Abstract
To explore the causal relationship between mitochondria and epilepsy using Mendelian
randomization (MR). Methods: Single nucleotide polymorphisms (SNPs) significantly associated with
mitochondrial abundance across 66 traits were utilized as instrumental variables. The inverse variance weighted
(IVW) method, MR Egger regression, and weighted median approach were employed to determine the causal
relationship between exposure factors and the onset of epilepsy. Additionally, Cochran’s Q test, leave-one-out
analysis, and MR-PRESSO were used to assess the robustness of the results. Results: Significant causal
relationships were identified between three datasets and generalized epilepsy. The IVW results indicated that
[pyruvate dehydrogenase (lipoamide) kinase isozyme 1] was associated with an increased risk of generalized
epilepsy (OR=1.275, 95%CI=1.056~1.540, PIVW=0.011, PFDR=0.017), rRNA methyltransferase 3 was also linked
to a heightened risk of generalized epilepsy (OR=1.158, 95% CI=1.002~1.338, PIVW=0.047, PFDR=0.047), while
the essential MCU regulator was associated with a reduced risk of generalized epilepsy (OR=0.727, 95% CI=
0.578~0.915, PIVW=0.007, PFDR=0.020). Five datasets exhibited significant causal relationships with focal
epilepsy. The IVW results revealed that ribosome recycling factor was associated with an increased risk of focal
epilepsy (OR=1.085, 95% CI=1.000~1.178, PIVW=0.049, PFDR=0.061), protein lysine deacylase Sirtuin 5 was also
linked to a heightened risk of focal epilepsy (OR=1.080, 95% CI=1.001~1.167, PIVW=0.048, PFDR=0.079),
complement component 1 Q subcomponent-binding protein was associated with a reduced risk of focal epilepsy
(OR=0.917, 95% CI=0.861~0.977, PIVW=0.007, PFDR=0.018), serine--tRNA ligase was also linked to a decreased
risk of focal epilepsy (OR=0.852, 95% CI=0.779~0.934, PIVW=0.001, PFDR=0.003), and NFU1 iron-sulfur cluster
scaffold homolog was associated with an increased risk of focal epilepsy (OR=1.098, 95% CI=1.000~1.204,
PIVW=0.049, PFDR=0.049). Sensitivity tests confirmed the robustness of the findings (all P>0.05). Conclusion: A
causal relationship between mitochondria and epilepsy has been established.
Key words
epilepsy; mitochondria; Mendelian randomization; causal relationship
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LI Jun1
,XU Litao1
,HUANG Yan1
,ZHAO Qichao1
,ZHANG Yongquan2.
Evidence based on Mendelian Randomization: Causality between Mitochondria and Epilepsy[J]. Neural Injury and Functional Reconstruction. 2026, 21(3): 150-155 https://doi.org/10.16780/j.cnki.sjssgncj.20241073
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