Genotyping based on the KASP assay was consistent with that based on SNPs, indicating that the gene of this locus might be associated with the hulled/naked trait. The above work not only lays a good foundation for the future utilization of this barley germplasm population but it provides new loci and candidate genes for the hulled/naked trait.
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  • 文章类型: Journal Article
    斑秃(AA)和白癜风是不同的,异质,和复杂的疾病实体,其特点是无疤痕的头皮终端脱发和皮肤色素损失,分别。在AA,炎症细胞浸润在靠近毛球(蜂群)的深层网状真皮中,而在白癜风中,炎性浸润在表皮和乳头状真皮中。免疫特权崩溃在AA发病机制中已被广泛研究,包括抑制免疫调节因子(例如,转化生长因子-β(TGF-β),程序性死亡配体1(PDL1),白细胞介素-10(IL-10),α-黑素细胞刺激素(α-MSH),和巨噬细胞迁移抑制因子(MIF)),并增强了整个毛囊中主要组织相容性复合物(MHC)的表达。然而,免疫特权崩溃在白癜风中的探索仍然较少。AA和白癜风都是自身免疫性疾病,在发病机制上有共同之处。包括浆细胞样树突状细胞(和干扰素-α(IFN-α)信号通路)和细胞毒性CD8+T淋巴细胞(和激活的IFN-γ信号通路)的参与。血液趋化因子C-X-C基序配体9(CXCL9)和CXCL10在两种疾病中均升高。导致AA和白癜风的常见因素包括氧化应激,自噬,2型细胞因子,和Wnt/β-catenin途径(例如,dickkopf1(DKK1))。这里,我们总结了AA和白癜风之间的共同点和区别,专注于他们的发病机制。
    Both alopecia areata (AA) and vitiligo are distinct, heterogenous, and complex disease entities, characterized by nonscarring scalp terminal hair loss and skin pigment loss, respectively. In AA, inflammatory cell infiltrates are in the deep reticular dermis close to the hair bulb (swarm of bees), whereas in vitiligo the inflammatory infiltrates are in the epidermis and papillary dermis. Immune privilege collapse has been extensively investigated in AA pathogenesis, including the suppression of immunomodulatory factors (e.g., transforming growth factor-β (TGF-β), programmed death-ligand 1 (PDL1), interleukin-10 (IL-10), α-melanocyte-stimulating hormone (α-MSH), and macrophage migration inhibitory factor (MIF)) and enhanced expression of the major histocompatibility complex (MHC) throughout hair follicles. However, immune privilege collapse in vitiligo remains less explored. Both AA and vitiligo are autoimmune diseases that share commonalities in pathogenesis, including the involvement of plasmacytoid dendritic cells (and interferon-α (IFN- α) signaling pathways) and cytotoxic CD8+ T lymphocytes (and activated IFN-γ signaling pathways). Blood chemokine C-X-C motif ligand 9 (CXCL9) and CXCL10 are elevated in both diseases. Common factors that contribute to AA and vitiligo include oxidative stress, autophagy, type 2 cytokines, and the Wnt/β-catenin pathway (e.g., dickkopf 1 (DKK1)). Here, we summarize the commonalities and differences between AA and vitiligo, focusing on their pathogenesis.
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  • 文章类型: Journal Article
    阿尔茨海默病(AD)是一种复杂的疾病,是导致老年人痴呆的主要原因。我们旨在通过整合DNA甲基化和遗传数据来揭示AD发病机制的某些方面,这些方面可能有助于药物的再利用。实施基于网络的工具,全基因组关联研究(dmGWAS)的密集模块搜索,我们整合了大规模GWAS数据集和DNA甲基化数据,以鉴定与AD相关的基因网络模块.我们的分析产生了286个重要的基因网络模块。值得注意的是,最重要的模块包括BIN1基因,显示最大的GWAS信号,和GNAS基因,最显著的高甲基化。我们对dmGWAS模块中排名前10%的基因进行了基于Web的细胞类型特异性富集分析(WebCSEA)。强调单核细胞是最重要的细胞类型(p<5×10-12)。功能富集分析揭示了与AD病理学相关的基因本体论生物过程术语(调整后的p<0.05)。此外,药物靶标富集确定了5个FDA批准的靶标(p值=0.03)用于进一步研究.总之,遗传和表观遗传信号的dmGWAS整合揭示了与AD相关的新基因相互作用,为未来的研究提供了有希望的途径。
    Alzheimer\'s Disease (AD) is a complex disease and the leading cause of dementia in older people. We aimed to uncover aspects of AD\'s pathogenesis that may contribute to drug repurposing efforts by integrating DNA methylation and genetic data. Implementing the network-based tool, a dense module search of genome-wide association studies (dmGWAS), we integrated a large-scale GWAS dataset with DNA methylation data to identify gene network modules associated with AD. Our analysis yielded 286 significant gene network modules. Notably, the foremost module included the BIN1 gene, showing the largest GWAS signal, and the GNAS gene, the most significantly hypermethylated. We conducted Web-based Cell-type-Specific Enrichment Analysis (WebCSEA) on genes within the top 10% of dmGWAS modules, highlighting monocyte as the most significant cell type (p < 5 × 10-12). Functional enrichment analysis revealed Gene Ontology Biological Process terms relevant to AD pathology (adjusted p < 0.05). Additionally, drug target enrichment identified five FDA-approved targets (p-value = 0.03) for further research. In summary, dmGWAS integration of genetic and epigenetic signals unveiled new gene interactions related to AD, offering promising avenues for future studies.
