Liu Zenghui, Zhou Xiaohui, Kuang Lu, Chen Qijun, Zhao Jiaxing, Yin Huayu, Zhou Zeyu, Liu Xuehui, Liu Dabin, Wu Shaoguo, Wu Limei
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.
Infect Agent Cancer. 2025 Apr 18;20(1):27. doi: 10.1186/s13027-025-00653-3.
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.
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。
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