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15 pages, 4461 KiB  
Article
Identification of Candidate Lung Function-Related Plasma Proteins to Pinpoint Drug Targets for Common Pulmonary Diseases: A Comprehensive Multi-Omics Integration Analysis
by Yansong Zhao, Lujia Shen, Ran Yan, Lu Liu, Ping Guo, Shuai Liu, Yingxuan Chen, Zhongshang Yuan, Weiming Gong and Jiadong Ji
Curr. Issues Mol. Biol. 2025, 47(3), 167; https://doi.org/10.3390/cimb47030167 - 1 Mar 2025
Viewed by 174
Abstract
The genome-wide association studies (GWAS) of lung disease and lung function indices suffer from challenges to be transformed into clinical interventions, due to a lack of knowledge on the molecular mechanism underlying the GWAS associations. A proteome-wide association study (PWAS) was first performed [...] Read more.
The genome-wide association studies (GWAS) of lung disease and lung function indices suffer from challenges to be transformed into clinical interventions, due to a lack of knowledge on the molecular mechanism underlying the GWAS associations. A proteome-wide association study (PWAS) was first performed to identify candidate proteins by integrating two independent largest protein quantitative trait loci datasets of plasma proteins and four large-scale GWAS summary statistics of lung function indices (forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1/FVC and peak expiratory flow (PEF)), followed by enrichment analysis to reveal the underlying biological processes and pathways. Then, with a discovery dataset, we conducted Mendelian randomization (MR) and Bayesian colocalization analyses to select potentially causal proteins, followed by a replicated MR analysis with an independent dataset. Mediation analysis was also performed to explore the possible mediating role of these indices on the association between proteins and two common lung diseases (chronic obstructive pulmonary disease, COPD and Asthma). We finally prioritized the potential drug targets. A total of 210 protein–lung function index associations were identified by PWAS, and were significantly enriched in the pulmonary fibrosis and lung tissue repair. Subsequent MR and colocalization analysis identified 59 causal protein-index pairs, among which 42 pairs were replicated. Further mediation analysis identified 3 potential pathways from proteins to COPD or asthma mediated by FEV1/FVC. The mediated proportion ranges from 68.4% to 82.7%. Notably, 24 proteins were reported as druggable targets in Drug Gene Interaction Database, among which 8 were reported to interact with drugs, including FKBP4, GM2A, COL6A3, MAPK3, SERPING1, XPNPEP1, DNER, and FER. Our study identified the crucial plasma proteins causally associated with lung functions and highlighted potential mediating mechanism underlying the effect of proteins on common lung diseases. These findings may have an important insight into pathogenesis and possible future therapies of lung disorders. Full article
(This article belongs to the Special Issue Predicting Drug Targets Using Bioinformatics Methods)
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<p>Study Workflow. We conducted a comprehensive omics integration analysis under a cutting-edge analytic framework by sequential using PWAS, MR, and COLOC to identify the plasma proteins associated with lung function indices and explore the potential mediating mechanism underlying the effect of proteins on lung diseases. We first identified protein-index associations by PWAS, followed by enrichment analysis and PPI analysis to reveal the underlying biological processes and pathways. Then, we performed MR and COLOC to further identify proteins causally associated with lung function indices followed by replication analysis. Mediation analysis was further performed to investigate the mediating role of these indices regarding the association between proteins and common lung disorders. Finally, we prioritized the potential drug targets. Abbreviations: pQTL, protein quantitative trait loci; GWAS, genome-wide association studies; PWAS, proteome-wide association study; GO, Gene Ontology; KEGG, Kyoto Encyclopedia of Genes and Genomes; MR mendelian randomization; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; PEF, peak expiratory flow; COPD, chronic obstructive pulmonary disease; PPI, protein–protein interaction network.</p>
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<p>Results of PWAS and subsequent enrichment analysis. We identified a total of 210 protein-index associations and subsequently performed a gene set enrichment analysis using Metascape, with the top 20 significant GO terms or top 10 KEGG pathways displayed. (<b>a</b>) Manhattan plot for PWAS analysis of four lung function indices; (<b>b</b>) Bubble chart for GO enrichment analysis; (<b>c</b>) Bubble chart for KEGG enrichment analysis; (<b>d</b>) PPI with genes enriched in significant pathways. Abbreviations: FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; PEF, peak expiratory flow; PPI, Protein–protein interaction network.</p>
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<p>Results of the two-sample MR analysis. We used the ARIC data and deCODE data for discovery and replication analysis, respectively. The forest plot is utilized to illustrate the β values, <span class="html-italic">p</span>-values, and confidence intervals of mendelian randomization. FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; PEF, peak expiratory flow; IVW, inverse variance weighted method.</p>
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<p>Mediation effects of protein on lung diseases via lung function indices. Mediation analyses to quantify the effects of three proteins on lung diseases via lung function indices. (<b>a</b>) EFEMP1 effect on COPD mediated by FEV1/FVC; (<b>b</b>) MARK3 effect on asthma mediated by FEV1/FVC; (<b>c</b>) NPNT effect on COPD mediated by FEV1/FVC. <math display="inline"><semantics> <mrow> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>E</mi> <mi>M</mi> </mrow> </msub> </mrow> </semantics></math> represents the effect of exposure on mediator, <math display="inline"><semantics> <mrow> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>M</mi> <mi>O</mi> </mrow> </msub> </mrow> </semantics></math> represents the effect of mediator on outcome, <math display="inline"><semantics> <mrow> <msub> <mrow> <mi>β</mi> </mrow> <mrow> <mi>E</mi> <mi>O</mi> </mrow> </msub> </mrow> </semantics></math> represents the total effect of exposure on outcome. IV, instrumental variable; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; COPD, chronic obstructive pulmonary disease.</p>
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15 pages, 2710 KiB  
Article
Healthy Lifestyle Behaviors Attenuate the Effect of Poor Sleep Patterns on Chronic Kidney Disease Risk: A Prospective Study from the UK Biobank
by Xia Lin, Jiali Lv, Shuai Zhang, Xiaoyan Ma, Xiaofeng Zhang, Cheng Wang and Tao Zhang
Nutrients 2024, 16(23), 4238; https://doi.org/10.3390/nu16234238 - 8 Dec 2024
Viewed by 1315
Abstract
Objectives: This study aimed to assess the impact of modifiable lifestyle behaviors on the association between sleep patterns and chronic kidney disease (CKD) risk. Methods: This study included 294,215 UK Biobank participants initially without CKD, followed until 13 October 2023. Sleep patterns were [...] Read more.
