Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study

Abstract Background Stroke is a major cause of mortality and long-term disability worldwide. Whether the associations between brain imaging-derived phenotypes (IDPs) and stroke are causal is uncertain. Methods We performed two-sample bidirectional Mendelian randomization (MR) analyses to explore the...

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Main Authors: Ke Yu, Xiao-Feng Chen, Jing Guo, Sen Wang, Xiao-Ting Huang, Yan Guo, Shan-Shan Dong, Tie-Lin Yang
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12916-023-02982-9
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author Ke Yu
Xiao-Feng Chen
Jing Guo
Sen Wang
Xiao-Ting Huang
Yan Guo
Shan-Shan Dong
Tie-Lin Yang
author_facet Ke Yu
Xiao-Feng Chen
Jing Guo
Sen Wang
Xiao-Ting Huang
Yan Guo
Shan-Shan Dong
Tie-Lin Yang
author_sort Ke Yu
collection DOAJ
description Abstract Background Stroke is a major cause of mortality and long-term disability worldwide. Whether the associations between brain imaging-derived phenotypes (IDPs) and stroke are causal is uncertain. Methods We performed two-sample bidirectional Mendelian randomization (MR) analyses to explore the causal associations between IDPs and stroke. Summary data of 587 brain IDPs (up to 33,224 individuals) from the UK Biobank and five stroke types (sample size range from 301,663 to 446,696, case number range from 5,386 to 40,585) from the MEGASTROKE consortium were used. Results Forward MR indicated 14 IDPs belong to projection fibers or association fibers were associated with stroke. For example, higher genetically determined mean diffusivity (MD) in the right external capsule was causally associated with an increased risk of small vessel stroke (IVW OR = 2.76, 95% CI 2.07 to 3.68, P = 5.87 × 10−12). Reverse MR indicated that genetically determined higher risk of any ischemic stroke was associated with increased isotropic or free water volume fraction (ISOVF) in body of corpus callosum (IVW β = 0.23, 95% CI 0.14 to 0.33, P = 3.22 × 10−7). This IDP is a commissural fiber and it is not included in the IDPs identified by forward MR. Conclusions We identified 14 IDPs with statistically significant evidence of causal effects on stroke or stroke subtypes. We also identified potential causal effects of stroke on one IDP of commissural fiber. These findings might guide further work toward identifying preventative strategies at the brain imaging levels.
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spelling doaj.art-af360e41909546d4ba8c9a999fe0b9d02023-07-30T11:17:37ZengBMCBMC Medicine1741-70152023-07-0121111010.1186/s12916-023-02982-9Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization studyKe Yu0Xiao-Feng Chen1Jing Guo2Sen Wang3Xiao-Ting Huang4Yan Guo5Shan-Shan Dong6Tie-Lin Yang7Key Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityKey Laboratory of Biomedical Information Engineering of Ministry of Education, Biomedical Informatics & Genomics Center, School of Life Science and Technology, Xi’an Jiaotong UniversityAbstract Background Stroke is a major cause of mortality and long-term disability worldwide. Whether the associations between brain imaging-derived phenotypes (IDPs) and stroke are causal is uncertain. Methods We performed two-sample bidirectional Mendelian randomization (MR) analyses to explore the causal associations between IDPs and stroke. Summary data of 587 brain IDPs (up to 33,224 individuals) from the UK Biobank and five stroke types (sample size range from 301,663 to 446,696, case number range from 5,386 to 40,585) from the MEGASTROKE consortium were used. Results Forward MR indicated 14 IDPs belong to projection fibers or association fibers were associated with stroke. For example, higher genetically determined mean diffusivity (MD) in the right external capsule was causally associated with an increased risk of small vessel stroke (IVW OR = 2.76, 95% CI 2.07 to 3.68, P = 5.87 × 10−12). Reverse MR indicated that genetically determined higher risk of any ischemic stroke was associated with increased isotropic or free water volume fraction (ISOVF) in body of corpus callosum (IVW β = 0.23, 95% CI 0.14 to 0.33, P = 3.22 × 10−7). This IDP is a commissural fiber and it is not included in the IDPs identified by forward MR. Conclusions We identified 14 IDPs with statistically significant evidence of causal effects on stroke or stroke subtypes. We also identified potential causal effects of stroke on one IDP of commissural fiber. These findings might guide further work toward identifying preventative strategies at the brain imaging levels.https://doi.org/10.1186/s12916-023-02982-9StrokeIDPsCausal associationMendelian randomization
spellingShingle Ke Yu
Xiao-Feng Chen
Jing Guo
Sen Wang
Xiao-Ting Huang
Yan Guo
Shan-Shan Dong
Tie-Lin Yang
Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study
BMC Medicine
Stroke
IDPs
Causal association
Mendelian randomization
title Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study
title_full Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study
title_fullStr Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study
title_full_unstemmed Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study
title_short Assessment of bidirectional relationships between brain imaging-derived phenotypes and stroke: a Mendelian randomization study
title_sort assessment of bidirectional relationships between brain imaging derived phenotypes and stroke a mendelian randomization study
topic Stroke
IDPs
Causal association
Mendelian randomization
url https://doi.org/10.1186/s12916-023-02982-9
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