Mendelian Randomization Studies: Opening a New Window in the Study of Metabolic Diseases and Chronic Kidney Disease.

Ning Liang, Xiaoqi Ma, Yang Cao, Ting Liu, Jing-Ai Fang, Xiaodong Zhang
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Abstract

It is widely recognized that a strong correlation exists between metabolic diseases and chronic kidney disease (CKD). Based on bibliometric statistics, the overall number of Mendelian randomization (MR) analysis in relation to metabolic diseases and CKD has increased since 2005. In recent years, this topic has emerged as a significant area of research interest. In clinical studies, RCTs are often limited due to the intricate causal interplay between metabolic diseases and CKD, which makes it difficult to ascertain the precise etiology of these conditions definitively. In MR studies, genetic variation is incorporated as an instrumental variable (IV). They elucidate the possible causal relationships between associated risk factors and disease risks by including individual innate genetic markers. It is widely believed that MR avoids confounding and can reverse effects to the greatest extent possible. As an increasingly popular technology in the medical field, MR studies have become a popular technology in causal relationships investigation, particularly in epidemiological etiology studies. At present, MR has been widely used for the investigation of medical etiologies, drug development, and decision-making in public health. The article aims to offer insights into the causal relationship between metabolic diseases and CKD, as well as strategies for prevention and treatment, through a summary of MR-related research on these conditions.

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孟德尔随机化研究:为代谢性疾病和慢性肾脏病的研究打开一扇新窗。
人们普遍认为,代谢性疾病与慢性肾脏病(CKD)之间存在密切的相关性。根据文献计量学统计,自 2005 年以来,与代谢性疾病和慢性肾脏病有关的孟德尔随机化(MR)分析的总体数量有所增加。近年来,该主题已成为一个备受关注的研究领域。在临床研究中,由于代谢性疾病和慢性肾脏病之间错综复杂的因果关系,RCT 通常受到限制,很难明确确定这些疾病的确切病因。在磁共振研究中,遗传变异作为工具变量(IV)被纳入其中。它们通过纳入个体先天遗传标记,阐明相关风险因素与疾病风险之间可能存在的因果关系。人们普遍认为,MR 可以避免混淆,并能最大程度地逆转效应。作为医学领域日益普及的技术,磁共振研究已成为因果关系调查,尤其是流行病学病因学研究中的热门技术。目前,磁共振已广泛应用于医学病因学调查、药物开发和公共卫生决策。本文旨在通过对代谢性疾病和慢性肾脏病相关研究的总结,深入探讨代谢性疾病和慢性肾脏病之间的因果关系以及预防和治疗策略。
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