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Causal relationships between dyslexia and the risk of eight dementias

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机构: [1]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Lab Brain Disorders,Minist Sci & Technol, Beijing 100069, Peoples R China [2]Macau Univ Sci & Technol, Dr Nehers Biophys Lab Innovat Drug Discovery, State Key Lab Qual Res Chinese Med, Taipa 999078, Macao, Peoples R China [3]Wannan Med Coll, Sch Publ Hlth, Dept Epidemiol & Biostat, 22 Wenchang Rd, Wuhu 241002, Anhui, Peoples R China [4]Shengli Oilfield Cent Hosp, Brain Hosp, Dongying, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypoxia Translat Med, Natl Engn Lab Internet Med Diag & Treatment Techno, Beijing 100053, Peoples R China
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Observational and genetic studies have reported the relationship between dyslexia and Alzheimer's disease (AD). Until now, the causal effect of dyslexia on AD risk has remained unclear. We conducted a two-sample univariable Mendelian randomization (MR) analysis to determine the causal association between dyslexia and the risk of AD, vascular dementia (VD), Lewy body dementia (LBD), and frontotemporal dementia (FTD) and its four subtypes. First, we selected 42 dyslexia genetic variants from a large-scale genome-wide association studies (GWAS) dataset and extracted their corresponding GWAS summary statistics from AD, VD, LBD, and FTD. Second, we selected four MR methods, including inverse-variance weighted (IVW), weighted median, MR-Egger, and MR-PRESSO. Heterogeneity, horizontal pleiotropy, and leave-one-out sensitivity analysis were then used to evaluate the reliability of all causal estimates. We also conducted multivariable MR (MVMR) and mediation analysis to assess the potential mediating role of cognitive performance (CP) or educational achievement (EA) on the causal association between dyslexia and AD. Two MVMR methods, including MV IVW and MV-Egger, and two-step MR were used to perform the analysis. Using IVW, we found a significant causal association between increased dyslexia and increased risk of AD (OR = 1.15, 95% CI: 1.04-1.28, P = 0.006), but not VD, LBD, FTD, or its four subtypes. MR-PRESSO further supported the statistically significant association between dyslexia and AD (OR = 1.15, 95% CI: 1.05-1.27, P = 0.006). All sensitivity analyses confirmed the reliability of causal estimates. Using MV IVW and mediation analysis, we found no causal relationship between dyslexia and AD after adjusting for CP but not EA, CP mediated the total effect of dyslexia on AD with a proportion of 46.32%. We provide genetic evidence to support a causal effect of increased dyslexia on increased risk of AD, which was largely mediated by CP. Reading activity may be a potential intervention strategy for AD by improving cognitive function.

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大类 | 1 区 医学
小类 | 1 区 精神病学
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大类 | 1 区 医学
小类 | 1 区 精神病学
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Q1 PSYCHIATRY
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Q1 PSYCHIATRY

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第一作者机构: [1]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Lab Brain Disorders,Minist Sci & Technol, Beijing 100069, Peoples R China
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通讯机构: [1]Capital Med Univ, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Lab Brain Disorders,Minist Sci & Technol, Beijing 100069, Peoples R China [3]Wannan Med Coll, Sch Publ Hlth, Dept Epidemiol & Biostat, 22 Wenchang Rd, Wuhu 241002, Anhui, Peoples R China [4]Shengli Oilfield Cent Hosp, Brain Hosp, Dongying, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Beijing Key Lab Hypoxia Translat Med, Natl Engn Lab Internet Med Diag & Treatment Techno, Beijing 100053, Peoples R China
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