Objectives: This study aimed to assess the impact of modifiable lifestyle behaviors on the association between sleep patterns and chronic kidney disease (CKD) risk. Methods: This study included 294,215 UK Biobank participants initially without CKD, followed until 13 October 2023. Sleep patterns were derived from five sleep factors, including sleep duration, chronotype, insomnia, snoring, and daytime dozing. The healthy lifestyle score (HLS) was newly calculated based on smoking status, physical activity, diet, body mass index, and mental health. Cox’s proportional hazards models were used to assess the associations between sleep patterns, HLS, and CKD risk. Results: A total of 17,357 incident CKD cases were identified during a median follow-up of 14.5 (interquartile range: 13.7–15.3) years. Both sleep patterns and HLS were independently associated with increased CKD risk (p-trend < 0.001). Importantly, the HLS was found to modify the association between sleep patterns and CKD risk (p-interaction = 0.026). Among participants with a low HLS, medium (HR = 1.12; 95% CI 1.05–1.19) and poor sleep patterns (HR = 1.23; 95% CI 1.17–1.30) increased CKD risk to varying degrees, whereas no significant association was observed for a high HLS. Moreover, the combination of a low HLS and poor sleep pattern significantly increased the risk of incident CKD (HR = 2.19; 95% CI 2.00–2.40). Conclusions: A high HLS may significantly reduce CKD risk associated with poor sleep, whereas a low HLS may exacerbate this risk. These findings underscore the critical importance of lifestyle interventions as a primary prevention strategy for CKD. Full article
(This article belongs to the Section Nutrition Methodology & Assessment)
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<p>Study flow diagram. ACR = albumin–creatinine ratio; BMl = body mass index; CKD = chronic kidney disease; eGFR = estimated glomerular filtration rate; ICD10 = the International Classification of Diseases, 10th revision.</p>
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<p>The joint association of sleep patterns and HLS with CKD risk. CKD = chronic kidney disease; HLS = healthy lifestyle score; CI = confidence interval; HR = hazard ratio.</p>
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<p>Risk of incident CKD according to sleep patterns and HLS stratified by sociodemographic variables. (<b>A</b>) Risk of incident CKD according to sleep patterns and HLS stratified by age. (<b>B</b>) Risk of incident CKD according to sleep patterns and HLS stratified by sex. (<b>C</b>) Risk of incident CKD according to sleep patterns and HLS stratified by hypertension. (<b>D</b>) Risk of incident CKD according to sleep patterns and HLS stratified by diabetes. CKD = chronic kidney disease; HLS = healthy lifestyle score; CI = confidence interval; HR = hazard ratio.</p>
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16 pages, 9975 KiB  
Article
Pinpointing Novel Plasma and Brain Proteins for Common Ocular Diseases: A Comprehensive Cross-Omics Integration Analysis
by Qinyou Mo, Xinyu Liu, Weiming Gong, Yunzhuang Wang, Zhongshang Yuan, Xiubin Sun and Shukang Wang
Int. J. Mol. Sci. 2024, 25(19), 10236; https://doi.org/10.3390/ijms251910236 - 24 Sep 2024
Viewed by 1615
Abstract
The pathogenesis of ocular diseases (ODs) remains unclear, although genome-wide association studies (GWAS) have identified numerous associated genetic risk loci. We integrated protein quantitative trait loci (pQTL) datasets and five large-scale GWAS summary statistics of ODs under a cutting-edge systematic analytic framework. Proteome-wide [...] Read more.
The pathogenesis of ocular diseases (ODs) remains unclear, although genome-wide association studies (GWAS) have identified numerous associated genetic risk loci. We integrated protein quantitative trait loci (pQTL) datasets and five large-scale GWAS summary statistics of ODs under a cutting-edge systematic analytic framework. Proteome-wide association studies (PWAS) identified plasma and brain proteins associated with ODs, and 11 plasma proteins were identified by Mendelian randomization (MR) and colocalization (COLOC) analyses as being potentially causally associated with ODs. Five of these proteins (protein-coding genes ECI1, LCT, and NPTXR for glaucoma, WARS1 for age-related macular degeneration (AMD), and SIGLEC14 for diabetic retinopathy (DR)) are newly reported. Twenty brain-protein–OD pairs were identified by COLOC analysis. Eight pairs (protein-coding genes TOM1L2, MXRA7, RHPN2, and HINT1 for senile cataract, WARS1 and TDRD7 for AMD, STAT6 for myopia, and TPPP3 for DR) are newly reported in this study. Phenotype-disease mapping analysis revealed 10 genes related to the eye/vision phenotype or ODs. Combined with a drug exploration analysis, we found that the drugs related to C3 and TXN have been used for the treatment of ODs, and another eight genes (GSTM3 for senile cataract, IGFBP7 and CFHR1 for AMD, PTPMT1 for glaucoma, EFEMP1 and ACP1 for myopia, SIRPG and CTSH for DR) are promising targets for pharmacological interventions. Our study highlights the role played by proteins in ODs, in which brain proteins were taken into account due to the deepening of eye–brain connection studies. The potential pathogenic proteins finally identified provide a more reliable reference range for subsequent medical studies. Full article
(This article belongs to the Section Molecular Genetics and Genomics)
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<p>Flowchart. We through a cutting-edge systematic analytic framework, aimed to identify the proteins associated with five common ocular diseases, including senile cataract, glaucoma, AMD, myopia, and DR. The left side shows the specific methods used and the right side corresponds to the results of each method. Abbreviations: ARIC, Atherosclerosis Risk In Communities; AMD, Age-related macular degeneration; DR, Diabetic retinopathy; FDR, false discovery rate; OD, Ocular disease; pQTL, protein quantitative trait loci; ROS/MAP, Religious Orders Study/Memory and Aging Project.</p>
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<p>Manhattan plots of PWAS analysis for 5 ODs. (<b>A</b>) Plasma-protein–Senile cataract associations. (<b>B</b>) Brain-protein–Senile cataract associations. (<b>C</b>) Plasma-protein–AMD associations. (<b>D</b>) Brain-protein–AMD associations. (<b>E</b>) Plasma-protein–Glaucoma associations. (<b>F</b>) Brain-protein–Glaucoma associations. (<b>G</b>) Plasma-protein–Myopia associations. (<b>H</b>) Brain-protein–Myopia associations. (<b>I</b>) Plasma-protein–DR associations. (<b>J</b>) Brain-protein–DR associations. Each dot on the x-axis represents a gene, and the association strength on the y-axis represents the −log10 (<span class="html-italic">p</span>) of PWAS. Proteome-wide significance level was set at 0.05 which adjusted by false discovery rate (FDR). Genes that were proteome-wide significant in both plasma and brain proteomes are shown in red. Abbreviations: AMD, Age-related macular degeneration; DR, Diabetic retinopathy.</p>
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<p>Bubble plots for enrichment analysis and PPI network. (<b>A</b>) Bubble plots for GO enrichment analysis of plasma proteins. (<b>B</b>) Bubble plots for KEGG enrichment analysis of plasma proteins. The size of the dots indicates the number of target genes; different colors of the dots indicate different ranges of <span class="html-italic">p</span>-value. (<b>C</b>) PPI network of plasma proteins. (<b>D</b>) PPI network of brain proteins. Red line indicates the presence of fusion evidence. Green line indicates neighborhood evidence. Blue line indicates cooccurrence evidence. Purple line indicates experimental evidence. Yellow line indicates text-mining evidence. Light blue line indicates database evidence. Black line indicates co-expression evidence. Proteins labeled with Salmon pink indicate that they are enriched into the GO-term “extracellular matrix”. Proteins labeled with Vista blue indicate that they are enriched into the GO-term “collagen-containing extracellular matrix”. Proteins labeled with Celeste indicate that they are enriched into the GO-term “regulation of defense response”. Proteins labeled with Sunset indicate that they are enriched into the GO-term “lymphocyte-mediated immunity”. Proteins labeled with Lilac indicate they are enriched into the GO-term “activation of immune response”. Proteins labeled with Silver indicate that they are enriched into the GO-term “adaptive immune response”. Proteins labeled with Rosy brown indicate that they are enriched into the GO-term “adaptive immune response based on somatic recombination of immune receptors built from immunoglobulin superfamily domains”. Proteins labeled with Celadon indicate that they are enriched into the GO-term “sulfur compound binding”. Proteins labeled with Cream indicate that they are enriched into the GO-term “complement activation”. Proteins labeled with Violet indicate that they are enriched into the GO-term “complement activation, alternative pathway”. Proteins labeled with Cambridge blue indicate that they are enriched into the GO-term “glutathione binding”. Proteins labeled with White indicate that they are not enriched into GO terms.</p>
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<p>Forest plot of MR results for plasma-protein–OD pairs that have been tested for heterogeneity and pleiotropy. Abbreviations: ODs, Ocular diseases; AMD, Age-related macular degeneration; DR, Diabetic retinopathy; OR, Odds ratio; CI, Confidence Interval. Since the concentration of plasma-protein-coding genes <span class="html-italic">C3</span>, <span class="html-italic">PILRA,</span> and <span class="html-italic">RSPO3</span> were measured by multiple aptamers (SOMAmer) corresponding to multiple SeqIDs, several different forest plots/ORs were obtained.</p>
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15 pages, 2627 KiB  
Article
Multi-Omics Integration Analysis Pinpoint Proteins Influencing Brain Structure and Function: Toward Drug Targets and Neuroimaging Biomarkers for Neuropsychiatric Disorders
by Yunzhuang Wang, Sunjie Zhang, Weiming Gong, Xinyu Liu, Qinyou Mo, Lujia Shen, Yansong Zhao, Shukang Wang and Zhongshang Yuan
Int. J. Mol. Sci. 2024, 25(17), 9223; https://doi.org/10.3390/ijms25179223 - 25 Aug 2024
Viewed by 1904
Abstract
Integrating protein quantitative trait loci (pQTL) data and summary statistics from genome-wide association studies (GWAS) of brain image-derived phenotypes (IDPs) can benefit in identifying IDP-related proteins. Here, we developed a systematic omics-integration analytic framework by sequentially using proteome-wide association study (PWAS), Mendelian randomization [...] Read more.
