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Parkinson's Disease and Ischemic Stroke: a Bidirectional Mendelian Randomization Study.

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机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [2]Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China [3]China International Neuroscience Institute (China-INI), Beijing 100053, China [4]National Heart & Lung Institute, Faculty of Medicine, Imperial College London, London SW3 6LY, UK [5]Neuroendovascular Program, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA [6]Department of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, 45 Changchunjie Street, Xicheng District, Beijing 100053, China
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关键词: Mendelian randomization  Parkinson’s disease  Ischemic stroke  Cardioembolic stroke  Large artery stroke

摘要:
We aimed to assess the potential causal association between Parkinson's disease (PD) and ischemic stroke (IS) with Mendelian randomization methods. Summary statistics data from two large-scale genome-wide association studies (GWAS) for 33,674 PD cases and 40,585 IS cases were used in this study. We used inverse variance-weighted method for primary analysis, and four other Mendelian randomization methods (weighted median, MR-Egger regression methods, robust adjusted profile score, radial regression) to test whether PD was causal for IS and its subtypes. Analyses were bidirectional to assess reverse causality. Primary analysis showed PD had a significantly causal association with IS (OR 1.04; 95% CI, 1.02-1.07; p = 0.0019), and two subtypes of IS, cardioembolic stroke (OR 1.11; 95% CI, 1.06-1.18; p = 0.0001) and large artery stroke (OR 1.08; 95% CI, 1.01-1.15; p = 0.034), but not with small-vessel stroke (p = 0.180). The point estimates from sensitivity analyses were in the same direction. There was no strong evidence for a reverse causal association between PD and IS. Using multiple Mendelian randomization methods based on large-scale GWAS, PD is a potential cause of cardioembolic stroke and large artery stroke, but not small-vessel stroke. Ischemic stroke does not cause PD.© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 神经科学
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出版当年[2020]版:
Q1 CLINICAL NEUROLOGY Q1 NEUROSCIENCES
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q2 NEUROSCIENCES

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第一作者机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [2]Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China
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通讯机构: [1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [3]China International Neuroscience Institute (China-INI), Beijing 100053, China [5]Neuroendovascular Program, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA [6]Department of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, 45 Changchunjie Street, Xicheng District, Beijing 100053, China
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