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Mendelian randomization analysis of gut microbiota-mediated effects of testosterone on endometriosis
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Xiao-ying LI, Xiu-li MA, Ling-yi SUN, Na LI, Qi-ying QUE, Xiao-ting WU, Meng QIU
Modern Preventive Medicine | 2024, 51(20) : 3816 - 3822
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Modern Preventive Medicine | 2024, 51(20): 3816-3822
Mendelian randomization analysis of gut microbiota-mediated effects of testosterone on endometriosis
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Xiao-ying LI, Xiu-li MA, Ling-yi SUN, Na LI, Qi-ying QUE, Xiao-ting WU, Meng QIU
Affiliations
  • Obstetrics and Gynecology Department of Dongzhimen Hospital, Beijing University of Chinese Medicine, No 5, Dongcheng District, Beijing 100700, China
Published: 2024-10-25 doi: 10.20043/j.cnki.MPM.202404068
Outline
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Objective

To explore the causal relationship between testosterone and endometriosis, andto identify and quantify the role of gut microbiota as a potential mediator through Mendelian randomization analysis.

Methods

Utilizing the summary data from the IEU GWAS database for testosterone (n=199 569) and endometriosis (8 288 cases and 68 969 controls) as the exposure and outcome variables, and the aggregated gut microbiota data from the MiBioGen Consortium (n=18 340) as the mediator, a bidirectional, two-step Mendelian randomization analysis was conducted. Causal relationships were assessed using inverse varianceweighted, MR-Egger, weighted median, weighted model, and simple modelto assess causality, while sensitivity analysis was conducted to ensure the robustness of the findings.

Results

Impact of testosterone on endometriosis:Inverse variance weighted estimates suggested that testosterone had negative causal effects on endometriosis (OR=0.804, 95%CI:0.670-0.964, P=0.018).Impact of endometriosis on testosterone:Reverse Mendelian randomization showed that endometriosis did not present a causal effect on testosterone (OR=0.991, 95%CI:0.958-1.026, P=0.616).The class Melainabacteria, one of the gut microbiotas, accounted for a 17.21% reduction in the risk of endometriosis associated with testosterone (mediation proportion: 17.21%, 95%CI:0.090-0.264, P=0.035).

Conclusion

Testosterone is one of the protective factors of endometriosis.Low testosterone levels increase the risk of endometriosis.Gut microbiota may be a mediator of the causal effect of testosterone on endometriosis.

Mendelian randomization  /  Endometriosis  /  Testosterone  /  Gut microbiota  /  Causal inference
Xiao-ying LI, Xiu-li MA, Ling-yi SUN, Na LI, Qi-ying QUE, Xiao-ting WU, Meng QIU. Mendelian randomization analysis of gut microbiota-mediated effects of testosterone on endometriosis[J]. Modern Preventive Medicine, 2024 , 51 (20) : 3816 -3822 . DOI: 10.20043/j.cnki.MPM.202404068
Year 2024 volume 51 Issue 20
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doi: 10.20043/j.cnki.MPM.202404068
  • Receive Date:2024-04-03
  • Online Date:2026-03-20
  • Published:2024-10-25
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  • Received:2024-04-03
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    Obstetrics and Gynecology Department of Dongzhimen Hospital, Beijing University of Chinese Medicine, No 5, Dongcheng District, Beijing 100700, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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