Integrating protein quantitative trait loci (pQTL) data and summary statistics from genome-wide association studies (GWAS) of brain image-derived phenotypes (IDPs) can benefit in identifying IDP-related proteins. Here, we developed a systematic omics-integration analytic framework by sequentially using proteome-wide association study (PWAS), Mendelian randomization (MR), and colocalization (COLOC) analyses to identify the potentially causal brain and plasma proteins for IDPs, followed by pleiotropy analysis, mediation analysis, and drug exploration analysis to investigate potential mediation pathways of pleiotropic proteins to neuropsychiatric disorders (NDs) as well as candidate drug targets. A total of 201 plasma proteins and 398 brain proteins were significantly associated with IDPs from PWAS analysis. Subsequent MR and COLOC analyses further identified 313 potentially causal IDP-related proteins, which were significantly enriched in neural-related phenotypes, among which 91 were further identified as pleiotropic proteins associated with both IDPs and NDs, including EGFR, TMEM106B, GPT, and HLA-B. Drug prioritization analysis showed that 6.33% of unique pleiotropic proteins had drug targets or interactions with medications for NDs. Nine potential mediation pathways were identified to illustrate the mediating roles of the IDPs in the causal effect of the pleiotropic proteins on NDs, including the indirect effect of TMEM106B on Alzheimer’s disease (AD) risk via radial diffusivity (RD) of the posterior limb of the internal capsule (PLIC), with the mediation proportion being 11.18%, and the indirect effect of EGFR on AD through RD of PLIC, RD of splenium of corpus callosum (SCC), and fractional anisotropy (FA) of SCC, with the mediation proportion being 18.99%, 22.79%, and 19.91%, respectively. These findings provide novel insights into pathogenesis, drug targets, and neuroimaging biomarkers of NDs. Full article
(This article belongs to the Section Molecular Genetics and Genomics)
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<p>Study design. We developed a systematic omics-integration analytic framework by sequentially using ‘Protein-IDP association analysis’ (including proteome-wide association study, mendelian randomization, colocalization analysis, and Fisher’s exact test) to identify the potentially causal brain and plasma proteins for IDPs, and ‘Pleiotropy and mediation analysis’ (including pleiotropy analysis, drug exploration, and mediation analysis) to identify potential mediation pathways of pleiotropic proteins to NDs and candidate drug targets. Abbreviations: pQTL: protein quantitative trait loci; ARIC: atherosclerosis risk in communities; ROS/MAP: religious orders study/memory and aging project; DTI: diffusion tensor imaging; ACR: anterior corona radiata; ALIC: anterior limb of internal capsule; SCC: splenium of corpus callosum; ROI: region-of-interest; FA: fractional anisotropy; ADHD: attention deficit hyperactivity disorder; AN: Anorexia nervosa; ANX: anxiety disorder; ASD: Autism spectrum disorder; BIP: bipolar disorder; MDD: major depressive disorder; OCD: obsessive-compulsive disorder; PTSD: post-traumatic stress disorder; SCZ: Schizophrenia; TS: Tourette syndrome; AD: Alzheimer’s disease; ALS: Amyotrophic lateral sclerosis; LBD: Lewy body dementia; MS: multiple sclerosis; PD: Parkinson’s disease; IDPs: image-derived phenotypes; NDs: neuropsychiatric disorders; DGIdb: drug-gene interaction database.</p>
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<p>The quantitative characterization of protein-IDP association analysis. (<b>A</b>): The number of protein-DTI associations identified by PWAS analysis. The number of associations for each DTI parameter with brain and plasma proteins is presented on the outer layer and middle layer, respectively, with the number of overlapped brain and plasma proteins illustrated on the inner layer. (<b>B</b>): The number of protein-ROI associations identified by PWAS analysis. The number of associations for each ROI volume with brain and plasma proteins is presented on the outer layer and middle layer, respectively. The number of overlapped brain and plasma proteins is not shown due to fewer associations. The <span class="html-italic">p</span>-value &lt; 0.05, corrected by the false discovery rate (FDR), was set as the significant threshold. (<b>C</b>): The Venn plots of significant proteins were identified after PWAS, MR, and COLOC analyses for DTI parameters and ROI volumes. (<b>D</b>): The compound bar graph of phenotype enrichment analysis for significant proteins identified after PWAS, MR, and COLOC analyses. Distinct colors represent different phenotype groups, including behavior/neurological phenotype, nervous system phenotype, both, and neither. Abbreviations: pQTL: protein quantitative trait loci; DTI: diffusion tensor imaging; ROI: region-of-interest; PWAS: Proteome-wide association study; MR: Mendelian randomization; COLOC: Colocalization.</p>
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<p>The overall landscape of the pleiotropic proteins influencing brain image-derived phenotypes and neuropsychiatric disorders. A circular dendrogram involved 79 unique pleiotropic proteins that causally associated with both brain image-derived phenotypes (IDPs) and at least one of 15 neuropsychiatric disorders (NDs), including 47 brain proteins for 87 DTI parameters and 12 NDs, 13 plasma proteins for 51 DTI parameters and 6 NDs, 26 brain proteins for 26 ROI volumes and 12 NDs, and 5 plasma proteins for 11 ROI volumes and 4 NDs. Of these, 8 brain-based genes and 2 plasma-based genes were associated with both DTI parameters and ROI volumes (marked by a bold letter). The outer layer showed NDs associated with pleiotropic proteins, the middle layer provided protein-coding genes for pleiotropic proteins, and the inner layer presented the number of IDPs associated with each pleiotropic protein. We utilized the drug-gene interaction database (DGIdb) to prioritize potential drug targets. Five unique pleiotropic proteins identified from the comprehensive analyses above have been identified as therapeutic targets for existing NDs drugs (marked by **), and 41 unique pleiotropic proteins can serve as potential therapeutic targets (marked by *). A total of 9 potential mediation pathways were identified to illustrate the mediating roles of the IDPs in the causal effect of the pleiotropic proteins on NDs in further mediation analysis. The red line between the pleiotropy protein and NDs indicates the presence of a mediating pathway. Detailed results from pleiotropy analysis (<a href="#app1-ijms-25-09223" class="html-app">Tables S15–S18 and S27–S30</a>), druggable prioritization information (<a href="#app1-ijms-25-09223" class="html-app">Tables S4 and S5</a>), and mediation analysis (<a href="#ijms-25-09223-t001" class="html-table">Table 1</a>) were also provided. Abbreviations: IDPs: image-derived phenotypes; NDs: neuropsychiatric disorders; DGIdb: drug-gene interaction database; DTI: diffusion tensor imaging; ROI: region-of-interest; RLIC: retrolenticular part of internal capsule; IFO: inferior fronto-occipital fasciculu; PLIC: posterior limb of internal capsule; SCC: splenium of corpus callosum; CGC: cingulum (cingulate gyrus); CST: corticospinal tract; MO: mode of anisotropy; RD: radial diffusivity; FA: fractional anisotropy; ADHD: attention deficit hyperactivity disorder; AN: Anorexia nervosa; ANX: anxiety disorder; ASD: Autism spectrum disorder; BIP: bipolar disorder; MDD: major depressive disorder; OCD: obsessive-compulsive disorder; PTSD: post-traumatic stress disorder; SCZ: Schizophrenia; TS: Tourette syndrome; AD: Alzheimer’s disease; ALS: Amyotrophic lateral sclerosis; LBD: Lewy body dementia; MS: multiple sclerosis; PD: Parkinson’s disease.</p>
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14 pages, 814 KiB  
Article
Habitual Iron Supplementation Associated with Elevated Risk of Chronic Kidney Disease in Individuals with Antihypertensive Medication
by Xiaoyan Ma, Jiali Lv, Shuai Zhang, Xiaofeng Zhang, Xia Lin, Shengxu Li, Lin Yang, Fuzhong Xue, Fan Yi and Tao Zhang
Nutrients 2024, 16(14), 2355; https://doi.org/10.3390/nu16142355 - 20 Jul 2024
Viewed by 2449
Abstract
The aim of this study was to examine the effects of habitual iron supplementation on the risk of CKD in individuals with different hypertensive statuses and antihypertension treatment statuses. We included a total of 427,939 participants in the UK Biobank study, who were [...] Read more.
The aim of this study was to examine the effects of habitual iron supplementation on the risk of CKD in individuals with different hypertensive statuses and antihypertension treatment statuses. We included a total of 427,939 participants in the UK Biobank study, who were free of CKD and with complete data on blood pressure at baseline. Cox proportional hazards regression models were used to examine the adjusted hazard ratios of habitual iron supplementation for CKD risk. After multivariable adjustment, habitual iron supplementation was found to be associated with a significantly higher risk of incident CKD in hypertensive participants (HR 1.12, 95% CI 1.02 to 1.22), particularly in those using antihypertensive medication (HR 1.21, 95% CI 1.08 to 1.35). In contrast, there was no significant association either in normotensive participants (HR 1.06, 95% CI 0.94 to 1.20) or in hypertensive participants without antihypertensive medication (HR 1.02, 95% CI 0.90 to 1.17). Consistently, significant multiplicative and additive interactions were observed between habitual iron supplementation and antihypertensive medication on the risk of incident CKD (p all interaction < 0.05). In conclusion, habitual iron supplementation was related to a higher risk of incident CKD among hypertensive patients, the association might be driven by the use of antihypertensive medication. Full article
(This article belongs to the Section Micronutrients and Human Health)
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<p>Flowchart of the participant inclusion in this study. Abbreviations: CKD = chronic kidney disease; eGFR = estimated glomerular filtration rate; UACR = urinary albumin–creatinine ratio; ICD-10 = the international statistical classification of diseases and related health problems 10th revision.</p>
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<p>Joint associations (HR, 95% CI) of habitual iron supplement use and hypertensive status (normotension or hypertension) as well as antihypertensive status of participants with hypertension (without medication or with medication) with chronic kidney disease incidence. Notes: Without iron indicates the participants not using iron supplements. With iron indicates the participants using iron supplements. Without medication indicates participants with hypertension not using antihypertensive medication. With medication indicates participants with hypertension using antihypertensive medication. HRs (95% CI) were adjusted for age (continuous), sex (male or female), race (White, Asian, Black, mix, or others), the Townsend deprivation index (continuous), alcohol drinking status (never drinking, former drinking, or current drinking), smoking status (never smoker, former smoker, or current smoker), vitamin supplementation (yes or no), other mineral supplementation (yes or no), physical activity (inactive, insufficient, or active), healthy diet (yes or no), BMI (continuous), anemia (yes or no), diabetes (yes or no), hypercholesterolemia (yes or no), and aspirin use (yes or no). Healthy diet was defined as at least 4 of the following 7 food groups: fruits ≥ 3 servings/day; vegetables ≥ 3 servings/day; fish ≥ 2 servings/day; processed meats ≤ 1 serving/week; unprocessed red meats ≤ 1.5 servings/week; whole grains ≥ 3 servings/day; and refined grains ≤ 1.5 servings/day.</p>
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15 pages, 2461 KiB  
Article
Creatine Acts as a Mediator of the Causal Effect of Obesity on Puberty Onset in Girls: Evidence from Mediation Mendelian Randomization Study
by Chuandi Jin and Guoping Zhao
Metabolites 2024, 14(3), 137; https://doi.org/10.3390/metabo14030137 - 25 Feb 2024
Cited by 1 | Viewed by 2107
Abstract
Epidemiological studies have linked obesity to the onset of puberty, while its causality and the potential metabolite mediators remain unclear. We employed a two-sample Mendelian randomization (MR) design to evaluate the causal effects of obesity on puberty onset and its associated diseases including [...] Read more.
