BAFF-R对IgD + CD24 - B细胞免疫细胞特征与肝细胞癌的因果关联及苯乙酰谷氨酸水平的中介作用:一项孟德尔随机化研究

Causal associations of BAFF-R on IgD+ CD24- B cell immune cell trait with hepatocellular carcinoma and the mediating role of phenylacetylglutamate levels: a Mendelian randomization study.

作者信息

Zhu Xuan, Qiu Zongchao, Yang Maochun, Yang Jiali, Kong Lingxi, Li Limin, Huang Yingting, Xie Li

机构信息

Department of Medical Laboratory, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, Guanxi, China.

Fujian Yuanshizhuling Community Health Service center, Jiangnan district, Nanning 530031, Guanxi, China.

出版信息

J Cancer. 2024 Jun 24;15(14):4591-4603. doi: 10.7150/jca.96059. eCollection 2024.

Abstract

We conducted a bi-directional two-sample Mendelian randomization (MR) analysis to investigate the causal associations between immune cell traits and hepatocellular carcinoma (HCC) and identified the mediating factor of metabolites. The exposure factors were immune cell traits, the mediators were metabolites, and the outcome variable was HCC. Inverse-variance weighted method (IVW) was the main method. Weighted median, MR-Egger regression, weighted mode, simple mode, and MR pleiotropy residual sum and outlier (MRPRESSO) methods were used as complementary methods. The results were tested by using the Bayesian weighted Mendelian randomization (BWMR) approach in our MR study. Subsequently, the potential mediating effect was investigated by conducting a two-step mediation analysis. We identified 26 traits with suggestive correlations between immune cell traits and HCC, with 4 immune cell traits among them having causal correlations with HCC. There were no causal correlations between HCC and immune cell traits in the reverse MR analysis. In the mediation analysis, we found a positive causal association between B cell-activating factor receptors (BAFF-R) on IgD+ CD24- B cell and HCC [IVW: odd ratio (OR), 0.845; 95% CI, 0.759-0.942; p = 0.002]. Phenylacetylglutamate (PAG) levels mediated 7.353% of the causal pathway from BAFF-R on IgD+ CD24- B cell and HCC. In conclusion, BAFF-R on IgD+ CD24- B cell lowers risk of HCC, with PAG levels playing a mediating role.

摘要

我们进行了一项双向两样本孟德尔随机化(MR)分析,以研究免疫细胞特征与肝细胞癌(HCC)之间的因果关联,并确定代谢物的中介因子。暴露因素为免疫细胞特征,中介因子为代谢物,结局变量为HCC。逆方差加权法(IVW)是主要方法。加权中位数、MR-Egger回归、加权模式、简单模式和MR多效性残差和异常值(MRPRESSO)方法用作补充方法。在我们的MR研究中,结果通过贝叶斯加权孟德尔随机化(BWMR)方法进行检验。随后,通过进行两步中介分析来研究潜在的中介效应。我们确定了26个免疫细胞特征与HCC之间具有提示性相关性的特征,其中4个免疫细胞特征与HCC具有因果相关性。在反向MR分析中,HCC与免疫细胞特征之间没有因果相关性。在中介分析中,我们发现IgD + CD24 - B细胞上的B细胞激活因子受体(BAFF-R)与HCC之间存在正因果关联[IVW:比值比(OR),0.845;95%置信区间,0.759 - 0.942;p = 0.002]。苯乙酰谷氨酸(PAG)水平介导了IgD + CD24 - B细胞上的BAFF-R与HCC之间因果通路的7.353%。总之,IgD + CD24 - B细胞上的BAFF-R降低了HCC的风险,PAG水平起中介作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32bc/11242345/7001bcc63f0e/jcav15p4591g001.jpg

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