Evidence map›Paper›PMID 41239340›Full record

ArticleBMC pediatrics2025

Causal links between congenital malformations, birth weight, and neuroblastoma: insights from Mendelian randomization.

Ailikamu Aierken, Falide Atabieke, Yierzhati Aizezi, Munire Aierken, Shui-Xue Li, Ling Zhou

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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ailikamu Aierken *Pediatric Research Institute of Xinjang Uygur Autonomous Region, Children's Hospital of Xinjang Uygur Autonomous Region, Xinjiang Hospital of Beijing Children's Hospital, The Seventh People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.
Falide Atabieke *The Second Department of Gastroenterology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Yierzhati Aizezi *Center of Critical Care Medicine, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Munire AierkenDepartment of Disinfection and Vector-Borne Pathogen Control, Urumqi City Center for Disease Prevention and Control, Urumqi, Xinjiang Uygur Autonomous Region, China.
Shui-Xue LiPediatric Research Institute of Xinjang Uygur Autonomous Region, Children's Hospital of Xinjang Uygur Autonomous Region, Xinjiang Hospital of Beijing Children's Hospital, The Seventh People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China.
Ling ZhouPediatric Research Institute of Xinjang Uygur Autonomous Region, Children's Hospital of Xinjang Uygur Autonomous Region, Xinjiang Hospital of Beijing Children's Hospital, The Seventh People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, China. zhouling781004@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile it is commonly observed that congenital malformations (CM), birth weight and neuroblastoma (NB) often co-occur clinically, there is a scarcity of studies investigating their relationship.

aimTo investigate the causal relationship between CM, birth weight and NB using two-sample mendelian randomization (MR) analysis.

methodsThis study utilized data from the Genome-Wide Association Studies (GWAS) database for CM, birth weight, and NB. We identified and analyzed single nucleotide polymorphisms (SNPs) related to CM from various organ systems, ensuring robust instrumental variables through linkage disequilibrium (LD) and F-statistic testing. SNPs were further validated in GWAS Catalog to exclude weak variables. We employed various MR methods including inverse variance weighted (IVW), MR-Egger regression, weighted median, simple mode and weighted mode to assess the causal relationships. Sensitivity analyses were performed using leave-one-out (LOO) and MR-PRESSO.

resultsThe analysis demonstrated a protective effect of genital organ CM, which were inversely associated with both overall neuroblastoma (OR = 0.71, 95% CI: 0.60-0.85, P = 0.001) and the 11q-deleted subtype (OR = 0.33, 95% CI: 0.13-0.85, P = 0.02). In contrast, urinary system,gallbladder, bile ducts, and liver were positively associated with neuroblastoma harbouring 11q deletion (OR = 2.37, 95% CI: 1.32-4.27, P = 0.01),(OR = 1.47, 95% CI: 1.17-1.84 P = 0.001) but not with NB overall.However, no significant associations were found between other CM types, birth weight, and NB, and no evidence of heterogeneity, horizontal pleiotropy, or outlier SNPs was identified.

conclusionGenital organ malformations confer protection against both overall and 11q-deleted neuroblastoma, whereas urinary system, gallbladder, biliary and liver malformations increase risk exclusively for 11q-deleted disease. However, due to the relaxed p-value threshold used for instrument selection, these findings should be interpreted cautiously and warrant replication with stricter criteria.

Indexed as

Birth WeightCongenital AbnormalitiesNeuroblastomaFemaleGenome-Wide Association StudyHumansInfant, NewbornMendelian Randomization AnalysisPolymorphism, Single NucleotideBirth weightCausalityCongenital malformationsMendelian randomizationNeuroblastoma

Identifiers

PMID41239340
PMCPMC12619367

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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.