实用临床医药杂志2024，Vol.28Issue(19)：55-59,67,6.DOI:10.7619/jcmp.20242091
社会压力与耳鸣发病之间因果关系的孟德尔随机化研究
A Mendelian randomization study on the causal association between social stress and tinnitus onset
摘要
Abstract
Objective To explore the causal relationship between social stress and tinnitus onset using a two-sample Mendelian randomization approach.Methods Genetic data pertaining to social stress and tinnitus were extracted from genome-wide association studies(GWAS)databases.Single nu-cleotide polymorphisms(SNP)that were independent and strongly correlated with social stress were se-lected as instrumental variables,with tinnitus serving as the outcome variable.Mendelian randomization analyses were performed using inverse-variance weighted(IVW)method,weighted median method,and Mendelian randomization-Egger regression.The intercept term from Mendelian randomization-Egger re-gression was utilized to assess horizontal pleiotropy,Cochran's Q statistic was employed to evaluate het-erogeneity,and leave-one-out analysis was conducted for sensitivity assessment.Results The social stress dataset encompassed 459,742 samples,while the tinnitus dataset comprised 117,882 samples.A total of 10 SNPs tightly associated with social stress were identified as instrumental variables.The a-nalysis results of random-effects inverse variance weighting(IVW),weighted median method,and Mendelian randomization-Egger regression were similar(OR=1.251,1.274,1.438),indicating that social stress was a risk factor for tinnitus,and there was a positive causal effect between them,with no heterogeneity or pleiotropy in the results.Conclusion There is a causal relationship between social stress and tinnitus onset,which may offer novel perspectives for the clinical prevention and treatment of tinnitus in the future.关键词
社会压力/耳鸣/孟德尔随机化/因果关系/谷氨酸/N-甲基-D-天冬氨酸受体Key words
social stress/tinnitus/Mendelian randomization/causal relationship/glutamate/N-methyl-D-aspartate receptor分类
医药卫生引用本文复制引用
朱静欣,马锐,柴泽锟,董雨然,王乐..社会压力与耳鸣发病之间因果关系的孟德尔随机化研究[J].实用临床医药杂志,2024,28(19):55-59,67,6.基金项目
国家自然科学基金项目(82374275) （82374275）
