首页|期刊导航|中国现代医生|基于双样本孟德尔随机化研究731种免疫细胞与儿童肥胖的因果关系

基于双样本孟德尔随机化研究731种免疫细胞与儿童肥胖的因果关系OA

Investigating the causal relationship between 731 immune cells and childhood obesity based on two-sample Mendelian randomization

中文摘要英文摘要

目的 利用双样本孟德尔随机化(Mendelian randomization,MR)研究731种免疫细胞与儿童肥胖的因果关系.方法 从公开的全基因组关联研究(genome-wide association study,GWAS)数据集选择与暴露和结局相关的单核苷酸多态性(single nucleotide polymorphism,SNP).选择与暴露数据显著相关(P<1e-5)且F>10的SNP作为工具变量(instrumental variable,IV).选择免疫细胞作为暴露因素,儿童肥胖作为结局因素.采用5种常用方法评估因果联系,其中以逆方差加权法(inverse variance weighted,IVW)为主要评估方法.结果 MR分析显示18种免疫细胞表型与儿童肥胖风险显著相关(P<0.05);其中11种免疫细胞表型与儿童肥胖风险正相关:IgD-CD38-B细胞百分率、CD62L-髓系树突状细胞占DC细胞百分率、CD33高表达HLA DR+CD14-髓系细胞占CD33高表达HLA DR+髓系细胞百分率、表达CD3的中央记忆CD4+T细胞、表达CD3的中央记忆CD8高表达T细胞、表达CD3的CD39+分泌调节T细胞、表达CD3的CD45RA+CD4+调节T细胞、表达CD3的CD8高表达调节T细胞、表达CD3的CD28+CD4+调节T细胞、表达CD3的CD28+CD45RA+CD8高表达调节T细胞、表达CD86的髓系树突状细胞.7种免疫细胞表型与儿童肥胖风险负相关:活化和静息的Treg AC细胞、幼稚CD8高表达T细胞百分率、CD8低表达自然杀伤T细胞、CD8低表达自然杀伤T细胞占淋巴细胞百分率、表达CD25的CD39+CD4调节T细胞、表达CD25的静息调节T细胞、表达CD8的CD28+CD45RA-CD8高表达调节T细胞.结论 本研究借助双样本MR分析,揭示不同免疫细胞与儿童肥胖之间的复杂关联,为儿童肥胖的诊断与治疗提供独特的免疫学视角.

Objective To investigate the causal relationship between 731 immune cells and childhood obesity using two-sample Mendelian randomization(MR).Methods Single nucleotide polymorphism(SNP)associated with exposure and outcome were selected from the genome-wide association study(GWAS)datasets.SNP significantly associated with exposure data(P<1e-5)and with F>10 were selected as instrumental variable(IV).731 immune cells were selected as exposure factors,childhood obesity as an outcome factor.Five commonly used methods were used to evaluate the causal link,among which the inverse variance weighted(IVW)method was the main evaluation method.Results MR analysis revealed that 18 immune cell phenotypes were significantly associated with the risk of childhood obesity(P<0.05).11 immune cell phenotypes were positively associated with the risk of childhood obesity:IgD-CD38-%B cell,CD62L-myeloid DC%DC cell,CD33br HLA DR+CD14-%CD33br HLA DR+myeloid cell,CD3 on CM CD4+T cell,CD3 on CM CD8br T cell,CD3 on CD39+secreting Treg cell,CD3 on CD45RA+CD4+Treg cell,CD3 on CD8br Treg cell,CD3 on CD28+CD4+Treg cell,CD3 on CD28+CD45RA+CD8br Treg cell,CD86 on myeloid DC cell.7 immune cell phenotypes are negatively associated with the risk of childhood obesity:Activated and resting Treg AC cell,Naive CD8br%T cell,CD8dim NKT AC TBNK cell,CD8dim NKT%lymphocyte TBNK cell,CD25 on CD39+CD4 Treg cell,CD25 on resting Treg cell,CD8 on CD28+CD45RA-CD8br Treg cell.Conclusion Through two-sample MR,this study reveals the complex relationship between various immune cells and childhood obesity,offering diverse immunological perspectives for the diagnosis and treatment of pediatric obesity.

任益龙;汪晨;李秋彤;蒋春明

浙江中医药大学第四临床医学院,浙江 杭州 310053浙江中医药大学第四临床医学院,浙江 杭州 310053浙江中医药大学第四临床医学院,浙江 杭州 310053浙江中医药大学第四临床医学院,浙江 杭州 310053||西湖大学医学院附属杭州市第一人民医院儿科,浙江 杭州 310006

医药卫生

免疫细胞儿童肥胖孟德尔随机化因果关系

Immune cellsChildhood obesityMendelian randomizationCausal relation

《中国现代医生》 2026 (12)

33-37,5

10.3969/j.issn.1673-9701.2026.12.007

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