He Z C, Shang Y X, Xu X P, Jia C Y, Wang Y P
Department of Plastic Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China.
Center of Burn & Plastic and Wound Healing Surgery, Hengyang Medical School, the First Affiliated Hospital, University of South China, Hengyang 421001, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2025 Jun 20;41(6):594-603. doi: 10.3760/cma.j.cn501225-20240830-00320.
To investigate the causality between non-ionizing radiation and facial aging, and to identify potential genes associated with facial aging. This study employed a method of analysis based on multiple Mendelian randomization (MR). Genome-wide association study data of non-ionizing radiation (FinnGen database, =218 281) and facial aging (UK Biobank database, =423 999) were retrieved. Single nucleotide polymorphisms (SNPs) were used as instrumental variables, with a significance threshold (<5×10) applied and further linkage disequilibrium analysis performed to select SNPs associated with non-ionizing radiation. Two-sample MR (TSMR) analysis was conducted to assess the causality between non-ionizing radiation and facial aging, using inverse variance weighting (IVW) method as the primary analytical method and supplementing with MR-Egger regression, weighted median, weighted mode, and simple mode methods for validation. For the selected non-ionizing radiation-associated SNPs, heterogeneity was tested by Cochran test, horizontal pleiotropy was assessed by the MR-Egger intercept test and MR-PRESSO test, and robustness was evaluated via leave-one-out analysis. Multivariable MR (MVMR) analysis was performed to adjust for confounding factors affecting facial aging including smoking frequency, blood alcohol concentration, exercise frequency, body mass index, and systolic and diastolic blood pressure. Summary-data-based MR (SMR) analysis using expression quantitative trait loci (eQTL) data was conducted to screen candidate genes of facial aging, which were then validated by TSMR analysis. Protein quantitative trait loci (pQTL) and methylation quantitative trait loci (mQTL) data were analyzed by TSMR analysis to examine the causal role of gene with facial aging from multi-omics aspect. The genetic association of gene with facial aging was verified by colocalization analysis (posterior probability H4>50%). Twenty non-ionizing radiation-related SNPs that reached the significance threshold were screened out, with values being all >10. IVW analysis demonstrated a positive causality between non-ionizing radiation and facial aging (with odds ratio of 1.02, with 95% confidence interval of 1.01-1.02, <0.05). The analysis results of MR-Egger regression, weighted median, simple mode method, and weighted mode method (with odds ratios of 1.02, 1.02, 1.01, and 1.01, respectively, with 95% confidence intervals of 1.01-1.03, 1.01-1.02, 0.99-1.02, respectively, <0.05) were consistent with IVW method. For these 20 non-ionizing radiation-related SNPs, Cochran test under IVW method and MR-Egger showed no significant heterogeneity (with values of 23.20 and 22.59, respectively, >0.05); the MR-Egger intercept test (with intercept absolute value of 0.01, with standard error of 0.01, >0.05) and MR-PRESSO test (>0.05) indicated no horizontal pleiotropy. Leave-one-out analysis further confirmed that no individual SNP had a significant effect on the results. After correction of confounding factors such as systolic blood pressure, diastolic blood pressure, smoking frequency, blood alcohol concentration, body mass index, and exercise frequency, MVMR analysis showed that non-ionizing radiation remained a risk factor for facial aging (with odds ratios of 1.01, 1.01, 1.02, 1.02, 1.01, and 1.04, respectively, with 95% confidence intervals of 1.01-1.02, 1.01-1.02, 1.01-1.02, 1.01-1.02, 1.00-1.01, and 1.03-1.05, respectively, all values <0.05). SMR analysis identified 12 potential facial aging-related genes (, , , , , , , , , , , and with odds ratios of 1.01, 1.03, 1.04, 0.99, 1.04, 1.01, 1.06, 0.88, 1.01, 0.99, 1.04, and 0.99, respectively, all values <0.05). Subsequent TSMR analysis retained 6 risk genes (, , , , , and , with odds ratios of 1.04, 1.01, 1.00, 1.02, 1.03, and 1.01, respectively, with 95% confidence intervals of 1.02-1.05, 1.00-1.01, 1.00-1.01, 1.01-1.03, 1.01-1.04, and 1.00-1.01, respectively, all values <0.05) for facial aging and 4 protective genes (, , , and with odds ratios of 0.92, 0.99, 0.99, and 0.99, respectively, with 95% confidence intervals of 0.90-0.94, 0.99-0.99, 0.99-1.00, and 0.99-1.00, respectively, all values <0.05). TSMR analysis based on pQTL data showed the MED1 protein was positively associated with facial aging (with odds ratio of 1.04, <0.05), which was consistent with the causal direction observed in eQTL-based SMR and TSMR analyses. TSMR analysis based on mQTL data indicated gene methylation (with probes of cg15445000 and cg03013999) had a protective effect on facial aging (with odds ratios of 0.99 and 0.99, respectively, both values <0.05). Colocalization analysis yielded a posterior probability H4=58.4%, suggesting that gene and facial aging likely shared the same causal genetic variant. Through multi-omics MR analyses, it has confirmed that there is a causality between non-ionizing radiation and facial aging, which remained highly significant after correcting for potential confounders such as smoking frequency, blood alcohol concentration, exercise frequency, and the others. Clearly, 10 genes including S, , , , , , , , , and , particularly the , may be involved in the process of facial aging.
