目的研究血清中25(OH)D水平对隐匿型原发性卵巢功能不全(occult primary ovarian insufficiency,oPOI)患者妊娠结局的影响。方法回顾性分析2018年9月至2022年12月在广东省妇幼保健院生殖中心行辅助生殖治疗的218例患者的临床资料。将符...目的研究血清中25(OH)D水平对隐匿型原发性卵巢功能不全(occult primary ovarian insufficiency,oPOI)患者妊娠结局的影响。方法回顾性分析2018年9月至2022年12月在广东省妇幼保健院生殖中心行辅助生殖治疗的218例患者的临床资料。将符合纳入标准的对照组和oPOI组患者按孕产妇的年龄节点分为≤35岁和>35岁,比较各组的25(OH)D浓度及妊娠结局的差异,随后对oPOI患者进行维生素D补充,追踪助孕结局。结果在≤35岁患者中,oPOI组的25(OH)D水平及妊娠率显著低于对照组(41.62±11.90 vs 63.04±16.26,42.37±4.62 vs 53.33±1.97,P<0.05),在>35岁患者中,25(OH)D水平及妊娠率均无显著性差异。在≤35岁oPOI患者中,25(OH)D干预组的血清25(OH)D浓度和优质胚胎率显著高于25(OH)D未干预组,差异具有统计学意义(42.13±12.91 vs 78.26±23.91,55.74±25.16 vs 80.39±29.05,P<0.05),但两组间的获卵数、受精率、临床妊娠率和着床率均没有显著差异;在>35岁的oPOI患者中,25(OH)D干预组与未干预组的血清25(OH)D浓度、获卵数、受精率、优质胚胎率、临床妊娠率和着床率均未见显著差异。结论≤35岁的女性不孕患者中,oPOI患者的维生素D水平低于其他因素不孕的患者,给予维生素D补充后可改善oPOI患者25(OH)D水平及优质胚胎率,但未改变oPOI患者的妊娠结局。展开更多
Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D...Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D(25(OH)D)levels and mental disorders.The data used for the MR analysis were derived from the summary genome-wide association studies(GWAS)database for VC and 25(OH)D and from the Finn Gen consortium for fourteen mental disorders.Based on the inverse variance weighted(IVW)method,we found a potential causal association between circulating VC and anxiety disorders(IVW:OR=1.139,95%CI:1.023-1.269,P=0.018).However,no causal association was found between VC or 25(OH)D and other mental disorders(P>0.05).In the reverse MR analysis,individuals with Alzheimer’s disease was causally associated with higher concentrations of circulating VC(P=0.012),while individuals with anxiety disorders had a negative association between the concentrations of 25(OH)D(P=0.012).However,the current evidence does not support a causal relationship between VC or 25(OH)D and other mental disorders.In addition,there was no causal association between circulating VC and 25(OH)D(P>0.05).Future studies are needed to confirm these findings and to elucidate the mechanisms of potential causality.展开更多
BACKGROUND Vitamin deficiencies are linked to various eye diseases,and the influence of vitamin D on cataract formation has been noted in prior research.However,detailed investigations into the causal relationship bet...BACKGROUND Vitamin deficiencies are linked to various eye diseases,and the influence of vitamin D on cataract formation has been noted in prior research.However,detailed investigations into the causal relationship between 25-(OH)D status and cataract development remain scarce.AIM To explore a possible causal link between cataracts and vitamin D.METHODS In this study,we explored the causal link between 25-(OH)D levels and cataract development using Mendelian randomization.Our analytical approach included inverse-variance weighting(IVW),MR-Egger,weighted median,simple mode,and weighted mode methods.The primary analyses utilized IVW with random effects,supplemented by sensitivity and heterogeneity tests using both IVW and MR-Egger.MR-Egger was also applied for pleiotropy testing.Additionally,a leave-one-out analysis helped identify potentially impactful single-nucleotide polymorphisms.RESULTS The analysis revealed a positive association between 25-(OH)D levels and the risk of developing cataracts(OR=1.11,95%CI:1.00-1.22;P=0.032).The heterogeneity test revealed that our IVW analysis exhibited minimal heterogeneity(P>0.05),and the pleiotropy test findings confirmed the absence of pleiotropy within our IVW analysis(P>0.05).Furthermore,a search of the human genotype-phenotype association database failed to identify any potentially relevant risk-factor single nucleotide polymorphisms.CONCLUSION There is a potential causal link between 25-(OH)D levels and the development of cataracts,suggesting that greater 25-(OH)D levels may be a contributing risk factor for cataract formation.Further experimental research is required to confirm these findings.展开更多
