Article(id=1311350021098926223, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1311349984730116963, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202601462, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1769529600000, receivedDateStr=2026-01-28, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1790579808734, onlineDateStr=2026-09-28, pubDate=1784908800000, pubDateStr=2026-07-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1790579808734, onlineIssueDateStr=2026-09-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1790579808734, creator=13701087609, updateTime=1790579808734, updator=13701087609, issue=Issue{id=1311349984730116963, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='14', pageStart='2497', pageEnd='2688', issueExtLink='null', onlineDate='null', pubDate='1784908800000', pubDateStr='2026-07-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1790579800064, creator='13701087609', updateTime=1790588348354, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1311385838924169506, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1311349984730116963, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1311385838924169507, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1311349984730116963, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=2510, endPage=2517, ext={EN=ArticleExt(id=1311350022688567440, articleId=1311350021098926223, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=A mendelian randomization study on the bidirectional causal relationship between arginine and colorectal cancer, columnId=1228016567443718970, journalTitle=Modern Preventive Medicine, columnName=Epidemiology and Statistical Methods Advances, runingTitle=null, highlight=null, articleAbstract=
Objective To investigate the causal relationship between plasma arginine (Arg) levels and colorectal cancer (CRC) risk using a bidirectional two-sample mendelian randomization (MR) approach, thereby providing genetic evidence for this association.
Methods Based on publicly available large-scale Genome-Wide Association Study (GWAS) data, bidirectional MR analysis was conducted with Arg and CRC. In the forward analysis, genetic variants associated with plasma Arg levels were used as instrumental variables to estimate their causal effect on CRC risk. The reverse analysis assessed the effect of genetic predisposition to CRC on Arg levels. The primary causal estimate, derived via the inverse-variance weighted (IVW) method, was supplemented by the weighted median (WM) and MR-Egger approaches for sensitivity analyses. Robustness was evaluated through heterogeneity tests (Cochran Q), assessments of horizontal pleiotropy (MR-Egger intercept), and leave-one-out sensitivity analyses.
Results The forward MR analysis revealed an inverse causal association between genetically predicted plasma Arg levels and CRC risk (OR=0.762, 95%CI: 0.589-0.986, P=0.039). Sensitivity analyses showed no significant heterogeneity (Cochran QP=0.222) or evidence of horizontal pleiotropy (MR-Egger intercept P=0.991). In the reverse direction, MR analysis found no significant causal effect of genetic liability for CRC on plasma Arg levels (P>0.05).
Conclusion Genetically elevated plasma arginine levels are causally associated with a reduced risk of colorectal cancer, suggesting a potential protective role. No reverse causal relationship was found. This provides genetic evidence for further exploration of the potential role of arginine in the prevention or intervention of colorectal cancer.
, authors=Yu-ke WANG
1, Yi-jin WANG
2, Tao HAN
1, Jue XU
1, Wen-yong YANG
2, Jing-wen JIANG
1, Xia JIANG
1, authorsList=Yu-ke WANG, Yi-jin WANG, Tao HAN, Jue XU, Wen-yong YANG, Jing-wen JIANG, Xia JIANG, authorCompany=null, correspAuthors=Jing-wen JIANG, Xia JIANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1311350024269820063, articleId=1311350021098926223, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=精氨酸与结直肠癌之间的双向因果关联的孟德尔随机化研究, columnId=1228016567632462653, journalTitle=现代预防医学, columnName=流行病与统计方法, runingTitle=null, highlight=null, articleAbstract=
目的 采用两样本双向孟德尔随机化(Mendelian Randomization, MR)研究探讨血浆精氨酸(Arginine,Arg)水平与结直肠癌(colorectal cancer,CRC)发病风险的因果关联,为血浆Arg与CRC发病关联提供遗传层面证据支持。
方法 基于公开的大型全基因组关联研究(Genome-Wide Association Study,GWAS)数据,分别以Arg与CRC作为暴露与结局进行双向MR分析。主要采用逆方差加权法(IVW)进行因果估计,以加权中位数法(weighted median method,WM)和MR-Egger法作为敏感性分析,并通过异质性检验、水平多效性检验、留一法分析等评估结果的稳健性。
结果 正向MR结果表明,血浆Arg与CRC发生风险之间存在负向因果关联(OR=0.762,95%CI:0.589~0.986,P=0.039),且未发现显著的异质性(Cochran QP=0.222)和水平多效性(MR-Egger截距P=0.991)。反向MR分析未发现CRC与Arg之间存在显著的因果关联(P>0.05)。
结论 血浆Arg水平与CRC发病风险呈现负向因果关联,提示Arg可能是CRC发病的保护因素,且未发现反向因果关系,为进一步探索Arg在CRC预防或干预中的潜在作用提供了遗传学依据。
, authors=王雨珂
1, 王艺锦
2, 韩韬
1, 徐珏
1, 杨文勇
2, 蒋静文
1, 姜侠
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王雨珂(2000—),女,硕士在读,研究方向:肿瘤与免疫;
王艺锦(1996—),男,硕士在读,研究方向:癌症基因组学与生物信息学
, correspAuthorsNote=
姜侠和蒋静文为共同通讯作者。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点,除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=mEQSRzFMM11ASSL6yQ3ZJA==, magXml=onJiqtkaomlw+jh0fppICg==, pdfUrl=null, pdf=DFKYCEQ6s1uhAMk2NJT8aw==, pdfFileSize=1262209, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=w/5wnolM7nUw9+Br8iG3xQ==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=q3v55KrI53bEd00YQzzCWA==, mapNumber=null, fund=null)}, authors=[Author(id=1311350024634724518, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311350021098926223, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1311350024701833384, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311350021098926223, authorId=1311350024634724518, language=EN, stringName=Yu-ke WANG, firstName=Yu-ke, middleName=null, lastName=WANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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Primary analysis results and supplement results of the MR analysis
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| Exposure | Outcome | Method | nSNP | Beta | SE | P |
|---|
| Arg | CRC | IVW | 14 | -0.271 | 0.131 | 0.039 |
| | WM | 14 | -0.280 | 0.172 | 0.104 |
| | MR Egger | 14 | -0.274 | 0.292 | 0.365 |
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MR分析的主要结果及补充结果
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| Exposure | Outcome | Method | nSNP | Beta | SE | P |
|---|
| Arg | CRC | IVW | 14 | -0.271 | 0.131 | 0.039 |
| | WM | 14 | -0.280 | 0.172 | 0.104 |
| | MR Egger | 14 | -0.274 | 0.292 | 0.365 |
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MR heterogeneity analysis results in the MR study
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| Exposure | Outcome | Method | Q | Q_df | P |
|---|
| Arg | CRC | MR Egger | 16.532 | 12 | 0.168 |
| | IVW | 16.532 | 13 | 0.222 |
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MR异质性分析结果
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| Exposure | Outcome | Method | Q | Q_df | P |
|---|
| Arg | CRC | MR Egger | 16.532 | 12 | 0.168 |
| | IVW | 16.532 | 13 | 0.222 |
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Horizontal pleiotropy analysis results in the MR study
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| Exposure | Outcome | Egger_intercept | SE | P |
|---|
| Arg | CRC | 0.000 3 | 0.030 | 0.991 |
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MR水平多效性分析结果
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| Exposure | Outcome | Egger_intercept | SE | P |
|---|
| Arg | CRC | 0.000 3 | 0.030 | 0.991 |
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