Yu Kunrong, Li Wanying, Long Wenjie, Li Yijia, Li Yanting, Liao Huili, Liu Jianhong
Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Sci Rep. 2025 Jan 17;15(1):2293. doi: 10.1038/s41598-025-85338-y.
Interstitial lung disease (ILD) has shown limited treatment advancements, with minimal exploration of circulating protein biomarkers causally linked to ILD and its subtypes beyond idiopathic pulmonary fibrosis (IPF). In this study, we aimed to identify potential drug targets and circulating protein biomarkers for ILD and its subtypes. We utilized the most recent large-scale plasma protein quantitative trait loci (pQTL) data detected from the antibody-based method and ILD and its subtypes' GWAS data from the updated FinnGen database for Mendelian randomization analysis. To enhance the reliability of causal associations, we conducted external validation and sensitivity analyses, including Bayesian colocalization and bidirectional Mendelian randomization analysis. Our study identified eight plasma proteins genetically associated with ILD or its subtypes. Among these, three proteins-CDH15 (Cadherin-15), LTBR (Lymphotoxin-beta receptor), and ADAM15 (A disintegrin and metalloproteinase 15)-emerged as priority biomarkers and potential therapeutic targets, demonstrating more reliable associations by passing a series of sensitivity analyses compared to the others. Based on these findings, we propose for the first time that CDH15, ADAM15, and LTBR hold promise as novel potential circulating protein biomarkers and therapeutic targets for the diagnosis and treatment of ILD, IPF, and sarcoidosis, respectively, especially ADAM15, and these findings have the potential to provide new perspectives for advancing the research on the heterogeneity of ILD.
间质性肺疾病(ILD)的治疗进展有限,除特发性肺纤维化(IPF)外,对与ILD及其亚型有因果关系的循环蛋白生物标志物的探索极少。在本研究中,我们旨在确定ILD及其亚型的潜在药物靶点和循环蛋白生物标志物。我们利用基于抗体方法检测到的最新大规模血浆蛋白定量性状位点(pQTL)数据以及来自更新后的芬兰基因数据库的ILD及其亚型的全基因组关联研究(GWAS)数据进行孟德尔随机化分析。为提高因果关联的可靠性,我们进行了外部验证和敏感性分析,包括贝叶斯共定位和双向孟德尔随机化分析。我们的研究确定了八种与ILD或其亚型存在基因关联的血浆蛋白。其中,三种蛋白——钙黏蛋白15(CDH15)、淋巴毒素β受体(LTBR)和去整合素金属蛋白酶15(ADAM15)——成为优先生物标志物和潜在治疗靶点,与其他蛋白相比,通过一系列敏感性分析显示出更可靠的关联。基于这些发现,我们首次提出,CDH15、ADAM15和LTBR有望分别作为诊断和治疗ILD、IPF和结节病的新型潜在循环蛋白生物标志物和治疗靶点,尤其是ADAM15,这些发现有可能为推进ILD异质性研究提供新的视角。