Objectives While metabolic imbalances have been observed in individuals with epilepsy, the direct involvement of specific metabolites in the development of the condition remains underexplored. A comprehensive analysis of the causality between cerebrospinal fluid metabolites (CSF) and epilepsy is pivotal in discovering innovative therapeutic interventions and prophylactic approaches. Methods Summary data from genome-wide association studies (GWAS) of CSF metabolites and epilepsy subtypes were obtained separately. A total of 338 CSF metabolites were investigated as exposures, and 11 epilepsy phenotypes were examined as the outcomes. A two sample Mendelian randomization (MR) approach was utilized to explore the causal influence of these metabolites on epilepsy. Causality was primarily estimated through inverse variance weighted (IVW) analysis, complemented by a range of sensitivity analyses to ensure result stability. Additionally, reverse MR analysis was performed to explore the possibility of bidirectional causality. Results The IVW method, reinforced by sensitivity analyses, pinpointed 17 CSF metabolites with causal implications for six epilepsy phenotypes. After False Discovery Rate (FDR) multiple testing correction, two metabolites (Methylmalonate and Gamma-glutamyl-alpha-lysine) were found to have robust causal links to epilepsy (p < 0.05 and FDR<0.05). The other 15 metabolites exhibited suggestive evidence of a causal association (p < 0.05 and FDR>0.05). Significance This study highlights CSF metabolites that could serve as valuable biomarkers and may be critical in developing targeted treatments and preventing epilepsy.
基金:
Hebei Provincial Health Commission Medical Science Research Project
第一作者机构:[1]Hebei Med Univ, Hosp 4, Dept Neurosurg, Shijiazhuang, Hebei, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Zhao Zhenxiang,Xing Na,Hou Lin.Cerebrospinal fluid metabolites as potential biomarkers for epilepsy: Insights from genome-wide association studies[J].EPILEPSIA OPEN.2025,10(1):233-242.doi:10.1002/epi4.13101.
APA:
Zhao, Zhenxiang,Xing, Na&Hou, Lin.(2025).Cerebrospinal fluid metabolites as potential biomarkers for epilepsy: Insights from genome-wide association studies.EPILEPSIA OPEN,10,(1)
MLA:
Zhao, Zhenxiang,et al."Cerebrospinal fluid metabolites as potential biomarkers for epilepsy: Insights from genome-wide association studies".EPILEPSIA OPEN 10..1(2025):233-242