Epidemiological studies have linked obesity to the onset of puberty, while its causality and the potential metabolite mediators remain unclear. We employed a two-sample Mendelian randomization (MR) design to evaluate the causal effects of obesity on puberty onset and its associated diseases including type 2 diabetes (T2D) and cardiovascular diseases (CVDs). The potential mediators in this pathway were further explored using a two-step MR design. The robustness of our findings was evaluated using sensitivity analyses. Our MR results revealed that childhood obesity/BMI were causally associated with an increased Tanner stage in girls, younger age at menarche, and increased risk of adulthood T2D and CVD. However, neither childhood BMI nor obesity had a causal effect on the Tanner stage in boys. Mediation analysis further indicated that increased creatine served as a mediator for the causal pathway from childhood obesity/BMI to the Tanner stage of girls, while early puberty onset in girls played a mediating role in the pathway linking childhood obesity to increased risk of adulthood T2D and CVD. This study indicated that the risk of early puberty onset in girls and its associated health issues can be potentially reduced by preventing childhood obesity. The involvement of creatine in this process needs to be further validated and explored. Full article
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<p>Study design. The causal effects of childhood obesity/BMI on the age at menarche, Tanner stage of girls and boys, and the risk of adulthood type 2 diabetes and cardiovascular diseases were evaluated using a two-sample Mendelian randomization method. The robustness of the Mendelian randomization results were further assessed through a series of sensitivity analyses. Additionally, a two-step Mendelian randomization design was employed to conduct mediation analysis, exploring the mediation effect of pubertal development between obesity and the risk of type 2 diabetes and cardiovascular diseases, as well as investigating the mediation effect of metabolites between childhood obesity and pubertal development.</p>
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<p>Causal effects of childhood obesity on pubertal development and associated diseases. The forest plot displays the causal estimate (Beta) calculated using the inverse-variance weighted method with random effects, indicated by green diamonds, while the error bars represent the 95% confidence interval (CI). T2D, type 2 diabetes; CVD, cardiovascular disease.</p>
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<p>Causal effects of pubertal development on T2D and CVD risk. The forest plot displays the causal estimate (Beta) calculated using the inverse-variance weighted method with random effects, indicated by green diamonds, while the error bars represent the 95% confidence interval (CI). T2D, type 2 diabetes; CVD, cardiovascular disease.</p>
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<p>Causal effects of obesity on metabolites in girls and boys. (<b>A</b>) The forest plot displays the causal estimate (Beta) calculated using the inverse-variance weighted method with random effects, indicated by green diamonds, while the error bars represent the 95% confidence interval (CI). (<b>B</b>) Five common metabolites that were causally affected by both childhood BMI and obesity. Purple and blue represent the metabolites causally influenced by childhood BMI and obesity, respectively.</p>
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<p>Causal effects of metabolites on pubertal development in girls. The forest plot displays the causal estimate (Beta) calculated using the inverse-variance weighted method with random effects, indicated by green diamonds, while the error bars represent the 95% confidence interval (CI).</p>
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<p>Mediating role and hypothesized mechanisms of creatine in the causal pathway from obesity to puberty onset in girls. (<b>A</b>) Creatine partially mediated the causal effect of childhood obesity/BMI on increased Tanner stage of girls. (<b>B</b>) The proposed mechanism explaining the mediating role of creatine in the relationship between obesity and early puberty onset in girls is as follows: Elevated levels of creatine induced by obesity may suppress AMPK activity while activating the mTOR pathway. This, in turn, could lead to an upregulation of <span class="html-italic">kiss1</span> gene expression, resulting in increased secretion of GnRH, LH, and FSH. These processes promote pubertal development, as evidenced by an advancement in the Tanner stage of girls. The symbols “(+)” and “(–)” are used to denote activation and inhibition, respectively. AMPK, AMP-activated protein kinase; mTOR, mammalian target of rapamycin; GnRH, gonadotropin-releasing hormone; LH, luteinizing hormone; FSH, follicle-stimulating hormone.</p>
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20 pages, 1141 KiB  
Review
Exploring the Mechanistic Interplay between Gut Microbiota and Precocious Puberty: A Narrative Review
by Min Yue and Lei Zhang
Microorganisms 2024, 12(2), 323; https://doi.org/10.3390/microorganisms12020323 - 4 Feb 2024
Cited by 6 | Viewed by 3146
Abstract
The gut microbiota has been implicated in the context of sexual maturation during puberty, with discernible differences in its composition before and after this critical developmental stage. Notably, there has been a global rise in the prevalence of precocious puberty in recent years, [...] Read more.
The gut microbiota has been implicated in the context of sexual maturation during puberty, with discernible differences in its composition before and after this critical developmental stage. Notably, there has been a global rise in the prevalence of precocious puberty in recent years, particularly among girls, where approximately 90% of central precocious puberty cases lack a clearly identifiable cause. While a link between precocious puberty and the gut microbiota has been observed, the precise causality and underlying mechanisms remain elusive. This narrative review aims to systematically elucidate the potential mechanisms that underlie the intricate relationship between the gut microbiota and precocious puberty. Potential avenues of exploration include investigating the impact of the gut microbiota on endocrine function, particularly in the regulation of hormones, such as gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Additionally, this review will delve into the intricate interplay between the gut microbiome, metabolism, and obesity, considering the known association between obesity and precocious puberty. This review will also explore how the microbiome’s involvement in nutrient metabolism could impact precocious puberty. Finally, attention is given to the microbiota’s ability to produce neurotransmitters and neuroactive compounds, potentially influencing the central nervous system components involved in regulating puberty. By exploring these mechanisms, this narrative review seeks to identify unexplored targets and emerging directions in understanding the role of the gut microbiome in relation to precocious puberty. The ultimate goal is to provide valuable insights for the development of non-invasive diagnostic methods and innovative therapeutic strategies for precocious puberty in the future, such as specific probiotic therapy. Full article
(This article belongs to the Special Issue Gut Microbiome and Children’s Health)
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<p>Functions of the gut microbiota. Figure was created by Figdraw (<a href="http://www.figdraw.com" target="_blank">www.figdraw.com</a>).</p>
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<p>Interactions between gut microbiota and precocious puberty. Solid blue arrows represent positive feedback and dashed blue arrows represent negative feedback. Abbreviations: GnRH, gonadotropin-releasing hormone; LH, luteinizing hormone; FSH, follicle-stimulating hormone; TES, testosterone; E2, estradiol; SCFAs, short-chain fatty acids. Figure was created by Figdraw (<a href="http://www.figdraw.com" target="_blank">www.figdraw.com</a>).</p>
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15 pages, 2658 KiB  
Article
Causal Effects of Gut Microbiota on Sleep-Related Phenotypes: A Two-Sample Mendelian Randomization Study
by Min Yue, Chuandi Jin, Xin Jiang, Xinxin Xue, Nan Wu, Ziyun Li and Lei Zhang
Clocks & Sleep 2023, 5(3), 566-580; https://doi.org/10.3390/clockssleep5030037 - 12 Sep 2023
Cited by 11 | Viewed by 4801
Abstract
Increasing evidence suggests a correlation between changes in the composition of gut microbiota and sleep-related phenotypes. However, it remains uncertain whether these associations indicate a causal relationship. The genome-wide association study summary statistics data of gut microbiota (n = 18,340) was downloaded [...] Read more.