文摘目的研究血清中25(OH)D水平对隐匿型原发性卵巢功能不全(occult primary ovarian insufficiency,oPOI)患者妊娠结局的影响。方法回顾性分析2018年9月至2022年12月在广东省妇幼保健院生殖中心行辅助生殖治疗的218例患者的临床资料。将符合纳入标准的对照组和oPOI组患者按孕产妇的年龄节点分为≤35岁和>35岁,比较各组的25(OH)D浓度及妊娠结局的差异,随后对oPOI患者进行维生素D补充,追踪助孕结局。结果在≤35岁患者中,oPOI组的25(OH)D水平及妊娠率显著低于对照组(41.62±11.90 vs 63.04±16.26,42.37±4.62 vs 53.33±1.97,P<0.05),在>35岁患者中,25(OH)D水平及妊娠率均无显著性差异。在≤35岁oPOI患者中,25(OH)D干预组的血清25(OH)D浓度和优质胚胎率显著高于25(OH)D未干预组,差异具有统计学意义(42.13±12.91 vs 78.26±23.91,55.74±25.16 vs 80.39±29.05,P<0.05),但两组间的获卵数、受精率、临床妊娠率和着床率均没有显著差异;在>35岁的oPOI患者中,25(OH)D干预组与未干预组的血清25(OH)D浓度、获卵数、受精率、优质胚胎率、临床妊娠率和着床率均未见显著差异。结论≤35岁的女性不孕患者中,oPOI患者的维生素D水平低于其他因素不孕的患者,给予维生素D补充后可改善oPOI患者25(OH)D水平及优质胚胎率,但未改变oPOI患者的妊娠结局。
基金funded by the Nactional Natural Science Foundation of China(81872618)。
文摘Mental disorders seriously affect people’s health and social stability.This Mendelian randomization(MR)study was designed to investigate the causal relationship between circulating vitamin C(VC)or 25-hydroxyvitamin D(25(OH)D)levels and mental disorders.The data used for the MR analysis were derived from the summary genome-wide association studies(GWAS)database for VC and 25(OH)D and from the Finn Gen consortium for fourteen mental disorders.Based on the inverse variance weighted(IVW)method,we found a potential causal association between circulating VC and anxiety disorders(IVW:OR=1.139,95%CI:1.023-1.269,P=0.018).However,no causal association was found between VC or 25(OH)D and other mental disorders(P>0.05).In the reverse MR analysis,individuals with Alzheimer’s disease was causally associated with higher concentrations of circulating VC(P=0.012),while individuals with anxiety disorders had a negative association between the concentrations of 25(OH)D(P=0.012).However,the current evidence does not support a causal relationship between VC or 25(OH)D and other mental disorders.In addition,there was no causal association between circulating VC and 25(OH)D(P>0.05).Future studies are needed to confirm these findings and to elucidate the mechanisms of potential causality.
文摘BACKGROUND Vitamin deficiencies are linked to various eye diseases,and the influence of vitamin D on cataract formation has been noted in prior research.However,detailed investigations into the causal relationship between 25-(OH)D status and cataract development remain scarce.AIM To explore a possible causal link between cataracts and vitamin D.METHODS In this study,we explored the causal link between 25-(OH)D levels and cataract development using Mendelian randomization.Our analytical approach included inverse-variance weighting(IVW),MR-Egger,weighted median,simple mode,and weighted mode methods.The primary analyses utilized IVW with random effects,supplemented by sensitivity and heterogeneity tests using both IVW and MR-Egger.MR-Egger was also applied for pleiotropy testing.Additionally,a leave-one-out analysis helped identify potentially impactful single-nucleotide polymorphisms.RESULTS The analysis revealed a positive association between 25-(OH)D levels and the risk of developing cataracts(OR=1.11,95%CI:1.00-1.22;P=0.032).The heterogeneity test revealed that our IVW analysis exhibited minimal heterogeneity(P>0.05),and the pleiotropy test findings confirmed the absence of pleiotropy within our IVW analysis(P>0.05).Furthermore,a search of the human genotype-phenotype association database failed to identify any potentially relevant risk-factor single nucleotide polymorphisms.CONCLUSION There is a potential causal link between 25-(OH)D levels and the development of cataracts,suggesting that greater 25-(OH)D levels may be a contributing risk factor for cataract formation.Further experimental research is required to confirm these findings.
