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结直肠癌中免疫-肠道微生物群相互作用的新见解:一项孟德尔随机化研究

Novel insights into immune-gut microbiota interactions in colorectal cancer: a Mendelian randomization study.

作者信息

Liu Zenghui, Zhou Xiaohui, Kuang Lu, Chen Qijun, Zhao Jiaxing, Yin Huayu, Zhou Zeyu, Liu Xuehui, Liu Dabin, Wu Shaoguo, Wu Limei

机构信息

Department of Clinical Laboratory, The Affiliated Guangzhou Twelfth People's Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.

Department of Immunology, Mudanjiang Medical University, Mudanjiang, Heilongjiang, China.

出版信息

Infect Agent Cancer. 2025 Apr 18;20(1):27. doi: 10.1186/s13027-025-00653-3.


DOI:10.1186/s13027-025-00653-3
PMID:40251662
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12008918/
Abstract

BACKGROUND: The relationship between immune cells and colorectal cancer (CRC) development has been extensively studied; however, the mediating role of gut microbiota in this relationship remains poorly understood. METHODS: We utilized summary data from genome-wide association studies (GWAS) to analyze 731 immune cell phenotypes, 473 gut microbiota, and CRC-related data. A two-step mediation analysis was employed to identify mediating gut microbiota. The primary analysis method was inverse variance weighting (IVW), supplemented by MR-Egger, simple mode, weighted median, and weighted mode analyses. Robustness of the results was ensured through systematic sensitivity analyses. RESULTS: Our analysis identified 13 immune cell phenotypes significantly associated with CRC, including 10 protective factors and 3 risk factors. Additionally, 13 gut microbiota showed significant associations with CRC, comprising 8 protective factors and 5 risk factors. Mediation analysis revealed that 4-gut microbiota (1 order, 1 family, 1 genus, and 1 unclassified) mediated the relationship between immune cells and CRC. For instance, unclassified CAG - 977 mediated the effects of FSC-A on NK and NKT %lymphocyte on CRC risk, with mediation proportions of 11% and 12.3%, respectively. Notably, 22.3% of the protective effect of EM CD8br %CD8br on CRC was mediated through order Francisellales. CONCLUSION: This study provides evidence for a potential causal relationship between immune cells, gut microbiota, and CRC, highlighting the mediating role of specific gut microbiota. These findings offer new insights into the pathogenesis of CRC and may inform future therapeutic strategies.

摘要

背景:免疫细胞与结直肠癌(CRC)发生发展之间的关系已得到广泛研究;然而,肠道微生物群在这种关系中的中介作用仍知之甚少。 方法:我们利用全基因组关联研究(GWAS)的汇总数据来分析731种免疫细胞表型、473种肠道微生物群以及与CRC相关的数据。采用两步中介分析来确定中介肠道微生物群。主要分析方法是逆方差加权(IVW),辅以MR-Egger、简单模式、加权中位数和加权模式分析。通过系统的敏感性分析确保结果的稳健性。 结果:我们的分析确定了13种与CRC显著相关的免疫细胞表型,包括10个保护因素和3个风险因素。此外,13种肠道微生物群与CRC显示出显著关联,包括8个保护因素和5个风险因素。中介分析表明,4种肠道微生物群(1个目、1个科、1个属和1个未分类的)介导了免疫细胞与CRC之间的关系。例如,未分类的CAG-977介导了FSC-A对NK和NKT%淋巴细胞对CRC风险的影响,中介比例分别为11%和12.3%。值得注意的是,EM CD8br%CD8br对CRC的保护作用中有22.3%是通过弗朗西斯菌目介导的。 结论:本研究为免疫细胞、肠道微生物群与CRC之间潜在的因果关系提供了证据,突出了特定肠道微生物群的中介作用。这些发现为CRC的发病机制提供了新的见解,并可能为未来的治疗策略提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/d6c1f7f83f43/13027_2025_653_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/2140ef1836e5/13027_2025_653_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/161405bd1ea4/13027_2025_653_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/b751965015ad/13027_2025_653_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/d6c1f7f83f43/13027_2025_653_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/2140ef1836e5/13027_2025_653_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/161405bd1ea4/13027_2025_653_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/b751965015ad/13027_2025_653_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbbb/12008918/d6c1f7f83f43/13027_2025_653_Fig4_HTML.jpg

相似文献

[1]
Novel insights into immune-gut microbiota interactions in colorectal cancer: a Mendelian randomization study.

Infect Agent Cancer. 2025-4-18

[2]
Gene prediction of immune cells association between gut microbiota and colorectal cancer: a Mendelian randomization study.

Front Immunol. 2025-1-31

[3]
Identification of host gene-microbiome associations in colorectal cancer patients using mendelian randomization.

J Transl Med. 2023-8-10

[4]
Causal effects of gut microbiota, metabolites, immune cells, liposomes, and inflammatory proteins on anorexia nervosa: A mediation joint multi-omics Mendelian randomization analysis.

J Affect Disord. 2025-1-1

[5]
Exploring blood immune cells in the protective effects of gut microbiota on rheumatic heart disease based on Mendelian randomization analysis.

Sci Rep. 2025-3-28

[6]
Causal effects and metabolites mediators between immune cell and risk of colorectal cancer: a Mendelian randomization study.

Front Immunol. 2024

[7]
The role of gut microbiota in prostate cancer progression: A Mendelian randomization study of immune mediation.

Medicine (Baltimore). 2024-7-5

[8]
Gut microbiota, immune cell, colorectal cancer association mediators: a Mendelian randomization study.

BMC Cancer. 2025-3-4

[9]
Genetic liability of gut microbiota for idiopathic pulmonary fibrosis and lung function: a two-sample Mendelian randomization study.

Front Cell Infect Microbiol. 2024

[10]
Effect of the gut microbiome and inflammation-related proteins on oral leukoplakia: a Mendelian randomization study and mediation analysis.

Front Oncol. 2024-9-25

本文引用的文献

[1]
Mendelian randomisation analysis for intestinal disease: achievement and future.

eGastroenterology. 2024-6-17

[2]
Interaction between the gut microbiota and colonic enteroendocrine cells regulates host metabolism.

Nat Metab. 2024-6

[3]
Deficiency of IL-22-binding protein enhances the ability of the gut microbiota to protect against enteric pathogens.

Proc Natl Acad Sci U S A. 2024-5-7

[4]
Cancer cell metabolism and antitumour immunity.

Nat Rev Immunol. 2024-9

[5]
Gingerenone A Attenuates Ulcerative Colitis via Targeting IL-17RA to Inhibit Inflammation and Restore Intestinal Barrier Function.

Adv Sci (Weinh). 2024-7

[6]
Porphyromonas gingivalis aggravates colitis via a gut microbiota-linoleic acid metabolism-Th17/Treg cell balance axis.

Nat Commun. 2024-2-22

[7]
Incorporating biological and clinical insights into variant choice for Mendelian randomisation: examples and principles.

eGastroenterology. 2024-1

[8]
Sirpα on tumor-associated myeloid cells restrains antitumor immunity in colorectal cancer independent of its interaction with CD47.

Nat Cancer. 2024-3

[9]
Elevated CD39+T-Regulatory Cells and Reduced Levels of Adenosine Indicate a Role for Tolerogenic Signals in the Progression from Moderate to Severe COVID-19.

Int J Mol Sci. 2023-12-18

[10]
Single-cell CRISPR screens in vivo map T cell fate regulomes in cancer.

Nature. 2023-12

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