为了研究非电离辐射与面部衰老之间的因果关系,并确定与面部衰老相关的潜在基因。本研究采用了基于多重孟德尔随机化(MR)的分析方法。检索了非电离辐射的全基因组关联研究数据(芬兰基因数据库,n = 218281)和面部衰老的全基因组关联研究数据(英国生物银行数据库,n = 423999)。使用单核苷酸多态性(SNP)作为工具变量,应用显著性阈值(<5×10⁻⁸)并进行进一步的连锁不平衡分析以选择与非电离辐射相关的SNP。进行两样本MR(TSMR)分析以评估非电离辐射与面部衰老之间的因果关系,使用逆方差加权(IVW)方法作为主要分析方法,并补充MR-Egger回归、加权中位数、加权模式和简单模式方法进行验证。对于选定的与非电离辐射相关的SNP,通过Cochran's Q检验测试异质性,通过MR-Egger截距检验和MR-PRESSO检验评估水平多效性,并通过留一法分析评估稳健性。进行多变量MR(MVMR)分析以调整影响面部衰老的混杂因素,包括吸烟频率、血液酒精浓度、运动频率、体重指数以及收缩压和舒张压。使用表达定量性状位点(eQTL)数据进行基于汇总数据的MR(SMR)分析以筛选面部衰老的候选基因,然后通过TSMR分析进行验证。通过TSMR分析分析蛋白质定量性状位点(pQTL)和甲基化定量性状位点(mQTL)数据,以从多组学角度研究基因与面部衰老的因果作用。通过共定位分析(后验概率H4>50%)验证基因与面部衰老的遗传关联。筛选出20个达到显著性阈值的与非电离辐射相关的SNP,P值均>10⁻⁸。IVW分析表明非电离辐射与面部衰老之间存在正因果关系(优势比为1.02,95%置信区间为1.01 - 1.02,P<0.05)。MR-Egger回归、加权中位数、简单模式方法和加权模式方法的分析结果(优势比分别为1.02、1.02、1.01和1.01,95%置信区间分别为1.01 - 1.03、1.01 - 1.02、0.99 - 1.02,P均<0.05)与IVW方法一致。对于这20个与非电离辐射相关的SNP,IVW方法和MR-Egger下的Cochran's Q检验均未显示出显著的异质性(Q值分别为23.20和22.59,P>0.05);MR-Egger截距检验(截距绝对值为0.01,标准误为0.01,P>0.05)和MR-PRESSO检验(P>0.05)表明不存在水平多效性。留一法分析进一步证实没有单个SNP对结果有显著影响。在校正收缩压、舒张压、吸烟频率、血液酒精浓度、体重指数和运动频率等混杂因素后,MVMR分析表明非电离辐射仍然是面部衰老的一个危险因素(优势比分别为1.01、1.01、1.02、1.02、1.01和1.04,95%置信区间分别为1.01 - 1.02、1.01 - 1.02、1.01 - 1.02、1.01 - 1.02、1.00 - 1.01和1.03 - 1.05,所有P值<0.05)。SMR分析确定了12个潜在的与面部衰老相关的基因(基因名,优势比分别为1.01、1.03、1.04、0.99、1.04、1.01、1.06、0.88、1.01、0.99、1.04和0.99,所有P值<0.05)。随后的TSMR分析保留了6个面部衰老风险基因(基因名,优势比分别为1.04、1.01、1.00、1.02、1.03和1.01,95%置信区间分别为1.02 - 1.05、1.00 - 1.01、1.00 - 1.01、1.01 - 1.03、1.01 - 1.04和1.00 - 1.01,所有P值<0.05)和4个保护基因(基因名,优势比分别为0.92、0.99、0.99和0.99,95%置信区间分别为0.90 - 0.94、0.99 - 0.99、0.99 - 1.00和0.99 - 1.00,所有P值<0.05)。基于pQTL数据的TSMR分析表明MED1蛋白与面部衰老呈正相关(优势比为1.04,P<0.05),这与基于eQTL的SMR和TSMR分析中观察到的因果方向一致。基于mQTL数据的TSMR分析表明基因甲基化(探针为cg15445000和cg03013999)对面部衰老有保护作用(优势比分别为0.99和0.99,P值均<0.05)。共定位分析产生的后验概率H4 = 58.4%,表明基因与面部衰老可能共享相同的因果遗传变异。通过多组学MR分析,已证实非电离辐射与面部衰老之间存在因果关系,在校正吸烟频率、血液酒精浓度、运动频率等潜在混杂因素后,这种关系仍然非常显著。显然,包括S、基因名、基因名、基因名、基因名、基因名、基因名、基因名、基因名和基因名在内的10个基因,特别是基因名,可能参与面部衰老过程。