Causal associations between gastroesophageal reflux disease and essential hypertension: A bidirectional Mendelian randomization study

作     者：Ning Wei Ming-Hui Liu Yu-Hu Song 

作者机构：Department of GastroenterologyUnion HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022Hubei ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2024年第12卷第5期

页      面：880-890页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by National Natural Science Foundation of China(General Program) No.82070631 

主　　题：Gastroesophageal reflux disease Essential hypertension Hypertensive heart disease Mendelian randomization study 

摘      要：BACKGROUND Clinical studies have reported that patients with gastroesophageal reflux disease(GERD)have a higher prevalence of *** To performed a bidirectional Mendelian randomization(MR)analysis to investi-gate the causal link between GERD and essential *** Eligible single nucleotide polymorphisms(SNPs)were selected,and weighted median,inverse variance weighted(IVW)as well as MR egger(MR-Egger)re-gression were used to examine the potential causal association between GERD and *** MR-Pleiotropy RESidual Sum and Outlier analysis was used to detect and attempt to reduce horizontal pleiotropy by removing outliers *** MR-Egger intercept test,Cochran’s Q test and“leave-one-outsen-sitivity analysis were performed to evaluate the horizontal pleiotropy,heterogen-eities,and stability of single instrumental *** IVW analysis exhibited an increased risk of hypertension(OR=1.46,95%CI:1.33-1.59,P=2.14E-16)in GERD *** the same result was obtained in replication practice(OR=1.002,95%CI:1.0008-1.003,P=0.000498).Meanwhile,the IVW analysis showed an increased risk of systolic blood pressure(β=0.78,95%CI:0.11-1.44,P=0.021)and hypertensive heart disease(OR=1.68,95%CI:1.36-2.08,P=0.0000016)in GERD ***,we found an decreased risk of Barrett s esophagus(OR=0.91,95%CI:0.83-0.99,P=0.043)in essential hypertension *** We found that GERD would increase the risk of essential hypertension,which provided a novel prevent and therapeutic perspectives of essential hypertension.