Page 110 - EJMO-9-3
P. 110

Eurasian Journal of
            Medicine and Oncology                                                        Vitamin D and breast cancer



            age, body mass index, hormone levels, and lifestyle factors   information was obtained through GWAS techniques.
            (such as smoking, alcohol consumption, and exercise   Relevant datasets were  retrieved  and  downloaded by
            habits). Subsequently, statistical methods (such as multiple   visiting the GWAS Data Aggregation Website (https://
            regression  analysis)  were  used  to  evaluate  whether  the   gwas.mrcieu.ac.uk/),  operated  by  the  University  of
            association between genetic variants and exposure factors   Bristol’s  Epidemiological  Research  Unit.  The  website
            remained significant after adjusting for these confounding   integrated data from multiple GWAS consortia and
            factors (34). By reviewing relevant literature and databases,   provided the main source of data for this study. The
            we ensured that the selected genetic variants had not been   genetic variants associated with Vitamin D levels in
            reported to be associated with these confounding factors in   this study were derived from the ebi-a-GCST90000618
            previous studies. In addition, when conducting MR analysis,   database, which documented a large-scale GWAS
            the MR-Egger intercept method and the MR-Pleiotropy   involving 496,946 participants of European ancestry.
            RESidual Sum and Outlier (PRESSO) method were employed   Data for breast cancer were derived from the R11 version
            to detect horizontal pleiotropy. These two methods can,   of the FinnGen study’s finngen_R11_C3_BREAST_
            to some extent, reflect whether genetic variants affect the   EXALLC dataset, which covered 20,586 breast cancer
            outcome through other pathways, thus indirectly assessing   patients and 201,494 control individuals. As of June 24,
            the independence of genetic variants from confounding   2024, the latest data freeze R11 reveals a total sample size
            factors. Figure 1 illustrates the flowchart of the MR analysis.  of 453,733 (including 254,618 women and 199,115 men).
                                                               A total of 21,311,942 genetic variants were analyzed and
            2.2. Data source                                   2,447 disease phenotypes were available for research,
            The data for this study were obtained from publicly available   details of which can be found on the project’s official
            database resources on the internet. Genetic variation   website (https://r11.finngen.fi/).











































            Figure 1. Flow chart of the two-sample Mendelian randomization (MR) study
            Abbreviations: IV: Instrumental variable; PRESSO: Pleiotropy RESidual Sum and Outlier; SNP: Single nucleotide polymorphism.



            Volume 9 Issue 3 (2025)                        102                         doi: 10.36922/EJMO025130064
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