Investigating the causal link between gut microbiota and dry age-related macular degeneration: a bidirectional Mendelian randomization study
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Yao Tan. Department of Ophthalmology, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, Yuelu District, Changsha 410000, Hunan Province, China. tanyao2000@qq.com

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Supported by the Natural Science Foundation of Hunan Province (No.2024JJ6609); the Postdoctoral Fellowship Program of CPSF (No.GZC20233180).

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    Abstract:

    AIM: To assess the causal link between 211 gut microbiota (GM) taxa and dry age-related macular degeneration (dAMD) risk. METHODS: Mendelian randomization using instrumental factors taken from a genome-wide association study (GWAS) were used. Inverse variance weighted (IVW) analysis and sensitivity analysis were performed on the FinnGen project, which included 5095 cases and 222 590 controls. RESULTS: The IVW analysis showed substantial genus- and family-level relationships between GM taxa and dAMD risk. Specifically, the family Peptococcaceae (P=0.03), genus Bilophila (P=3.91×10-3), genus Faecalibacterium (P=6.55×10-3), and genus Roseburia (P=0.04) were linked to a higher risk of developing dAMD, while the genus Candidatus Soleaferrea (P=7.75×10-4), genus Desulfovibrio (P=0.04) and genus Eubacterium ventriosum group (P=0.04) exhibited a protective effect against dAMD. No significant causal relationships were observed at higher taxonomic levels. Additionally, in the reverse IVW analysis, no meaningful causal effects of the 7 GM taxa. CONCLUSION: These findings give support for the gut-retina axis participation in dAMD and shed light on putative underlying processes. Investigations on the connection between GM and dAMD have not yet revealed the underlying mechanism.

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Hai-Yan Huang, Jing Wang, Bo Qin, et al. Investigating the causal link between gut microbiota and dry age-related macular degeneration: a bidirectional Mendelian randomization study. Int J Ophthalmol, 2024,17(9):1723-1730

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Publication History
  • Received:November 22,2023
  • Revised:May 22,2024
  • Adopted:
  • Online: August 20,2024
  • Published: