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Nutrients. 2021;13(3):nu13030906.

Causal Effects of Homocysteine, Folate, and Cobalamin on Kidney Function: A Mendelian Randomization Study.

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제1저자 박세훈 · 교신저자 김동기

소속 (8)
  1. Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Korea.
  2. Department of Internal Medicine, Armed Forces Capital Hospital, Gyeonggi-do 13574, Korea.
  3. Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
  4. Department of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.
  5. Department of Internal Medicine, Keimyung University School of Medicine, Daegu 42601, Korea.
  6. Transdisciplinary Department of Medicine & Advanced Technology, Seoul National University Hospital, Seoul 03080, Korea.
  7. Kidney Research Institute, Seoul National University, Seoul 08826, Korea.
  8. Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul 07061, Korea.

Abstract

Blood homocysteine level and related vitamin levels are associated with various health outcomes. We aimed to assess causal effects of blood homocysteine, folate, and cobalamin on kidney function in the general population by performing Mendelian randomization (MR) analysis. Genetic instruments for blood homocysteine, folate, and cobalamin levels were introduced from a previous genome-wide association (GWAS) meta-analysis of European individuals. Summary-level MR analysis was performed for the estimated glomerular filtration rate (eGFR) from the CKDGen consortium GWAS that included 567,460 European ancestry individuals. For replication, allele-score-based MR was performed with an independent U.K. Biobank cohort of 337,138 individuals of white British ancestry. In summary-level MR for the CKDGen data, high genetically predicted homocysteine levels were significantly associated with low eGFR (per 1 standard deviation, beta for eGFR change -0.95 (-1.21, -0.69) %), supported by pleiotropy-robust MR sensitivity analysis. Genetically predicted high folate levels were significantly associated with high eGFR change (0.86 (0.30, 1.42) %); however, causal estimates from cobalamin were nonsignificant (-0.11 (-0.33, 0.11) %). In the U.K. Biobank data, the results were consistently identified. Therefore, a high blood homocysteine level causally decreases eGFR. Future trials with appropriate homocysteine-lowering interventions may be helpful for the primary prevention of kidney function impairment.

Keywords

chronic kidney diseasecobalaminfolatehomocysteinemendelian randomization

Figures

Figure 1
Figure 1 Study flow diagram.
Figure 2
Figure 2 Scatter plots showing the results for summary-level Mendelian randomization analysis results. The x-axes indicate the effect for exposure variables, and the y-axes indicate the effect for outcome (log-transformed eGFR). The analysis was performed for 567,460 individuals of European ancestry of the CKDGen consortium.

그림 출처: PubMed Central 공개 논문 (PMC8001564)

Conflict of interest statement

The authors declare no conflict of interest.

그 밖의 정보
출판 형태
Journal Article
저널
Nutrients · eISSN 2072-6643
전자 출판
2021-03-11
MeSH
Alleles · Female · Folic Acid / blood · Genome-Wide Association Study · Glomerular Filtration Rate* / genetics · Homocysteine / blood · Humans · Kidney / physiology · Male · Mendelian Randomization Analysis · Polymorphism, Single Nucleotide* · Vitamin B 12 / blood
Substances
Homocysteine · Folic Acid · Vitamin B 12
연구비
Medical Research Council MC_PC_17228 · Medical Research Council MC_QA137853 · SNU R&DB Foundation 800-20190571 · Ministry of Trade, Industry and Energy 10077474
참고문헌
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