氮氧化物与维生素D的孟德尔随机化研究

Mendelian Randomization Study of Nitrogen Oxides and Vitamin D

  • 摘要: 近期研究揭示了氮氧化物(NOx)浓度与25-羟基维生素D〔25(OH)D〕浓度之间的关联,但二者之间的因果关系尚不清楚。因此,通过IEU Open GWAS数据库,获取了英国生物样本库(MRC-IEU)的全基因组关联研究(GWAS)数据,选择相互独立且与NOx密切相关的遗传位点作为工具变量(IVs),以逆方差加权法(Inverse variance weighted)为主要方法,加权中位数模型(Weighted median)、孟德尔随机化Egger法(MR-Egger)以及简单模型(Simple mode)和加权模型(Weight mode)为补充方法进行两样本孟德尔随机化(two-sample Mendelian Randomization, TSMR)研究,将比值比(OR值)作为评价指标分析NOx浓度与25(OH)D浓度之间的因果关系。结果表明:①经过严格的筛选和评估,最终选择了7个SNP作为工具变量。逆方差加权法显示,NOx暴露浓度与25(OH)D浓度之间存在潜在的因果关系(P<0.01),且该方法的OR值为0.74(95%CI:0.62~0.87),进一步证实了NOx暴露浓度与25(OH)D浓度之间呈负相关。②对孟德尔随机化分析结果进行了全面检验,包括多效性检验、异质性检验以及逐个剔除检验。孟德尔随机化Egger法可以用来评估工具变量的多效性和异质性,多效性检验结果显示截距项为−0.004 1(P=0.53),异质性检验结果得出P值为0.07。剔除某个工具变量后,其他工具变量估算出来的孟德尔随机化结果与总结果差异不大,这些检验结果说明NOx浓度与25(OH)D浓度之间的负相关性是稳健的。研究显示,NOx浓度与25(OH)D浓度之间呈负相关,NOx可能增加欧洲人群血清中25(OH)D浓度下降的风险,未来研究应进一步探究NOx降低人群25(OH)D的具体机制,并评估其对人体健康可能产生的长远影响。

     

    Abstract: Recent studies have revealed an association between nitrogen oxide (NOx) concentrations and 25-hydroxyvitamin D (25(OH)D) concentrations; however, the causal relationship between them remains unclear. To investigate this further, we utilized data from the British Biobank (MRC-IEU) with the IEU Open GWAS database. Genetic loci that were independently and strongly associated with nitrogen oxides were selected as instrumental variables (IVs). The inverse variance weighting method (IVW) was employed as the primary approach, complemented by a weighted median model, MR-Egger regression, a simple model, and a weighted model within a two-sample Mendelian randomization (TSMR) framework. The odds ratio (OR) was used as an evaluation index to study their causal relationship. The results showed that: (1) After rigorous screening and evaluation, we selected seven nucleotide polymorphisms (SNPs) as instrumental variables. The IVW method indicated a potential causal relationship between nitrogen oxide exposure and 25-hydroxyvitamin D concentrations (P<0.01), with an odds ratio (OR) of 0.74 (95% CI: 0.62-0.87). This further confirms a negative correlation between nitrogen oxide exposure and 25-hydroxyvitamin D concentrations. (2) A comprehensive examination of the results of the Mendelian randomization analysis included multiple testing, heterogeneity testing, and stepwise exclusion testing. The Mendelian randomization Egger method was used to evaluate the multivariate effects and heterogeneity of the instrumental variable. The results of the multiple testing showed that the intercept term was -0.0041 (P=0.53), and the heterogeneity test yielded a P value of 0.07. After excluding one instrumental variable, the estimated Mendelian randomization results for the remaining instrumental variables were not significantly different from the overall results. These findings indicate that the negative correlation between nitrogen oxides and 25-hydroxyvitamin D concentration is robust. Overall, these results suggest that nitrogen oxide exposure may increase the risk of decreased serum 25-hydroxyvitamin D levels in European populations. Future research should focus on exploring the specific mechanisms underlying this relationship and assessing its potential long-term impact on human health.

     

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