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  • 文章类型: Journal Article
    毛状体模式(数量和分布)的自然变化在许多被子植物的种群中很明显。然而,在不同物种中,这种多样性的遗传机制及其环境驱动因素的平行程度尚不清楚。为了解决这些问题,我们分析了肉豆蔻叶片毛状体模式多样性的基因组和环境基础,拟南芥(拟南芥)的亲戚。我们对123个野生种质的基因组多样性进行了鉴定,不同温度下的叶毛形态,和环境调整。核苷酸多样性和生物地理分布模型确定了两个具有不同人口统计学和适应性历史的主要遗传谱系。此外,C.hirsuta显示出毛状体模式和对温度的可塑性。C.hirsuta中的毛质数量与春季降水呈正相关,而与温度呈负相关,这与拟南芥的气候模式相反。相反,C.hirsuta无毛种质的遗传分析表明,比如A.thaliana,glabrousness是由ChGLABRA1(ChGL1)中的无效突变引起的。表型全基因组关联研究(GWAS)进一步鉴定了与低毛状体密度和ChGL1表达相关的ChGL1单倍群。因此,ChGL1系列的无效和部分功能丧失等位基因解释了C.hirsuta和A.thaliana中叶片毛状体模式的平行进化。最后,GWAS还检测到可能影响毛状体模式的其他候选基因(例如ChETC3、ChCLE17)。因此,在C.hirsuta和A.thaliana中,该性状的进化显示出部分保守的遗传机制,但可能参与对不同环境的适应。
    Natural variation in trichome pattern (amount and distribution) is prominent among populations of many angiosperms. However, the degree of parallelism in the genetic mechanisms underlying this diversity and its environmental drivers in different species remain unclear. To address these questions, we analyzed the genomic and environmental bases of leaf trichome pattern diversity in Cardamine hirsuta, a relative of Arabidopsis (Arabidopsis thaliana). We characterized 123 wild accessions for their genomic diversity, leaf trichome patterns at different temperatures, and environmental adjustments. Nucleotide diversities and biogeographical distribution models identified two major genetic lineages with distinct demographic and adaptive histories. Additionally, C. hirsuta showed substantial variation in trichome pattern and plasticity to temperature. Trichome amount in C. hirsuta correlated positively with spring precipitation but negatively with temperature, which is opposite to climatic patterns in A. thaliana. Contrastingly, genetic analysis of C. hirsuta glabrous accessions indicated that, like for A. thaliana, glabrousness is caused by null mutations in ChGLABRA1 (ChGL1). Phenotypic genome-wide association studies (GWAS) further identified a ChGL1 haplogroup associated with low trichome density and ChGL1 expression. Therefore, a ChGL1 series of null and partial loss-of-function alleles accounts for the parallel evolution of leaf trichome pattern in C. hirsuta and A. thaliana. Finally, GWAS also detected other candidate genes (e.g. ChETC3, ChCLE17) that might affect trichome pattern. Accordingly, the evolution of this trait in C. hirsuta and A. thaliana shows partially conserved genetic mechanisms but is likely involved in adaptation to different environments.
