Causal relationships between gut microbiota and polycystic ovarian syndrome: A bidirectional Mendelian randomization study

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Autores principales: Ruo‐Lin Mao, Xiang‐Fei Wang, Jue‐Pu Zhou, Meng Wang, Rui Long, Lei Jin, Li‐Xia Zhu
Formato: Artículo Open Access
Publicado: Wiley 2024
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author Ruo‐Lin Mao
Xiang‐Fei Wang
Jue‐Pu Zhou
Meng Wang
Rui Long
Lei Jin
Li‐Xia Zhu
author_facet Ruo‐Lin Mao
Xiang‐Fei Wang
Jue‐Pu Zhou
Meng Wang
Rui Long
Lei Jin
Li‐Xia Zhu
Ruo‐Lin Mao
Xiang‐Fei Wang
Jue‐Pu Zhou
Meng Wang
Rui Long
Lei Jin
Li‐Xia Zhu
collection Wiley Open Access
contents Causal relationships between gut microbiota and polycystic ovarian syndrome: A bidirectional Mendelian randomization study Ruo‐Lin Mao Xiang‐Fei Wang Jue‐Pu Zhou Meng Wang Rui Long Lei Jin Li‐Xia Zhu Acta Obstetricia et Gynecologica Scandinavica AbstractIntroductionPrevious studies have established a link between gut microbiota and polycystic ovary syndrome (PCOS), but little is known about their precise causal relationship. Therefore, this study aims to explore whether there are precise causal relationships between gut microbiota and PCOS.Material and MethodsWe performed a bidirectional two‐sample Mendelian randomization (MR) analysis. Datasets were from the largest published meta‐analysis on gut microbiota composition and the FinnGen cohort of the IEU Open Genome‐Wide Association Study Project database. Inverse variance weighted (IVW), MR‐Egger, constrained maximum likelihood‐based Mendelian randomization, weighted median, weighted mode, and simple mode were used. Cochran's Q and MR‐Egger intercept tests were employed to measure the heterogeneity.ResultsA total of 211 gut microbiota taxa were identified in MR analysis. Nine taxa of bacteria, including Alphaproteobacteria (0.55, 0.30–0.99, p = 0.04), Bacilli (1.76, 1.07–2.91, p = 0.03), Bilophila (0.42, 0.23–0.77, p < 0.01), Blautia (0.16, 0.03–0.79, p = 0.02), Burkholderiales (2.37, 1.22–4.62, p = 0.01), Candidatus Soleaferrea (0.65, 0.43–0.98, p = 0.04), Cyanobacteria (0.51, 0.31–0.83, p = 0.01), Holdemania (0.53, 0.35–0.81, p < 0.01), and Lachnospiraceae (1.86, 1.04–3.35, p = 0.03), were found to be associated with PCOS in the above MR methods included at least IVW method. Cochran's Q statistics and MR‐Egger intercept test suggested no significant heterogeneity. In addition, 69 taxa were shown significant for at least the IVW method in reverse MR analysis, of these, 25 had a positive correlation, and 37 had a negative correlation. Additionally, Alphaproteobacteria and Lachnospiraceae (0.95, 0.91–0.98, p < 0.01; 0.97, 0.94–0.99, p = 0.02, respectively) were shown a bidirected causally association with PCOS.ConclusionsOur study provides evidence of the bidirectional causal association between gut microbiota and PCOS from a genetic perspective. 10.1111/aogs.14957 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1111/aogs.14957
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spellingShingle Causal relationships between gut microbiota and polycystic ovarian syndrome: A bidirectional Mendelian randomization study
Ruo‐Lin Mao
Xiang‐Fei Wang
Jue‐Pu Zhou
Meng Wang
Rui Long
Lei Jin
Li‐Xia Zhu
Acta Obstetricia et Gynecologica Scandinavica
Causal relationships between gut microbiota and polycystic ovarian syndrome: A bidirectional Mendelian randomization study Ruo‐Lin Mao Xiang‐Fei Wang Jue‐Pu Zhou Meng Wang Rui Long Lei Jin Li‐Xia Zhu Acta Obstetricia et Gynecologica Scandinavica AbstractIntroductionPrevious studies have established a link between gut microbiota and polycystic ovary syndrome (PCOS), but little is known about their precise causal relationship. Therefore, this study aims to explore whether there are precise causal relationships between gut microbiota and PCOS.Material and MethodsWe performed a bidirectional two‐sample Mendelian randomization (MR) analysis. Datasets were from the largest published meta‐analysis on gut microbiota composition and the FinnGen cohort of the IEU Open Genome‐Wide Association Study Project database. Inverse variance weighted (IVW), MR‐Egger, constrained maximum likelihood‐based Mendelian randomization, weighted median, weighted mode, and simple mode were used. Cochran's Q and MR‐Egger intercept tests were employed to measure the heterogeneity.ResultsA total of 211 gut microbiota taxa were identified in MR analysis. Nine taxa of bacteria, including Alphaproteobacteria (0.55, 0.30–0.99, p = 0.04), Bacilli (1.76, 1.07–2.91, p = 0.03), Bilophila (0.42, 0.23–0.77, p < 0.01), Blautia (0.16, 0.03–0.79, p = 0.02), Burkholderiales (2.37, 1.22–4.62, p = 0.01), Candidatus Soleaferrea (0.65, 0.43–0.98, p = 0.04), Cyanobacteria (0.51, 0.31–0.83, p = 0.01), Holdemania (0.53, 0.35–0.81, p < 0.01), and Lachnospiraceae (1.86, 1.04–3.35, p = 0.03), were found to be associated with PCOS in the above MR methods included at least IVW method. Cochran's Q statistics and MR‐Egger intercept test suggested no significant heterogeneity. In addition, 69 taxa were shown significant for at least the IVW method in reverse MR analysis, of these, 25 had a positive correlation, and 37 had a negative correlation. Additionally, Alphaproteobacteria and Lachnospiraceae (0.95, 0.91–0.98, p < 0.01; 0.97, 0.94–0.99, p = 0.02, respectively) were shown a bidirected causally association with PCOS.ConclusionsOur study provides evidence of the bidirectional causal association between gut microbiota and PCOS from a genetic perspective. 10.1111/aogs.14957 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Causal relationships between gut microbiota and polycystic ovarian syndrome: A bidirectional Mendelian randomization study
topic Acta Obstetricia et Gynecologica Scandinavica
url https://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.14957