
The causal association between circulating zinc, magnesium, and other minerals with autism spectrum disorder: a Mendelian randomization study
Bing-Quan ZHU, Sai-Jing CHEN, Tian-Miao GU, Si-Run JIN, Dan YAO, Shuang-Shuang ZHENG, Jie SHAO
Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (9) : 1098-1104.
The causal association between circulating zinc, magnesium, and other minerals with autism spectrum disorder: a Mendelian randomization study
Objective To evaluate the causal association between circulating levels of zinc, magnesium, and other minerals and autism spectrum disorder (ASD). Methods A two-sample Mendelian randomization (MR) analysis was performed using summary statistics from large-scale genome-wide association studies of European populations, including 18 382 ASD cases and 27 969 controls. Genetic data for iron, calcium, and magnesium were obtained from the UK Biobank, and data for zinc and selenium were sourced from an Australian-British cohort. A total of 351 genetic instrumental variables were selected. Causal inference was performed using inverse-variance weighting as the primary analysis method. Sensitivity analyses were performed by Cochran's Q test and MR-PRESSO global test to assess the robustness of the findings. Results No statistically significant causal effect was observed for circulating zinc, magnesium, calcium, selenium, or iron levels on ASD risk (all P>0.05). The odds ratios and 95% confidence intervals from the inverse-variance weighting analysis were 0.934 (0.869-1.003) for zinc, 1.315 (0.971-1.850) for magnesium, 1.055 (0.960-1.159) for calcium, 1.015 (0.953-1.080) for selenium, and 0.946 (0.687-1.303) for iron. Sensitivity analysis revealed significant heterogeneity in the causal association between circulating calcium and ASD (P=0.006), while the effect estimate remained stable after MR-PRESSO correction (P=0.487). The causal effect estimates for the remaining minerals demonstrated good robustness. Conclusions This study did not find significant evidence supporting a causal association between circulating zinc, magnesium, calcium, selenium, or iron levels and ASD risk, providing important clues for the etiology of ASD and precision nutritional interventions.
Autism spectrum disorder / Zinc / Magnesium / Mendelian randomization / Causal association / Child
[1] |
|
[2] |
|
[3] |
张鑫慧, 杨亭, 陈洁, 等. 孤独症谱系障碍儿童血清微量元素水平与核心症状间关系的全国多中心调查[J]. 中国当代儿科杂志, 2021, 23(5): 445-450. PMCID: PMC8140341. DOI: 10.7499/j.issn.1008-8830.2101163 .
|
[4] |
|
[5] |
|
[6] |
|
[7] |
|
[8] |
|
[9] |
|
[10] |
|
[11] |
|
[12] |
|
[13] |
|
[14] |
|
[15] |
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] |
孙敏, 王宇, 郭玉成, 等. 微量元素硒与儿童孤独症谱系障碍关联的Meta分析[J]. 神经疾病与精神卫生, 2022, 22(3): 158-165. DOI: 10.3969/j.issn.1009-6574.2022.03.002 .
|
[27] |
|
[28] |
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|
[29] |
|
[30] |
|
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