帕金森病与饮酒的负相关性及调控介导基因RIT2的作用验证
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1)徐州医科大学附属宿迁医院全科医学科,宿迁 223865;2)徐州医科大学附属医院神经内科,徐州 221006;3)天津市环湖医院脑血管与神经变性重点实验室,天津 300222;4)泗阳医院内镜中心,宿迁 223700;5)江苏师范大学语言科学与艺术学院,徐州 221116

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江苏省高水平医院建设基金(GSPJS202418,GSPJS202426),徐州市卫生健康委医学科技创新项目(XWKYHT20240107)和宿迁市指导性科技计划(Z2025111)资助。


Inverse Association Between Alcohol Consumption and Parkinson’s Disease Risk and Identification of RIT2 as a Linked Biomarker
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1)Department of General Practice, The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian 223865, China;2)Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, China;3)Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Huanhu Hospital, Tianjin 300222, China;4)Department of Endoscopy Center, Siyang Hospital, Suqian 223700, China;5)School of Linguistic Sciences and Arts, Jiangsu Normal University, Xuzhou 221116, China

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This work was supported by grants from Construction Project of High-Level Hospital of Jiangsu Province (GSPJS202418, GSPJS202426), Medical Science and Technology Innovation Project of Xuzhou Municipal Health Commission (XWKYHT20240107), and Suqian Guiding Science and Technology Plan (Z2025111).

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    摘要:

    目的 饮酒作为一种常见的生活习惯, 与帕金森病 (Parkinson’s disease, PD) 的发病关系存在争议。 为证明饮酒与PD的相关性并找出关联基因,本文整合了临床调查、基因组、转录组和动物实验的结果。方法 调查了中国的244名和美国NHANES数据库的177名PD患者的饮酒率(包括发病前后);收集MRC IEU OpenGWAS数据库3个饮酒和7个PD的全基因组关联研究(genome-wide association study,GWAS)数据进行孟德尔随机化(Mendelian randomization,MR)分析;收集GEO数据库3组PD患者脑黑质转录组数据(GSE:7621/20141/49036)分析RIT2(Ras like without CAAX 2)基因的转录情况;最后设置3组动物实验(水/20%乙醇/20%白酒,4只C57BL/6J小鼠/组),检测饮酒后大脑RIT2基因的表达变化以及对转录组的影响。结果 中、美PD患者的饮酒率(9%~18.87%)显著低于本地区居民饮酒率15%~45%(P< 0.001),提示饮酒与PD负相关的可能。随后,3个饮酒×7个PD GWAS数据的21次双向MR分析,在暴露因素饮酒对结局PD的21次正向MR分析中,出现12次负相关(ORIVW<1)和9次正相关(ORIVW>1)结果,仅2项负相关结果有显著性:酒精摄入频率(alcohol intake frequency;ORIVW=0.75,P=0.010)与酒精消耗量(alcohol consumption;ORIVW=0.20,P=0.026),提示饮酒降低PD风险。正向MR分析(饮酒→PD)共识别了235个单核苷酸多态性(single nucleotide polymorphism,SNP)位点,注释了316个基因,反向MR分析(PD→饮酒)识别了37个SNP位点,注释了53个基因,仅有RIT2基因同时出现在双向MR分析中(饮酒→PD:rs28597806,rs8083110;PD→饮酒:rs4588066)。通过3组独立的人体脑黑质转录组数据发现,RIT2基因在PD患者中的下降趋势(GSE20141 array signal:3.49±1.23 vs. 2.33±0.87,P=0.044)。动物实验中,不同组织qPCR结果表明,RIT2基因在大脑中高表达。饮用20%乙醇或20%白酒(约8%乙醇)均可刺激小鼠大脑中RIT2基因上调>2倍。而转录组测序发现,两饮酒组差异表达基因数分别为96和4,证实低剂量饮酒可在实现RIT2基因上调的同时,降低对大脑其他基因的影响,并主要影响PD、朊病毒病(Prion病)等神经退行性疾病信号通路。结论 本研究为饮酒与PD的负相关性增添了新的证据,并首次通过MR分析识别出RIT2基因可能介导了饮酒对PD的作用。在已有证据表明PD发病时脑黑质RIT2基因表达下调的基础上,通过实验证实了低剂量饮酒可上调大脑RIT2基因表达。本研究将为PD长期的预防和治疗策略,以及分子机制的研究提供重要参考。

    Abstract:

