Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis

BackgroundMetabolic syndrome (MetS) is highly prevalent in patients with mental disorders, including elevated diastolic or systolic blood pressure, elevated fasting glucose, hypercholesterolemia, abdominal obesity and so on. As an important component of MetS, the relationship between hypercholestero...

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Main Authors: Zou Qian, Tang Ni, Liu Huanhui, Zhang Hanjing, Ma Xiaojie
Format: Article
Language:zho
Published: Editorial Office of Sichuan Mental Health 2025-04-01
Series:Sichuan jingshen weisheng
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Online Access:http://www.psychjm.net.cn/scjswszz/ch/reader/view_abstract.aspx?file_no=202502005&flag=1
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author Zou Qian
Tang Ni
Liu Huanhui
Zhang Hanjing
Ma Xiaojie
author_facet Zou Qian
Tang Ni
Liu Huanhui
Zhang Hanjing
Ma Xiaojie
author_sort Zou Qian
collection DOAJ
description BackgroundMetabolic syndrome (MetS) is highly prevalent in patients with mental disorders, including elevated diastolic or systolic blood pressure, elevated fasting glucose, hypercholesterolemia, abdominal obesity and so on. As an important component of MetS, the relationship between hypercholesterolemia and mental disorder has been extensively reported, whereas few genome-wide association studies (GWAS) have been conducted to identify the causal role of mental disorders in hypercholesterolemia.ObjectiveTo explore the potential causal relationship between mental disorders and hypercholesterolemia by two-sample Mendelian randomization (MR) method.MethodsSummary data from GWAS were analyzed. Single nucleotide polymorphisms (SNPs) strongly associated with mental disorders were chosen as instrumental variables, and hypercholesterolemia was used as outcome variable. MR analysis utilized inverse-variance weighted (IVW), MR-Egger regression and weighted median estimation (WME) as the primary analytical tool, and supplemented by simple mode (SM) and weighted mode (WM). The causal relationship between mental disorders and the risk of hypercholesterolemia was illustrated in terms of odds ratio (OR).ResultsA total of 36 SNPs associated with mental disorders were identified as instrumental variables. The primary findings from IVW revealed existence of a causal relationship between mental disorders and hypercholesterolemia (IVW: OR=1.067, 95% CI: 1.026~1.109, P=0.001). Findings from the additional methods (MR-Egger regression, WME, SM, WM) were basically consistent with those reported in IVW method. Further verification indicated that the causal relationship between mental disorders and the risk of hypercholesterolemia was not affected by genetic polymorphism (P>0.05). The absence of heterogeneity was confirmed through Cochran's Q test and MR-Egger regression (P>0.05). Furthermore, no causal association in the reverse direction was found (P>0.05).ConclusionThere is a causal relationship between mental disorders and hypercholesterolemia, and patients with mental disorders may have an increased probability of suffering from hypercholesterolemia.
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spelling doaj-art-cff8c324c1f64f0dbd340b576f716bb62025-08-20T03:14:03ZzhoEditorial Office of Sichuan Mental HealthSichuan jingshen weisheng1007-32562025-04-0138212313010.11886/scjsws202407230031007-3256(2025)02-0123-08Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysisZou Qian0Tang Ni1Liu Huanhui2Zhang Hanjing3Ma Xiaojie4The Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, ChinaThe Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, ChinaThe Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, ChinaThe Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, ChinaThe Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, ChinaBackgroundMetabolic syndrome (MetS) is highly prevalent in patients with mental disorders, including elevated diastolic or systolic blood pressure, elevated fasting glucose, hypercholesterolemia, abdominal obesity and so on. As an important component of MetS, the relationship between hypercholesterolemia and mental disorder has been extensively reported, whereas few genome-wide association studies (GWAS) have been conducted to identify the causal role of mental disorders in hypercholesterolemia.ObjectiveTo explore the potential causal relationship between mental disorders and hypercholesterolemia by two-sample Mendelian randomization (MR) method.MethodsSummary data from GWAS were analyzed. Single nucleotide polymorphisms (SNPs) strongly associated with mental disorders were chosen as instrumental variables, and hypercholesterolemia was used as outcome variable. MR analysis utilized inverse-variance weighted (IVW), MR-Egger regression and weighted median estimation (WME) as the primary analytical tool, and supplemented by simple mode (SM) and weighted mode (WM). The causal relationship between mental disorders and the risk of hypercholesterolemia was illustrated in terms of odds ratio (OR).ResultsA total of 36 SNPs associated with mental disorders were identified as instrumental variables. The primary findings from IVW revealed existence of a causal relationship between mental disorders and hypercholesterolemia (IVW: OR=1.067, 95% CI: 1.026~1.109, P=0.001). Findings from the additional methods (MR-Egger regression, WME, SM, WM) were basically consistent with those reported in IVW method. Further verification indicated that the causal relationship between mental disorders and the risk of hypercholesterolemia was not affected by genetic polymorphism (P>0.05). The absence of heterogeneity was confirmed through Cochran's Q test and MR-Egger regression (P>0.05). Furthermore, no causal association in the reverse direction was found (P>0.05).ConclusionThere is a causal relationship between mental disorders and hypercholesterolemia, and patients with mental disorders may have an increased probability of suffering from hypercholesterolemia.http://www.psychjm.net.cn/scjswszz/ch/reader/view_abstract.aspx?file_no=202502005&flag=1mental disordershypercholesterolemiamendelian randomizationmetabolic syndrome
spellingShingle Zou Qian
Tang Ni
Liu Huanhui
Zhang Hanjing
Ma Xiaojie
Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis
Sichuan jingshen weisheng
mental disorders
hypercholesterolemia
mendelian randomization
metabolic syndrome
title Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis
title_full Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis
title_fullStr Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis
title_full_unstemmed Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis
title_short Causal relationship between mental disorders and hypercholesterolemia: a Mendelian randomization analysis
title_sort causal relationship between mental disorders and hypercholesterolemia a mendelian randomization analysis
topic mental disorders
hypercholesterolemia
mendelian randomization
metabolic syndrome
url http://www.psychjm.net.cn/scjswszz/ch/reader/view_abstract.aspx?file_no=202502005&flag=1
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AT tangni causalrelationshipbetweenmentaldisordersandhypercholesterolemiaamendelianrandomizationanalysis
AT liuhuanhui causalrelationshipbetweenmentaldisordersandhypercholesterolemiaamendelianrandomizationanalysis
AT zhanghanjing causalrelationshipbetweenmentaldisordersandhypercholesterolemiaamendelianrandomizationanalysis
AT maxiaojie causalrelationshipbetweenmentaldisordersandhypercholesterolemiaamendelianrandomizationanalysis