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  • 文章类型: Journal Article
    木薯褐条病(CBSD)对粮食安全构成重大威胁。为了应对这一挑战,我们使用PlantCV从320个克隆中提取CBSD根坏死图像性状,目的是通过全基因组关联研究(GWAS)和候选基因来识别基因组区域。结果表明,某些根坏死图像特征之间存在很强的相关性,如坏死面积分数和坏死宽度分数,以及牙根坏死的凸包面积和坏死的百分比之间。从1-5评分方法获得的CBSD评分与所有根坏死性状之间的相关性较低。根坏死图像特征的广义遗传力估计范围从低到中等,观察到的坏死百分比的最高估计值为0.42,虽然狭义遗传力一直很低,范围从0.03到0.22。利用通过DArT基因分型获得的30,750个SNP的数据,鉴定了1号、7号和11号染色体上的8个SNP,这些SNP与根坏死的椭圆偏心率和通过GWAS的坏死百分比有关。1号染色体172.2kb区域的候选基因分析揭示了24个具有不同功能的潜在基因,包括泛素蛋白连接酶,DNA结合转录因子,和RNA代谢蛋白,在其他人中。尽管我们最初期望图像分析的客观性将产生更好的遗传力估计和更强的基因组关联比1-5评分方法,结果出乎意料地降低了。需要进一步研究以全面了解这些性状的遗传基础及其与木薯育种和疾病管理的相关性。
    Cassava brown streak disease (CBSD) poses a substantial threat to food security. To address this challenge, we used PlantCV to extract CBSD root necrosis image traits from 320 clones, with an aim of identifying genomic regions through genome-wide association studies (GWAS) and candidate genes. Results revealed strong correlations among certain root necrosis image traits, such as necrotic area fraction and necrotic width fraction, as well as between the convex hull area of root necrosis and the percentage of necrosis. Low correlations were observed between CBSD scores obtained from the 1-5 scoring method and all root necrosis traits. Broad-sense heritability estimates of root necrosis image traits ranged from low to moderate, with the highest estimate of 0.42 observed for the percentage of necrosis, while narrow-sense heritability consistently remained low, ranging from 0.03 to 0.22. Leveraging data from 30,750 SNPs obtained through DArT genotyping, eight SNPs on chromosomes 1, 7, and 11 were identified and associated with both the ellipse eccentricity of root necrosis and the percentage of necrosis through GWAS. Candidate gene analysis in the 172.2kb region on the chromosome 1 revealed 24 potential genes with diverse functions, including ubiquitin-protein ligase, DNA-binding transcription factors, and RNA metabolism protein, among others. Despite our initial expectation that image analysis objectivity would yield better heritability estimates and stronger genomic associations than the 1-5 scoring method, the results were unexpectedly lower. Further research is needed to comprehensively understand the genetic basis of these traits and their relevance to cassava breeding and disease management.
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  • 文章类型: Journal Article
    观察性研究的证据表明慢性乙型肝炎(CHB)与心血管疾病(CVD)有关。然而,结果不一致,因果关系尚待确定。我们利用两个样本孟德尔随机化(MR)来调查CHB和CVD之间的潜在因果关联,包括动脉粥样硬化,冠心病,高血压,和缺血性中风。
    分析是通过全基因组关联研究(GWAS)进行的,考虑慢性乙型肝炎作为暴露和心血管疾病作为终点。在此分析中,评估因果关系的主要方法是逆方差加权(IVW)技术。此外,我们采用了加权中位数,MR-Egger回归,加权模式,和补充分析的简单模式方法。最后,异质性测试,敏感性分析,并进行了多重效应分析。
    在随机效应IVW分析中,我们发现慢性乙型肝炎的遗传易感性与动脉粥样硬化风险增加相关[OR=1.048,95%CI(1.022-1.075),P=3.08E-04],以及冠心病风险增加[OR=1.039,95%CI(1.006-1.072),P=0.020]。然而,与缺血性卒中风险呈负相关[OR=0.972,95%CI(0.957-0.988),P=4.13E-04]。没有证据表明慢性乙型肝炎与高血压相关[OR=1.021,95%CI(0.994-1.049),P=0.121]。
    我们的研究表明,慢性乙型肝炎与发展动脉粥样硬化和冠心病的风险升高有关,而与缺血性卒中风险降低相关。
    UNASSIGNED: Evidence from observational studies suggests that chronic hepatitis B (CHB) is associated with cardiovascular disease (CVD). However, results have been inconsistent and causality remains to be established. We utilized two-sample Mendelian randomization (MR) to investigate potential causal associations between CHB and CVD, including atherosclerosis, coronary heart disease, hypertension, and ischemic stroke.
    UNASSIGNED: The analysis was conducted through genome-wide association studies (GWAS), considering chronic hepatitis B as the exposure and cardiovascular disease as the endpoint. The primary method for evaluating causality in this analysis was the inverse-variance weighted (IVW) technique. Additionally, we employed the weighted median, MR-Egger regression, weighted mode, and simple mode methods for supplementary analyses. Finally, heterogeneity tests, sensitivity analyses, and multiple effects analyses were conducted.
    UNASSIGNED: In a random-effects IVW analysis, we found that genetic susceptibility to chronic hepatitis B was associated with an increased risk of atherosclerosis [OR = 1.048, 95% CI (1.022-1.075), P = 3.08E-04], as well as an increased risk of coronary heart disease [OR = 1.039, 95% CI (1.006-1.072), P = 0.020]. However, it was found to be inversely correlated with ischemic stroke risk [OR = 0.972, 95% CI (0.957-0.988), P = 4.13E-04]. There was no evidence that chronic hepatitis B was associated with hypertension [OR = 1.021, 95% CI (0.994-1.049), P = 0.121].
    UNASSIGNED: Our research indicates that chronic hepatitis B has a correlation with an elevated risk of developing atherosclerosis and coronary heart disease, while it is associated with a decreased risk of experiencing an ischemic stroke.
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