    Objective As a common lifestyle habit, alcohol consumption has a controversial association with the onset of Parkinson’s disease (PD). To demonstrate the correlation between alcohol consumption and PD and to identify associated genes, we integrated findings from clinical surveys, genomics, transcriptomics, and animal experiments.Methods We investigated the alcohol consumption rates (including both before and after disease onset) among 244 PD patients in China and 177 PD patients from the U.S. NHANES database. Mendelian randomization (MR) analysis was performed using genome-wide association study (GWAS) data for three alcohol-related traits and seven PD-related datasets from the MRC IEU OpenGWAS database. Transcriptomic data from the substantia nigra of PD patients were obtained from three GEO datasets (GSE7621, GSE20141, and GSE49036) to analyze RIT2 gene transcription. Finally, three groups of animal experiments (water/20% ethanol/20% liquor, with 4 C57BL/6J mice per group) were conducted to examine changes in brain RIT2 gene expression and transcriptomic profiles following alcohol consumption.Results The alcohol consumption rates among PD patients in China and the U.S. (9%-18.87%) were significantly lower than the general population rates of 15%-45% in their respective regions (P<0.001), suggesting a possible negative association between alcohol consumption and PD. Subsequently, in 21 bidirectional MR analyses using 3 alcohol-related GWAS datasets and 7 PD-related GWAS datasets, the forward MR analyses (alcohol intake as exposure, PD as outcome) yielded 12 negative associations (ORIVW<1) and 9 positive associations (ORIVW>1). Among these, only two negative associations reached statistical significance: alcohol intake frequency (ORIVW=0.75, 95% CI: 0.60-0.93, P=0.010) and alcohol consumption (ORIVW=0.20, 95% CI: 0.05-0.83, P=0.026). The forward MR analysis (alcohol intake→PD) identified 235 SNPs, annotated to 316 genes, while the reverse MR analyses (PD→alcohol intake) identified 37 SNPs, annotated to 53 genes. Notably, only the RIT2 gene appeared in both the forward and reverse MR analyses (alcohol intake→PD: rs28597806, rs8083110; PD→alcohol intake: rs4588066). RIT2 is selectively expressed in the human brain (FPKM: 5.259±2.103), with low or no expression in peripheral tissues (FPKM: <1). Analysis of three human substantia nigra transcriptomic datasets revealed a decreasing trend in RIT2 gene expression in PD patients (GSE20141 array signal: 3.49±1.23 vs. 2.33±0.87, P=0.044). Animal experiments demonstrated that administration of 20% ethanol or 20% liquor (approximately 8% ethanol) stimulated a >2-fold upregulation of RIT2 gene expression in the mouse brain. Furthermore, transcriptomic sequencing revealed that the two alcohol-treated groups exhibited 96 (20% ethanol vs. water control) and 4 (20% liquor vs. water control) differentially expressed genes, respectively, indicating that low-dose alcohol consumption can achieve RIT2 upregulation while minimizing impact on other brain genes. In addition to its anti-infective effects, low-dose alcohol consumption primarily influences signaling pathways related to neurodegenerative diseases such as PD and Prion diseases.Conclusion Alcohol consumption is generally considered as a harmful lifestyle habit. However, some studies have also shown a lower risk of mortality among individuals who consume low doses of alcohol (100 g/week of ethanol) or drink occasionally. Currently, one of the research focuses on alcohol consumption is whether the human body can benefit from low-dose alcohol intake. This study provides new evidence supporting a negative association between alcohol consumption and PD, and for the first time, through MR analysis, identifies the RIT2 gene as a potential mediator of the effect of alcohol consumption on PD. RIT2 is selectively expressed in the human brain. Building upon existing evidence indicating downregulated RIT2 gene expression in PD pathogenesis, our experiments confirm that low-dose alcohol consumption can upregulate RIT2 expression in the brain. In brief, alcohol consumption may suppress the pathogenesis of PD by upregulating RIT2 expression in the substantia nigra. China is facing a serious problem of population aging. This study offers important insights for long-term PD prevention and treatment strategies, with the aim of benefiting more potential PD patients through lifestyle modifications, thereby improving the quality of life of the aging population and reducing the economic burden on healthcare.

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陆纬,程秀丽,潘晓云,杨丹丹,邹会玲,董丽果,魏以梁,崔桂云.帕金森病与饮酒的负相关性及调控介导基因RIT2的作用验证[J].生物化学与生物物理进展,2026,53(6):1723-1733 LU Wei, CHENG Xiu-Li, PAN Xiao-Yun, YANG Dan-Dan, ZOU Hui-Ling, DONG Li-Guo, WEI Yi-Liang, CUI Gui-Yun. Inverse Association Between Alcohol Consumption and Parkinson’s Disease Risk and Identification of RIT2 as a Linked Biomarker[J]. Progress in Biochemistry and Biophysics,2026,53(6):1723-1733

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  • 收稿日期:2026-03-16
  • 最后修改日期:2026-06-17
  • 录用日期:2026-05-21
  • 在线发布日期: 2026-05-23
  • 出版日期: 2026-06-28
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