Gut microbiota, allergic rhinitis, vasomotor rhinitis, Mendelian randomization, causal association

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY Brazilian Journal of Otorhinolaryngology Pub Date : 2024-08-12 DOI:10.1016/j.bjorl.2024.101491
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Abstract

Objective

Continuous research on the structure and function of intestinal microecology has confirmed the association between gut microbiota and the occurrence, development, and outcome of allergic diseases. Here, we explored the genetic causality between gut microbiota and rhinitis.

Methods

We conducted a two-sample Mendelian Randomization (MR) study to investigate the genetic causal relationship between gut microbiota and allergic rhinitis and vasomotor rhinitis. Genetic variations in the human gut microbiota were obtained from the summary statistics of the MiBioGen study. Genome-wide summary statistics of rhinitis were obtained from the FinnGen consortium. The causal effect between gut microbiota and rhinitis was assessed using the inverse variance weighted, MR-Egger regression, and weighted median methods. In addition, sensitivity analyses were conducted using different methods, including maximum likelihood, simple mode, and weighted model methods.

Results

The IVW approach revealed a causal association of the genus Ruminococcus gauvreauii group with an increased risk of allergic rhinitis (IVW Odds Ratio [OR = 1.26] [1.04, 1.53], p-value = 0.01645). In addition, the genus Fusicatenibacter (IVW OR = 1.20 [1.02, 1.41], p-value = 0.02868) was causally associated with an increased risk of vasomotor rhinitis.

Conclusion

Gut microbiota belonging to different genera exert different effects on allergic rhinitis and vasomotor rhinitis, including reducing the risk of rhinitis, and increasing the risk of rhinitis. New insights into the mechanisms of underlying gut microbiota-associated rhinitis are provided.

Level of evidence

Level 5.

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肠道微生物群、过敏性鼻炎、血管运动性鼻炎、孟德尔随机化、因果关系。
目的:对肠道微生态结构和功能的不断研究证实,肠道微生物群与过敏性疾病的发生、发展和结局之间存在关联。在此,我们探讨了肠道微生物群与鼻炎之间的遗传因果关系:我们进行了一项双样本孟德尔随机化(MR)研究,探讨肠道微生物群与过敏性鼻炎和血管运动性鼻炎之间的遗传因果关系。人类肠道微生物群的遗传变异来自 MiBioGen 研究的汇总统计。鼻炎的全基因组汇总统计数据来自芬兰基因联盟。使用逆方差加权法、MR-Egger 回归法和加权中位数法评估了肠道微生物群与鼻炎之间的因果效应。此外,还使用不同的方法进行了敏感性分析,包括最大似然法、简单模式法和加权模型法:结果:IVW方法显示,反刍球菌属高乌头菌群与过敏性鼻炎风险增加存在因果关系(IVW比值比[OR = 1.26] [1.04, 1.53],P值 = 0.01645)。此外,Fusicatenibacter 属(IVW OR = 1.20 [1.02, 1.41],p 值 = 0.02868)与血管运动性鼻炎风险增加有因果关系:结论:属于不同菌属的肠道微生物群对过敏性鼻炎和血管运动性鼻炎有不同的影响,包括降低鼻炎风险和增加鼻炎风险。这为了解肠道微生物群相关鼻炎的潜在机制提供了新的视角:证据等级:5 级。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
205
审稿时长
4-8 weeks
期刊介绍: Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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