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Vascular Endothelial Growth Factor and Ischemic Stroke Risk: A Mendelian Randomization Study

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机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, China [2]Sir William Dunn School of Pathology, University of Oxford, Oxford OX1 3RE, UK [3]China International Neuroscience Institute (ChinaINI), 45 Changchun Street, Beijing 100053, China [4]Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing 100730, China [5]Department of Neurology, Peking Union Medical College Hospital, Beijing 100730, China [6]Department of Computer Science, City University of Hong Kong, Kowloon 999077, Hong Kong SAR [7]Neuroendovascular Program, Massachusetts General Hospital, Boston, MA 02114, USA [8]Department of Neurosurgery, Tai’an Central Hospital, 29 Longtan Road, Tai’an 271000, Shandong, China [9]Department of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District Beijing 100053, China
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关键词: Vascular endothelial growth factor Ischemic stroke Causal association Mendelian randomization Stroke prevention Causal link

摘要:
Previous studies have reported controversial relationships between circulating vascular endothelial growth factors (VEGF) and ischemic stroke (IS). This study aims to demonstrate the causal effect between VEGF and IS using Mendelian randomization (MR).Summary statistics data from two large-scale genome-wide association studies (GWAS) for 16,112 patients with measured VEGF levels and 40,585 patients with IS were downloaded from public databases and included in this study. A published calculator was adopted for MR power calculation. The primary outcome was any ischemic stroke, and the secondary outcomes were large-artery stroke, cardioembolic stroke, and small-vessel stroke. We used the inverse variance-weighted (IVW) method for primary analysis, supplemented by MR-Egger regression and the weighted median method.Nine SNPs were included to represent serum VEGF levels. The IVW method revealed no strong causal association between VEGF and any ischemic stroke (odds ratio [OR] 1.01, 95% CI 0.99-1.04, p = 0.39), cardioembolic stroke (OR 1.04, 95% CI 0.97-1.12, p = 0.28), large-artery stroke (OR 1.02, 95% CI 0.95-1.09, p = 0.62), and small-vessel stroke (OR 0.98, 95% CI 0.91-1.04, p = 0.46). These findings remained robust in sensitivity analyses. MR-Egger regression suggested no horizontal pleiotropy.This Mendelian randomization study found no relationship between genetically predisposed serum VEGF levels and risks of IS or its subtypes.© 2024. The Author(s).

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大类 | 3 区 医学
小类 | 3 区 临床神经病学
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大类 | 3 区 医学
小类 | 3 区 临床神经病学
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Q2 CLINICAL NEUROLOGY
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Q1 CLINICAL NEUROLOGY

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第一作者机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, China [2]Sir William Dunn School of Pathology, University of Oxford, Oxford OX1 3RE, UK [3]China International Neuroscience Institute (ChinaINI), 45 Changchun Street, Beijing 100053, China
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通讯机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, China [3]China International Neuroscience Institute (ChinaINI), 45 Changchun Street, Beijing 100053, China [9]Department of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District Beijing 100053, China
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