Increasing evidence suggests a correlation between changes in the composition of gut microbiota and sleep-related phenotypes. However, it remains uncertain whether these associations indicate a causal relationship. The genome-wide association study summary statistics data of gut microbiota (n = 18,340) was downloaded from the MiBioGen consortium and the data of sleep-related phenotypes were derived from the UK Biobank, the Medical Research Council-Integrative Epidemiology Unit, Jones SE, the FinnGen consortium. To test and estimate the causal effect of gut microbiota on sleep traits, a two-sample Mendelian randomization (MR) approach using multiple methods was conducted. A series of sensitive analyses, such as horizontal pleiotropy analysis, heterogeneity test, MR Steiger directionality test and “leave-one-out” analysis as well as reverse MR analysis, were conducted to assess the robustness of MR results. The genus Anaerofilum has a negative causal effect on getting up in the morning (odd ratio = 0.977, 95% confidence interval: 0.965–0.988, p = 7.28 × 10−5). A higher abundance of order Enterobacteriales and family Enterobacteriaceae contributed to becoming an “evening person”. Six and two taxa were causally associated with longer and shorter sleep duration, respectively. Specifically, two SCFA-produced genera including Lachnospiraceae UCG004 (odd ratio = 1.029, 95% confidence interval = 1.012–1.046, p = 6.11 × 10−4) and Odoribacter contribute to extending sleep duration. Two obesity-related genera such as Ruminococcus torques (odd ratio = 1.024, 95% confidence interval: 1.011–1.036, p = 1.74 × 10−4) and Senegalimassilia were found to be increased and decreased risk of snoring, respectively. In addition, we found two risk taxa of insomnia such as the order Selenomonadales and one of its classes called Negativicutes. All of the sensitive analysis and reverse MR analysis results indicated that our MR results were robust. Our study revealed the causal effect of gut microbiota on sleep and identified causal risk and protective taxa for chronotype, sleep duration, snoring and insomnia, which has the potential to provide new perspectives for future mechanistic and clinical investigations of microbiota-mediated sleep abnormal patterns and provide clues for developing potential microbiota-based intervention strategies for sleep-related conditions. Full article
(This article belongs to the Section Computational Models)
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<p>Overview of the two sample Mendelian randomization framework used to investigate the causal effect of gut microbiota on sleep-related phenotypes. Abbreviation: MR, Mendelian randomization.</p>
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<p>Forest plot of causal effects of gut microbiota on sleep-related phenotypes. Abbreviations: SNP, single nucleotide polymorphism; β, the ratio estimates; CI, confidence interval; IVW, inverse-variance weighted method.</p>
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<p>Graphical summary of the gut microbiota causally associated with sleep phenotypes and their subordination at different taxonomic levels. The gut microbiota is arranged at the taxonomic levels of class, order, family, and genus. In addition, red represents the β of the causal association is greater than 0, while blue represents the β of the causal association is less than 0. Sleep phenotypes are classified into three colors: purple represents circadian types, green represents sleep quality (including sleep duration and snoring), and orange represents abnormal sleep patterns.</p>
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15 pages, 878 KiB  
Article
CoNet: Efficient Network Regression for Survival Analysis in Transcriptome-Wide Association Studies—With Applications to Studies of Breast Cancer
by Jiayi Han, Liye Zhang, Ran Yan, Tao Ju, Xiuyuan Jin, Shukang Wang, Zhongshang Yuan and Jiadong Ji
Genes 2023, 14(3), 586; https://doi.org/10.3390/genes14030586 - 25 Feb 2023
Viewed by 1882
Abstract
Transcriptome-wide association studies (TWASs) aim to detect associations between genetically predicted gene expression and complex diseases or traits through integrating genome-wide association studies (GWASs) and expression quantitative trait loci (eQTL) mapping studies. Most current TWAS methods analyze one gene at a time, ignoring [...] Read more.
Transcriptome-wide association studies (TWASs) aim to detect associations between genetically predicted gene expression and complex diseases or traits through integrating genome-wide association studies (GWASs) and expression quantitative trait loci (eQTL) mapping studies. Most current TWAS methods analyze one gene at a time, ignoring the correlations between multiple genes. Few of the existing TWAS methods focus on survival outcomes. Here, we propose a novel method, namely a COx proportional hazards model for NEtwork regression in TWAS (CoNet), that is applicable for identifying the association between one given network and the survival time. CoNet considers the general relationship among the predicted gene expression as edges of the network and quantifies it through pointwise mutual information (PMI), which is under a two-stage TWAS. Extensive simulation studies illustrate that CoNet can not only achieve type I error calibration control in testing both the node effect and edge effect, but it can also gain more power compared with currently available methods. In addition, it demonstrates superior performance in real data application, namely utilizing the breast cancer survival data of UK Biobank. CoNet effectively accounts for network structure and can simultaneously identify the potential effecting nodes and edges that are related to survival outcomes in TWAS. Full article
(This article belongs to the Special Issue Genetics of Complex Human Disease)
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<p>The simulated network for the PI3K-AKT signaling pathway from KEGG.</p>
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<p>The power for testing the effect of the node on the survival phenotype under the setting that the effecting node is pre-specified, with the SNP effect obtained from the DPR model. Simulations were conducted with four different between-node correlation patterns (the combination of sine and quadratic, sine, quadratic, and linear) and three different censoring rates (0.1, 0.3, and 0.5). (<b>a</b>) Only a node has an effect. (<b>b</b>) Both node and edge have effects, with the effecting node hanging on the edge. (<b>c</b>) Both node and edge have effects, with the effecting node not hanging on the edge.</p>
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<p>The power for testing the effect of the edge on the survival phenotype under pre-specified effecting edge settings, with the SNP effect obtained from the DPR model. Simulations were conducted with four different between-node correlation patterns (the combination of sine and quadratic, sine, quadratic, and linear) and three different censoring rates (0.1, 0.3, and 0.5). (<b>a</b>) Only an edge has an effect. (<b>b</b>) Both node and edge have effects, with the effecting node hanging on the edge. (<b>c</b>) Both node and edge have effects, with the effecting node not hanging on the edge.</p>
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10 pages, 704 KiB  
Article
Association between Body Mass Index and Diabetes Mellitus Are Mediated through Endogenous Serum Sex Hormones among Menopause Transition Women: A Longitudinal Cohort Study
by Li He, Bingbing Fan, Chunxia Li, Yanlin Qu, Ying Liu and Tao Zhang
Int. J. Environ. Res. Public Health 2023, 20(3), 1831; https://doi.org/10.3390/ijerph20031831 - 19 Jan 2023
Cited by 2 | Viewed by 1965
Abstract
Objective: To explore whether and to what extent endogenous sex hormones mediate the association between overweight and diabetes risk in menopausal transition women. Methods: Premenopausal women were from the Study of Women’s Health Across the Nation, with measurements of serum sex hormone including [...] Read more.
Objective: To explore whether and to what extent endogenous sex hormones mediate the association between overweight and diabetes risk in menopausal transition women. Methods: Premenopausal women were from the Study of Women’s Health Across the Nation, with measurements of serum sex hormone including sex hormone binding globulin (SHBG), testosterone (T), estradiol (E2), follicle-stimulating hormone (FSH), and dehydroepiandrosterone sulfate (DHAS) in first postmenopausal follow-up. At the last postmenopausal follow-up, hyperglycemia status was confirmed. The partial least squares (PLS) regression method was used to extract hormonal signals associated with body mass index (BMI). Hyperglycemia was defined as individuals with prediabetes or diabetes; overweight was defined as BMI ≥ 25 kg/m2. Causal mediation analysis was used to examine the mediation effect on the association between perimenopause overweight and post-menopause hyperglycemia through PLS score and individual sex hormones. Results: The longitudinal study included 1438 normal glucose women with a baseline mean age (SD) of 46.5 (2.6) years and a mean follow-up period of 9.9 years. During the follow-up period, 145 (10.1) cases of hyperglycemia occurred. Compared with normal-weight participants, overweight women were associated with a higher hyperglycemia risk during the transition period (OR = 4.06, 95% CI: 2.52 to 6.80). Overweight women had higher T, E2, and lower SHBG, FSH, and DAHS concentrations (β = 0.26, 0.38, −0.52, −0.52, and −0.13, p < 0.05 for all). After adjusting for overweight and covariates, lower SHBG and FSH levels were associated with higher hyperglycemia risk (OR = 0.70 and 0.69, all p < 0.05). As a linear combination of sex hormones, the PLS score was positively associated with T, E2, and negatively with SHBG, FSH, and DHAS. PLS score interpreted 36.50% (p < 0.001) of the overweight-hyperglycemia association. Considering single-sex hormones, the mediation proportion of SHBG and FSH were 21.38% (p < 0.001) and 24.08% (p < 0.001). Conclusions: Sex hormones mediated the association of overweight and diabetes risk in menopause transition women. SHBG and FSH have the dominant mediation effect. Full article
(This article belongs to the Special Issue Women’s Health Care in Urogynecology and Cardiovascular Disorders)
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<p>Scheme of the study design. Single-headed arrows represent regression paths; ovals represent exposure and outcome variables, and rounded rectangles represent mediator variables. PLS, partial least squares; SHBG, sex hormone binding protein; E2, estradiol; T, testosterone; FSH, follicle stimulating hormone; DHAS, Dehydroepiandrosterone sulfate.</p>
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<p>(<bold>a</bold>) Standard regression coefficients and 95% CIs of overweight/obesity on sex hormones. (<bold>b</bold>) Standard OR coefficients and 95% CIs of sex hormones on hyperglycemia. Covariates adjusted in linear regression models were baseline age, race, smoking regularly, education, physical activities, and follow-up years. Covariates adjusted in logistic regression models were baseline age, race, smoking regularly, education, physical activities, follow-up years, and overweight/obesity. PLS, partial least squares; SHBG, sex hormone binding protein; E2, estradiol; T, testosterone; FSH, follicle-stimulating hormone; DHAS, Dehydroepiandrosterone sulfate.</p>
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Article
Integrative Analysis of Transcriptome-Wide Association Study and Gene-Based Association Analysis Identifies In Silico Candidate Genes Associated with Juvenile Idiopathic Arthritis
by Shuai Liu, Weiming Gong, Lu Liu, Ran Yan, Shukang Wang and Zhongshang Yuan
Int. J. Mol. Sci. 2022, 23(21), 13555; https://doi.org/10.3390/ijms232113555 - 4 Nov 2022
Cited by 4 | Viewed by 2539
Abstract
Genome-wide association study (GWAS) of Juvenile idiopathic arthritis (JIA) suffers from low power due to limited sample size and the interpretation challenge due to most signals located in non-coding regions. Gene-level analysis could alleviate these issues. Using GWAS summary statistics, we performed two [...] Read more.
