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dc.rights.licenseopenen_US
dc.contributor.authorLEE, Keon-Joo
dc.contributor.authorKIM, Hakyung
dc.contributor.authorLEE, Soo Ji
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDUPERRON, Marie-Gabrielle
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDEBETTE, Stephanie
dc.contributor.authorBAE, Hee-Joon
dc.contributor.authorSUNG, Joohon
dc.date.accessioned2023-11-10T10:32:07Z
dc.date.available2023-11-10T10:32:07Z
dc.date.issued2023-09-01
dc.identifier.issn1524-4628en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/184713
dc.description.abstractEnPrevious observational studies reported that a lower serum 25-hydroxyvitamin D [25(OH)D] concentration is associated with a higher burden of cerebral small vessel disease (cSVD). The causality of this association is uncertain, but it would be clinically important, given that 25(OH)D can be a target for intervention. We tried to examine the causal effect of 25(OH)D concentration on cSVD-related phenotypes using a Mendelian randomization approach. Genetic instruments for each serum 25(OH)D concentration and cSVD-related phenotypes (lacunar stroke, white matter hyperintensity, cerebral microbleeds, and perivascular spaces) were derived from large-scale genome-wide association studies. We performed 2-sample Mendelian randomization analyses with multiple post hoc sensitivity analyses. A bidirectional Mendelian randomization approach was also used to explore the possibility of reverse causation. We failed to find any significant causal effect of 25(OH)D concentration on cSVD-related phenotypes (odds ratio [95% CI], 1.00 [0.87-1.16], 1.01 [0.96-1.07], 1.06 [0.85-1.33], 1.00 [0.97-1.03], 1.02 [0.99-1.04], 1.01 [0.99-1.04] for lacunar stroke, white matter hyperintensity, cerebral microbleeds, and white matter, basal ganglia, hippocampal perivascular spaces, respectively). These results were reproduced in the sensitivity analyses accounting for genetic pleiotropy. Conversely, when we examined the effects of cSVD phenotypes on 25(OH)D concentration, cerebral microbleeds were negatively associated with 25(OH)D concentration (0.94 [0.92-0.96]). Given the adequate statistical power (>0.8) of the analyses, our findings suggest that the previously reported association between 25(OH)D concentration and cSVD phenotypes might not be causal and partly attributed to reverse causation.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subject.enHumans
dc.subject.enStroke
dc.subject.enLacunar
dc.subject.enMendelian Randomization Analysis
dc.subject.enGenome-Wide Association Study
dc.subject.enCerebral Small Vessel Diseases
dc.subject.enVitamin D
dc.subject.enCerebral Hemorrhage
dc.subject.enPolymorphism
dc.subject.enSingle Nucleotide
dc.title.enCausal Effect of the 25-Hydroxyvitamin D Concentration on Cerebral Small Vessel Disease: A Mendelian Randomization Study
dc.title.alternativeStrokeen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1161/STROKEAHA.123.042980en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37465996en_US
bordeaux.journalStrokeen_US
bordeaux.page2338-2346en_US
bordeaux.volume54en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue9en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamELEANORen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDSeoul National University Bundang Hospitalen_US
bordeaux.identifier.funderIDNational Research Foundation of Koreaen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04278926
hal.version1
hal.date.transferred2023-11-10T10:32:09Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Stroke&rft.date=2023-09-01&rft.volume=54&rft.issue=9&rft.spage=2338-2346&rft.epage=2338-2346&rft.eissn=1524-4628&rft.issn=1524-4628&rft.au=LEE,%20Keon-Joo&KIM,%20Hakyung&LEE,%20Soo%20Ji&DUPERRON,%20Marie-Gabrielle&DEBETTE,%20Stephanie&rft.genre=article


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