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Association between viral infections and glioma risk: a two-sample bidirectional Mendelian randomization analysis

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机构: [1]Sun Yat Sen Univ, Guangdong Prov Clin Res Ctr Canc, Canc Ctr, State Key Lab Oncol South China, Guangzhou 510060, Peoples R China [2]First Hosp Jilin Univ, Dept Plast Surg, Changchun 130000, Peoples R China [3]Vanderbilt Univ, Sch Med, 1161 21st Ave S D3300, Nashville, TN 37232 USA [4]Jilin Univ, Clin Coll, St Xinmin 828, Changchun, Peoples R China [5]First Hosp Jilin Univ, Stroke Ctr, Dept Neurol, Changchun, Peoples R China [6]Dana Farber Canc Inst, 450 Brookline Ave, Boston, MA 02215 USA [7]First Hosp Jilin Univ, Dept Orthopaed, 71 Xinmin St, Changchun 130000, Jilin, Peoples R China [8]Baylor Coll Med, Dept Med, Div Endocrinol Diabet & Metab, Houston, TX USA [9]Univ Texas MD Anderson Canc Ctr, Dept Neurooncol, Houston, TX USA [10]First Hosp Jilin Univ, Dept Neurosurg, Changchun, Peoples R China [11]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China
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关键词: Mendelian randomization Viral infection Risk Glioma

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BackgroundGlioma is one of the leading types of brain tumor, but few etiologic factors of primary glioma have been identified. Previous observational research has shown an association between viral infection and glioma risk. In this study, we used Mendelian randomization (MR) analysis to explore the direction and magnitude of the causal relationship between viral infection and glioma.MethodsWe conducted a two-sample bidirectional MR analysis using genome-wide association study (GWAS) data. Summary statistics data of glioma were collected from the largest meta-analysis GWAS, involving 12,488 cases and 18,169 controls. Single-nucleotide polymorphisms (SNPs) associated with exposures were used as instrumental variables to estimate the causal relationship between glioma and twelve types of viral infections from corresponding GWAS data. In addition, sensitivity analyses were performed.ResultsAfter correcting for multiple tests and sensitivity analysis, we detected that genetically predicted herpes zoster (caused by Varicella zoster virus (VZV) infection) significantly decreased risk of low-grade glioma (LGG) development (OR = 0.85, 95% CI: 0.76-0.96, P = 0.01, FDR = 0.04). No causal effects of the other eleven viral infections on glioma and reverse causality were detected.ConclusionsThis is one of the first and largest studies in this field. We show robust evidence supporting that genetically predicted herpes zoster caused by VZV infection reduces risk of LGG. The findings of our research advance understanding of the etiology of glioma.

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大类 | 1 区 医学
小类 | 1 区 医学:内科
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大类 | 1 区 医学
小类 | 1 区 医学:内科
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Q1 MEDICINE, GENERAL & INTERNAL
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Q1 MEDICINE, GENERAL & INTERNAL

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第一作者机构: [1]Sun Yat Sen Univ, Guangdong Prov Clin Res Ctr Canc, Canc Ctr, State Key Lab Oncol South China, Guangzhou 510060, Peoples R China
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