Genome-wide association study (GWAS) of Juvenile idiopathic arthritis (JIA) suffers from low power due to limited sample size and the interpretation challenge due to most signals located in non-coding regions. Gene-level analysis could alleviate these issues. Using GWAS summary statistics, we performed two typical gene-level analysis of JIA, transcriptome-wide association studies (TWAS) using FUnctional Summary-based ImputatiON (FUSION) and gene-based analysis using eQTL Multi-marker Analysis of GenoMic Annotation (eMAGMA), followed by comprehensive enrichment analysis. Among 33 overlapped significant genes from these two methods, 11 were previously reported, including TYK2 (PFUSION = 5.12 × 10−6, PeMAGMA = 1.94 × 10−7 for whole blood), IL-6R (PFUSION = 8.63 × 10−7, PeMAGMA = 2.74 × 10−6 for cells EBV-transformed lymphocytes), and Fas (PFUSION = 5.21 × 10−5, PeMAGMA = 1.08 × 10−6 for muscle skeletal). Some newly plausible JIA-associated genes are also reported, including IL-27 (PFUSION = 2.10 × 10−7, PeMAGMA = 3.93 × 10−8 for Liver), LAT (PFUSION = 1.53 × 10−4, PeMAGMA = 4.62 × 10−7 for Artery Aorta), and MAGI3 (PFUSION = 1.30 × 10−5, PeMAGMA = 1.73 × 10−7 for Muscle Skeletal). Enrichment analysis further highlighted 4 Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways and 10 Gene Ontology (GO) terms. Our findings can benefit the understanding of genetic determinants and potential therapeutic targets for JIA. Full article
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<p>The flowchart of integrative analysis of FUSION and eMAGMA. ABBR: JIA, Juvenile idiopathic arthritis; GWAS, genome-wide association study; MHC, major histocompatibility complex; GTEx, Genotype-Tissue Expression Project; LD, linkage disequilibrium; EUR, European; FUSION, functional summary-based imputation; eQTL, expression quantitative trait loci; eMAGMA, eQTL Multi-marker Analysis of GenoMic Annotation; FDR, false discovery rate; KEGG, Kyoto Encyclopedia of Genes and Genomes; GO, Gene Ontology.</p>
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<p>KEGG and GO enrichment analysis of 33 overlapped genes by Metascape. (<b>a</b>) Bubble chart for KEGG enrichment analysis. (<b>b</b>) Bubble chart for GO enrichment analysis.</p>
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<p>Chord graphs for four significant KEGG pathways and ten significant GO terms. (<b>a</b>) Chord graph of four significant KEGG pathways. (<b>b</b>) Chord graph of ten significant GO terms. For each panel, the right semicircle represented significant pathways or terms, and the left semicircle represented the genes enriched in these pathways or terms.</p>
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<p>Protein–protein interaction (PPI) network for 33 overlapped genes by STRING. Each circle represents a protein, a line between proteins indicates PPI, line thickness indicates the strength of data support.</p>
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9 pages, 780 KiB  
Article
Four-Way Decomposition of Effect of Alcohol Consumption and Body Mass Index on Lipid Profile
by Chaonan Gao, Wenhao Yu, Xiangjuan Zhao, Chunxia Li, Bingbing Fan, Jiali Lv, Mengke Wei, Li He, Chang Su and Tao Zhang
Int. J. Environ. Res. Public Health 2021, 18(24), 13211; https://doi.org/10.3390/ijerph182413211 - 15 Dec 2021
Cited by 3 | Viewed by 2666
Abstract
Background: Both obesity and alcohol consumption are strongly associated with dyslipidemia; however, it remains unclear whether their joint effect on lipid profiles is through mediation, interaction, or a combination of the two. Methods: In total, 9849 subjects were selected from the 2009 panel [...] Read more.
Background: Both obesity and alcohol consumption are strongly associated with dyslipidemia; however, it remains unclear whether their joint effect on lipid profiles is through mediation, interaction, or a combination of the two. Methods: In total, 9849 subjects were selected from the 2009 panel of China Health and Nutrition Survey (CHNS). A four-way decomposition method was used to validate the pathways of drinking and body mass index (BMI) on lipids (total cholesterol, TC; triglyceride, TG; low-density lipoprotein cholesterol, LDL-C; high-density lipoprotein cholesterol, HDL-C; apolipoprotein A, APO-A; and apolipoprotein B, APO-B). Results: According to four-way decomposition, the total effects of drinking on lipids were found to be statistically significant, except for LDL-C. The components due to reference interaction were 0.63, 0.48, 0.60, −0.39, −0.30, and 0.20 for TC, TG, LDL-C, HDL-C, APO-A and APO-B, respectively (p < 0.05 for all). The effect size of pure indirect effect and mediated interaction were 0.001~0.006 (p > 0.05 for all). Further, linear regression models were used to examine the effect of BMI on lipid profiles in drinkers and non-drinkers. The associations of BMI and lipids were higher in all drinkers than in non-drinkers (0.069 versus 0.048 for TC, 0.079 versus 0.059 for TG, 0.057 versus 0.037 for LDL-C, −0.045 versus −0.029 for HDL-C, −0.024 versus −0.011 for APO-A and 0.026 versus 0.019 for APO-B, p interaction <0.05 for all). Conclusions: The joint effect of alcohol consumption and obesity on lipid profiles is through interaction rather than mediation. Alcohol consumption amplifies the harmful effect of BMI on lipid profiles. Greater attention should be paid to lipid health and cardiovascular risk in obese individuals regarding alcohol consumption. For obese individuals, we do not recommend alcohol consumption. Full article
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<p>The relationship among alcohol consumption (X), BMI (M), and lipids (Y).</p>
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<p>Regression coefficients and 95% confidence intervals (CI) of body mass index for lipids by alcohol drinking groups. TC means total cholesterol; Ln (TG) means Log transformed triglyceride; LDL-C means low-density lipoprotein cholesterol; HDL-C means high-density lipoprotein cholesterol; APO-A means apolipoprotein A; APO-B means apolipoprotein B.</p>
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11 pages, 351 KiB  
Article
Regular Physical Activities and Related Factors among Middle-Aged and Older Adults in Jinan, China: A Cross-Sectional Study
by Shukang Wang, Wei Ma, Shu-Mei Wang and Xiangren Yi
Int. J. Environ. Res. Public Health 2021, 18(19), 10362; https://doi.org/10.3390/ijerph181910362 - 1 Oct 2021
Cited by 1 | Viewed by 2487
Abstract
The objective of this study was to investigate the prevalence of regular physical activity (RPA) among middle-aged and older adults in urban communities in Jinan, China, and to identify the factors related to RPA. A cross-sectional survey was conducted among middle-aged and elderly [...] Read more.
