Evidence map›Paper›PMID 40133317›Full record

ArticleScientific reports2025

A two sample Mendelian randomized study of the association of sex hormones and behavioral and clinical risk factors with macular hole.

Zetong Nie, Naxin Duan, Xiang Zhang, Boshi Liu, Siqiong Bai, Xiaorong Li, Wenbo Li, Bojie Hu

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zetong Nie *Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Naxin Duan *Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Xiang ZhangTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Boshi LiuTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Siqiong BaiTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Xiaorong LiTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Wenbo LiTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China. wenboli80@163.com.
Bojie HuTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute, School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China. bhu07@tmu.edu.cn.

Funding

The Science&Technology Development Fund of Tianjin Education Commission for Higher Education No.2022ZD058Tianjin Binhai New Area Health Commission Project No. 2023BWKZ006Tianjin Key Medical Discipline (Specialty) Construction Project TJYXZDXK-037A
6 · The paper itself

Abstract

Macular hole (MH) is a disease of the vitreoretinal interface that develops in relation to age and gender, and is 3.3 times more prevalent in females than in males. However, it remains inconclusive whether gender plays a role in the pathogenesis of MH. We adopted a two-sample Mendelian randomisation (MR) analysis to explore the relationship between free testosterone, bioavailable testosterone, oestradiol, menopause, smoking, alcohol consumption, type 2 diabetes, diastolic blood pressure, and systolic blood pressure and the risk of MH. We found that genetically predicted free testosterone levels in males were significantly associated with an increased risk of MH (IVW model: OR = 1.642; 95% CI, 1.162-2.322; P = 0.005), while genetically predicted oestradiol levels in females were significantly associated with a reduced risk of MH (IVW model: OR = 0.711; 95% CI, 0.517-0.978; P = 0.036). A sensitivity analysis verified the robustness of the causal relationship. MVMR results indicate that oestradiol in females is associated with MH risk using the IVW method (OR = 0.66; 95% CI, 0.47-0.88; P = 0.011). Our study demonstrates that the genetic risk of free testosterone in males and oestradiol in females may be correlated with MH risk.

Indexed as

EstradiolGonadal Steroid HormonesRetinal PerforationsTestosteroneAlcohol DrinkingBlood PressureDiabetes Mellitus, Type 2FemaleHumansMaleMendelian Randomization AnalysisMiddle AgedPolymorphism, Single NucleotideRisk FactorsSex FactorsEstradiolGonadal Steroid HormonesTestosteronemacular holemendelian randomizationoestradioltestosterone

Identifiers

PMID40133317
PMCPMC11937307

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.