Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study

Abstract Background Despite previous studies indicating a close relationship between immune system and ankylosing spondylitis (AS), the causal relationship between them remains unclear. Methods Genome-wide association data were utilized to explore the causal link between 731 immune cells and AS usin...

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Main Authors: Ziming Geng, Yang Tong, Yang Chen, Jian Wang, Ziwen Liu, Jun Miao, Ruihua Li
Format: Article
Language:English
Published: BMC 2024-12-01
Series:Advances in Rheumatology
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Online Access:https://doi.org/10.1186/s42358-024-00428-1
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author Ziming Geng
Yang Tong
Yang Chen
Jian Wang
Ziwen Liu
Jun Miao
Ruihua Li
author_facet Ziming Geng
Yang Tong
Yang Chen
Jian Wang
Ziwen Liu
Jun Miao
Ruihua Li
author_sort Ziming Geng
collection DOAJ
description Abstract Background Despite previous studies indicating a close relationship between immune system and ankylosing spondylitis (AS), the causal relationship between them remains unclear. Methods Genome-wide association data were utilized to explore the causal link between 731 immune cells and AS using a bidirectional two-sample MR approach. The data included immune cell data from Orrù et al.’s study and AS data from the FinnGen consortium. Cochran’s Q test and leave-one-out checked instrument variable (IV) heterogeneity. IVW was the primary method for causal analysis, with MR-Egger and MR-PRESSO addressing horizontal pleiotropy. FDR correction was applied to both analysis directions to rectify multiple testing errors. Results In our study, 22 immune phenotypes out of 731 were casually linked to AS. After excluding 5 less robust features, 17 immune factors remained, with 4 being protective and the rest posing risks. Through FDR correction, we found a significant causal relationship between HLA DR on CD14- CD16+ monocyte and AS (OR (95%CI) = 0.70(0.60 ~ 0.83), P = 2.06*10−5). In the reverse analysis with AS as exposure, potential effects on 34 immune features were discovered. After correction, we confirmed significant causal relationships between AS and two immune features, namely CD20- B cell %lymphocyte (OR (95%CI) = 1.16(1.08–1.25), P = 1.91*10−5) and CD20- B cell %B cell (OR (95%CI) = 1.17(1.09–1.26), P = 1.50*10−5). Conclusions Our study identified various features associated with AS in different types of immune cells. These findings provide important clues and a theoretical basis for further understanding the pathogenesis of AS, guiding clinical treatment, and drug design.
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spelling doaj-art-6162f4e8a7e844ba8148c8b489effb122024-12-22T12:56:37ZengBMCAdvances in Rheumatology2523-31062024-12-0164111310.1186/s42358-024-00428-1Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization studyZiming Geng0Yang Tong1Yang Chen2Jian Wang3Ziwen Liu4Jun Miao5Ruihua Li6Department of Orthopedics, Chinese PLA General HospitalSchool of Finance, Nankai UniversityAcademy of Medical Engineering and Translational Medicine, Tianjin UniversityTianjin Hospital, Tianjin UniversityTianjin Hospital, Tianjin UniversityTianjin Hospital, Tianjin UniversityTianjin Hospital, Tianjin UniversityAbstract Background Despite previous studies indicating a close relationship between immune system and ankylosing spondylitis (AS), the causal relationship between them remains unclear. Methods Genome-wide association data were utilized to explore the causal link between 731 immune cells and AS using a bidirectional two-sample MR approach. The data included immune cell data from Orrù et al.’s study and AS data from the FinnGen consortium. Cochran’s Q test and leave-one-out checked instrument variable (IV) heterogeneity. IVW was the primary method for causal analysis, with MR-Egger and MR-PRESSO addressing horizontal pleiotropy. FDR correction was applied to both analysis directions to rectify multiple testing errors. Results In our study, 22 immune phenotypes out of 731 were casually linked to AS. After excluding 5 less robust features, 17 immune factors remained, with 4 being protective and the rest posing risks. Through FDR correction, we found a significant causal relationship between HLA DR on CD14- CD16+ monocyte and AS (OR (95%CI) = 0.70(0.60 ~ 0.83), P = 2.06*10−5). In the reverse analysis with AS as exposure, potential effects on 34 immune features were discovered. After correction, we confirmed significant causal relationships between AS and two immune features, namely CD20- B cell %lymphocyte (OR (95%CI) = 1.16(1.08–1.25), P = 1.91*10−5) and CD20- B cell %B cell (OR (95%CI) = 1.17(1.09–1.26), P = 1.50*10−5). Conclusions Our study identified various features associated with AS in different types of immune cells. These findings provide important clues and a theoretical basis for further understanding the pathogenesis of AS, guiding clinical treatment, and drug design.https://doi.org/10.1186/s42358-024-00428-1Ankylosing spondylitisImmunityImmune cellsMendelian RandomizationFinnGen
spellingShingle Ziming Geng
Yang Tong
Yang Chen
Jian Wang
Ziwen Liu
Jun Miao
Ruihua Li
Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study
Advances in Rheumatology
Ankylosing spondylitis
Immunity
Immune cells
Mendelian Randomization
FinnGen
title Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study
title_full Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study
title_fullStr Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study
title_full_unstemmed Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study
title_short Investigating the causal relationship between immune factors and ankylosing spondylitis: insights from a Mendelian Randomization study
title_sort investigating the causal relationship between immune factors and ankylosing spondylitis insights from a mendelian randomization study
topic Ankylosing spondylitis
Immunity
Immune cells
Mendelian Randomization
FinnGen
url https://doi.org/10.1186/s42358-024-00428-1
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