The objective of this study was to investigate the prevalence of regular physical activity (RPA) among middle-aged and older adults in urban communities in Jinan, China, and to identify the factors related to RPA. A cross-sectional survey was conducted among middle-aged and elderly urban residents. A total of 1406 participants were included in the final data analysis. The results of the four models consistently showed that the relevant factors of RPA were educational level, previously diagnosed hypertension (PDH) and depression. In terms of educational level, compared with illiteracy, from the first model to the fourth model, the odds ratios (ORs) and 95% confidence intervals (CIs) of senior middle school were 2.072 (1.418, 3.026), 2.072 (1.418, 3.026), 1.905 (1.289, 2.816) and 1.926 (1.302, 2.848), respectively, and the ORs and 95% CIs of college or above were 2.364 (1.462, 3.823), 2.364 (1.462, 3.823), 2.001 (1.208, 3.312) and 2.054 (1.239, 3.405). In terms of PDH, compared with those with PDH, from the first model to the fourth model, ORs and 95% CIs of non-PDH were 1.259 (1.003, 1.580), 1.259 (1.003, 1.580), 1.263 (1.006, 1.585) and 1.261 (1.004, 1.584), respectively. For depression, compared with those without depression, also from the first model to the fourth model, ORs and 95% CIs of depression were 0.702 (0.517, 0.951), 0.702 (0.517, 0.951), 0.722 (0.532, 0.981) and 0.719 (0.529, 0.977), respectively. In conclusion, the results of this study showed that participation in RPA among middle-aged and older adults in Jinan urban communities was significantly associated with education level, PDH and depression. Full article
(This article belongs to the Special Issue Active and Healthy Ageing)
11 pages, 326 KiB  
Article
Relationship between Lipid Profiles and Glycemic Control Among Patients with Type 2 Diabetes in Qingdao, China
by Shukang Wang, Xiaokang Ji, Zhentang Zhang and Fuzhong Xue
Int. J. Environ. Res. Public Health 2020, 17(15), 5317; https://doi.org/10.3390/ijerph17155317 - 23 Jul 2020
Cited by 21 | Viewed by 4432
Abstract
Glycosylated hemoglobin (HbA1c) was the best indicator of glycemic control, which did not show the dynamic relationship between glycemic control and lipid profiles. In order to guide the health management of Type 2 diabetes (T2D), we assessed the levels of lipid profiles and [...] Read more.
Glycosylated hemoglobin (HbA1c) was the best indicator of glycemic control, which did not show the dynamic relationship between glycemic control and lipid profiles. In order to guide the health management of Type 2 diabetes (T2D), we assessed the levels of lipid profiles and fasting plasma glucose (FPG) and displayed the relationship between FPG control and lipid profiles. We conducted a cross-sectional study that included 5822 participants. Descriptive statistics were conducted according to gender and glycemic status respectively. Comparisons for the control of lipid profiles were conducted according to glycemic control. Four logistic regression models were generated to analyze the relationship between lipid profiles and glycemic control according to different confounding factors. The metabolic control percentage of FPG, triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) was 27.50%, 73.10%, 28.10%, 64.20% and 44.80% respectively. In the fourth model with the most confounding factors, the odds ratios (ORs) and 95% confidence intervals (CIs) of TG, TC, LDL-C and HDL-C were 0.989 (0.935, 1.046), 0.862 (0.823, 0.903), 0.987 (0.920, 1.060) and 2.173 (1.761, 2.683). TC and HDL-C were statistically significant, and TG and LDL-C were not statistically significant with adjustment for different confounding factors. In conclusion, FPG was significantly associated with HDL and TC and was not associated with LDL and TG. Our findings suggested that TC and HDL should be focused on in the process of T2D health management. Full article
17 pages, 1745 KiB  
Article
Defining Data Science by a Data-Driven Quantification of the Community
by Frank Emmert-Streib and Matthias Dehmer
Mach. Learn. Knowl. Extr. 2019, 1(1), 235-251; https://doi.org/10.3390/make1010015 - 19 Dec 2018
Cited by 31 | Viewed by 5833
Abstract
Data science is a new academic field that has received much attention in recent years. One reason for this is that our increasingly digitalized society generates more and more data in all areas of our lives and science and we are desperately seeking [...] Read more.
Data science is a new academic field that has received much attention in recent years. One reason for this is that our increasingly digitalized society generates more and more data in all areas of our lives and science and we are desperately seeking for solutions to deal with this problem. In this paper, we investigate the academic roots of data science. We are using data of scientists and their citations from Google Scholar, who have an interest in data science, to perform a quantitative analysis of the data science community. Furthermore, for decomposing the data science community into its major defining factors corresponding to the most important research fields, we introduce a statistical regression model that is fully automatic and robust with respect to a subsampling of the data. This statistical model allows us to define the ‘importance’ of a field as its predictive abilities. Overall, our method provides an objective answer to the question ‘What is data science?’. Full article
(This article belongs to the Section Data)
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<p>(<b>A</b>) Shown are the top 50 fields according to their frequency counts in the data science community. (<b>B</b>) Top 32 non-technical fields of the data science community with a focus on applications.</p>
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<p>Global community landscape of data science. The network connects the 50 fields with the largest number of scientists. The network has been inferred with BC3Net.</p>
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<p>(<b>A</b>) Shown are the top 50 scientists according to their citations in the data science community. (<b>B</b>) Location of the scientists. If no location could be identified they are summarized under ‘NA’.</p>
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<p>(<b>A</b>) Shown is the number of scientists <math display="inline"><semantics> <msub> <mi>s</mi> <mi>l</mi> </msub> </semantics></math> covered by a certain number of fields (x-axis). The number of fields is successively reduced by removing fields with the lowest number of scientists interested in them. (<b>B</b>) Hierarchical clustering of 18 fields. For quantifying the relation between the fields a Manhattan distance has been used and the agglomerative clustering uses complete linkage.</p>
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<p>Decomposition of data science community. Method-1: (<b>A</b>) Bar chart of 27 fields resulting from the thresholding of the ranked contributions shown in (<b>B</b>). (<b>C</b>) Subsampling similarity with all 27 fields. Method-2: (<b>D</b>) Mallow’s Cp and (<b>E</b>) BIC for a regression of all fields. (<b>F</b>) Bar chart of 20 fields resulting from an importance analysis. (<b>G</b>) Subsampling similarity with all 20 fields. (<b>H</b>) Subsampling frequencies for individual fields for 15% data removal.</p>
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