ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
Metabolome Wide Mendelian Randomization Assessing the Causal Relationship Between Serum Metabolites, Cerebrospinal Metabolites, and Aneurysmal Subarachnoid Hemorrhage.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. 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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Abstract
backgroundRecent studies have suggested that serum metabolites and cerebrospinal fluid (CSF) metabolites play a role in aneurysmal subarachnoid hemorrhage (aSAH).
methodsA Mendelian randomization (MR) study was conducted to elucidate the potential causal effect of serum metabolites and CSF metabolites on aSAH. Genetic information related to exposure and outcome was obtained from the GWAS summary data. To evaluate the potential causal relationship between them, we adopted IVW as the preferred method, supplemented by weighted median and MR Egger. In addition, we performed sensitivity analyses evaluate the stability of the MR results. Metabolic pathways analysis and colocalization analysis were applied to complement the significant results.
resultsOur findings defined 21 suggestive causal relationships between serum, CSF metabolites and aSAH. ADSGEGDFXAEGGGVR (OR 0.64, 95%CI 0.43–0.97, p = 0.03), alpha-hydroxyisovalerate (OR 0.40, 95%CI 0.20–0.80, p = 0.01) and Methionine sulfoxide (OR 0.77, 95%CI 0.62–0.95, p = 0.02) are independent related factors. Metabolic pathway analysis showed that 4 metabolites and their associated metabolic pathways have significant effects on aSAH. Through co-localization analysis, it was found that SLC22A5 are shared risk sites between metabolites and aSAH.
conclusionOur study identified a total of 21 metabolites that are causally related to aSAH, including 3 separate elements. This may offer fresh insights into aSAH biomarkers and therapeutic targets through specific metabolites.
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