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      Causal relationship between telomere length and risk of intracranial aneurysm: a bidirectional Mendelian randomization study

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          Abstract

          Background

          Telomere length is closely linked to the aging phenotype, where cellular aging results in the production of a cascade of cell factors and the senescence-associated secretory phenotype (SASP), leading to an inflammatory response. The presence of inflammation plays a crucial role in the formation of intracranial aneurysms. Nevertheless, the relationship between telomere length and intracranial aneurysms remains unclear. This study aims to explore the causal connection between telomere length and intracranial aneurysms through the utilization of Mendelian randomization (MR) analysis.

          Methods

          Data on telomere length were obtained from the genome-wide association studies conducted on the UK Biobank, comprising a total of 472,174 participants. Data on intracranial aneurysms were obtained from the summary dataset of the Global Genome-wide Association Study (GWAS) conducted by the International Stroke Genetics Consortium. The dataset consisted of 7,495 cases and 71,934 controls, all of European descent. Initially, the linkage disequilibrium score was used to investigate the connection between telomere length and intracranial aneurysms. Subsequently, a bidirectional MR was conducted using two-sample analysis to assess whether there is a causal connection between telomere length and intracranial aneurysm risk. The results were analyzed utilizing five MR methods, with the inverse variance weighted method serving as the main methodology. In addition, we did various analyses to evaluate the presence of heterogeneity, pleiotropy, and sensitivity in the study results. A reverse MR analysis was conducted to investigate potential reverse causal links.

          Results

          In the forward MR analysis, it was observed that both the inverse variance-weighted and weighted median analyses implied a potential causal relationship between longer telomere length and a decreased incidence of intracranial aneurysms (IVW: OR = 0.66, 95% CI: 0.47–0.92, p = 1.49 × 10 −2). There was no heterogeneity or horizontal pleiotropy. The findings were verified to be robust through the utilization of leave-one-out analysis. The use of reverse MR analysis did not establish a potential causal link between the occurrence of intracranial aneurysms and telomere length.

          Conclusion

          There may exist a potential correlation between longer telomere length and a decreased likelihood of intracranial aneurysms within the European population. The present study offers novel insights into the correlation between telomere length and intracranial aneurysms. Additional research is required to clarify the underlying mechanisms and validate our discoveries in diverse populations.

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          Most cited references27

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          LD Score regression distinguishes confounding from polygenicity in genome-wide association studies.

          Both polygenicity (many small genetic effects) and confounding biases, such as cryptic relatedness and population stratification, can yield an inflated distribution of test statistics in genome-wide association studies (GWAS). However, current methods cannot distinguish between inflation from a true polygenic signal and bias. We have developed an approach, LD Score regression, that quantifies the contribution of each by examining the relationship between test statistics and linkage disequilibrium (LD). The LD Score regression intercept can be used to estimate a more powerful and accurate correction factor than genomic control. We find strong evidence that polygenicity accounts for the majority of the inflation in test statistics in many GWAS of large sample size.
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            Mendelian Randomization.

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              PhenoScanner V2: an expanded tool for searching human genotype–phenotype associations

              Abstract Summary PhenoScanner is a curated database of publicly available results from large-scale genetic association studies in humans. This online tool facilitates ‘phenome scans’, where genetic variants are cross-referenced for association with many phenotypes of different types. Here we present a major update of PhenoScanner (‘PhenoScanner V2’), including over 150 million genetic variants and more than 65 billion associations (compared to 350 million associations in PhenoScanner V1) with diseases and traits, gene expression, metabolite and protein levels, and epigenetic markers. The query options have been extended to include searches by genes, genomic regions and phenotypes, as well as for genetic variants. All variants are positionally annotated using the Variant Effect Predictor and the phenotypes are mapped to Experimental Factor Ontology terms. Linkage disequilibrium statistics from the 1000 Genomes project can be used to search for phenotype associations with proxy variants. Availability and implementation PhenoScanner V2 is available at www.phenoscanner.medschl.cam.ac.uk.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2107010/overviewRole: Role:
                URI : https://loop.frontiersin.org/people/2236437/overviewRole: Role:
                Role:
                URI : https://loop.frontiersin.org/people/1465141/overviewRole:
                Role:
                Role:
                Role:
                Role:
                Journal
                Front Neurol
                Front Neurol
                Front. Neurol.
                Frontiers in Neurology
                Frontiers Media S.A.
                1664-2295
                11 March 2024
                2024
                : 15
                : 1355895
                Affiliations
                [1] 1Department of Neurosurgery, The Affiliated Suqian Hospital of Xuzhou Medical University , Suqian, China
                [2] 2Department of Neurosurgery, The Affiliated Huaian No. 1 People’s Hospital of Nanjing Medical University , Huaian, China
                [3] 3Department of Oncology, The Affiliated Huaian No. 1 People’s Hospital of Nanjing Medical University , Huaian, China
                Author notes

                Edited by: Paolo Ragonese, University of Palermo, Italy

                Reviewed by: Mainak Bardhan, Baptist Hospital of Miami, United States

                Wei Yue, Tianjin Huanhu Hospital, China

                *Correspondence: Jing Zheng, doctorzhengjing@ 123456163.com

                These authors have contributed equally to this work

                Article
                10.3389/fneur.2024.1355895
                10964484
                38533417
                40a0080d-d7c7-4483-bd28-5498bb8f7266
                Copyright © 2024 Xu, Ren, Zhu, Ding, Zhou, Guo, Fang and Zheng.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 14 December 2023
                : 29 February 2024
                Page count
                Figures: 1, Tables: 5, Equations: 2, References: 27, Pages: 8, Words: 5085
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Neurology
                Original Research
                Custom metadata
                Neuroepidemiology

                Neurology
                telomere length,intracranial aneurysm,mendelian randomization,causality,single nucleotide polymorphism

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