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Impact of Vitamin D Binding Protein Levels on Alzheimer?s Disease: A Mendelian Randomization Study

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机构: [a]National Engineering Laboratory of Internet Medical Diagnosis and Treatment Technology,Xuanwu Hospital, Capital Medical University, Beijing, China [b]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China [c]Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China [d]Chinese Institute for Brain Research, Beijing, China [e]School of Medicine, School of Pharmaceutical Sciences, THU-PKU Center for Life Sciences,Tsinghua University, Beijing, China [f]State Key Laboratory of Medical Molecular Biology, Institute of Basic Medical Sciences,Chinese Academy of Medical Sciences, Beijing, China [g]Department of Pathophysiology, Peking Union Medical College, Beijing, China [h]Department of Anesthesiology, The Affiliated Hospital of Weifang Medical University, Weifang, China [i]Department of Pathology, The Affiliated Hospital of Weifang Medical University, Weifang, China [j]Department of Encephalopathy, Shenzhen Hospital of Guangzhou University of Chinese Medicine(Futian), Shenzhen, China [k]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
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关键词: Alzheimer's disease genome-wide association study Mendelian randomization vitamin D vitamin D-binding rotein

摘要:
Until now, observational studies, randomized controlled trials (RCTs), and Mendelian randomization (MR) studies have explored the impact of vitamin D on Alzheimer's disease (AD), and reported inconsistent findings. In MR studies, the sensitivity analysis by removing GC rs2282679 variant highlighted no association of 25OHD levels with AD risk, which indicates that vitamin D-binding protein (DBP) encoded by GC may have distinct effects on AD risk. Here, we aim to clarify this assumption. We selected the GC rs2282679 variant associated with DBP levels (p = 3.30E-76) as the instrumental variable, and extracted the summary statistics of rs2282679 variant in multipleADGWAS datasets from IGAP, Complex Trait Genetics (CTG) lab, and UK Biobank. We then performed a MR study to investigate the causal association between DBP levels and AD. In IGAP, MR analysis showed that the genetically DBP levels (per 1 standard deviation (SD) increase 50 mg/L) were significantly associated with reduced AD risk (OR = 0.63, 95% CI: 0.45-0.89, p = 0.009). Importantly, the estimates from two sensitivity analyses were consistent with the main estimate in terms of direction and magnitude. Meanwhile, we found no causal association between DBP levels and other four AD phenotypes in CTG lab and UK Biobank. In summary, we highlight the role of DBP levels in AD risk, and provide strong support evidence that DBP may be the therapeutic agent for the treatment of AD. Meanwhile, our findings clarify the assumption that DBP may drive the observed relationship between 25OHD levels and AD.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 3 区 神经科学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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出版当年[2018]版:
Q2 NEUROSCIENCES
最新[2023]版:
Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [a]National Engineering Laboratory of Internet Medical Diagnosis and Treatment Technology,Xuanwu Hospital, Capital Medical University, Beijing, China [b]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China
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通讯机构: [a]National Engineering Laboratory of Internet Medical Diagnosis and Treatment Technology,Xuanwu Hospital, Capital Medical University, Beijing, China [b]Beijing Institute for Brain Disorders, Capital Medical University, Beijing, China [*2]Department of Neurology, Xuanwu Hospital, Capital Medical University, Room 1037, Donghuajinzuo, Guanganmennei Street, XiCheng District, Beijing 100053, China [j]Department of Encephalopathy, Shenzhen Hospital of Guangzhou University of Chinese Medicine(Futian), Shenzhen, China [k]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
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