Department of Hepatobiliary Surgery, Chaohu Hospital of Anhui Medical University, Hefei, China.
Front Immunol. 2024 Apr 18;15:1352712. doi: 10.3389/fimmu.2024.1352712. eCollection 2024.
Inflammatory bowel disease is an incurable group of recurrent inflammatory diseases of the intestine. Mendelian randomization has been utilized in the development of drugs for disease treatment, including the therapeutic targets for IBD that are identified through drug-targeted MR.
Two-sample MR was employed to explore the cause-and-effect relationship between multiple genes and IBD and its subtypes ulcerative colitis and Crohn's disease, and replication MR was utilized to validate this causality. Summary data-based Mendelian randomization analysis was performed to enhance the robustness of the outcomes, while Bayesian co-localization provided strong evidential support. Finally, the value of potential therapeutic target applications was determined by using the estimation of druggability.
With our investigation, we identified target genes associated with the risk of IBD and its subtypes UC and CD. These include the genes GPBAR1, IL1RL1, PRKCB, and PNMT, which are associated with IBD risk, IL1RL1, with a protective effect against CD risk, and GPX1, GPBAR1, and PNMT, which are involved in UC risk.
In a word, this study identified several potential therapeutic targets associated with the risk of IBD and its subtypes, offering new insights into the development of therapeutic agents for IBD.
炎症性肠病是一组不可治愈的复发性肠道炎症性疾病。孟德尔随机化已被用于开发疾病治疗药物,包括通过药物靶向 MR 确定的 IBD 治疗靶点。
采用两样本孟德尔随机化研究多个基因与 IBD 及其亚型溃疡性结肠炎和克罗恩病之间的因果关系,并采用复制孟德尔随机化验证这种因果关系。基于汇总数据的孟德尔随机化分析增强了结果的稳健性,而贝叶斯共定位提供了强有力的证据支持。最后,通过估计药物可及性来确定潜在治疗靶点应用的价值。
通过我们的研究,我们确定了与 IBD 及其亚型 UC 和 CD 风险相关的靶基因。这些基因包括与 IBD 风险相关的 GPBAR1、IL1RL1、PRKCB 和 PNMT,与 CD 风险相关的保护性基因 IL1RL1,以及与 UC 风险相关的 GPX1、GPBAR1 和 PNMT。
总之,这项研究确定了几个与 IBD 及其亚型风险相关的潜在治疗靶点,为开发治疗 IBD 的药物提供了新的思路。