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International Journal of COPD
Article . 2025 . Peer-reviewed
License: CC BY NC
Data sources: Crossref
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International Journal of COPD
Article . 2025
Data sources: DOAJ
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Dove Medical Press
Article . 2025 . Peer-reviewed
Data sources: Dove Medical Press
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The Mediation of Circulating Inflammatory Proteins in the Causal Pathway from Immune Cells to COPD

Authors: Kunrong Yan; Yingjian Wang; Peng Xin;

The Mediation of Circulating Inflammatory Proteins in the Causal Pathway from Immune Cells to COPD

Abstract

Observational studies have indicated that immune cells and circulating inflammatory proteins may play a dual role in the progression of COPD; however, the precise mechanisms remain uncertain. The objective of this study was to ascertain the causal relationship between immune cells and COPD and to quantify the potential role of circulating inflammatory proteins as mediators.A two-sample Mendelian randomisation analysis was conducted involving 731 immune cells, 91 inflammatory proteins and COPD, utilising summary-level data from genome-wide association studies. The causal relationships between immune cells, inflammatory proteins and COPD were sequentially analysed by multivariate Mendelian randomisation and validated using Bayesian weighted Mendelian randomisation. Subsequently, sensitivity analyses were conducted, employing Cochran's Q test to assess heterogeneity, MR-PRESSO and MR-Egger tests to assess pleiotropy, and reverse MR and Steiger directionality tests to rule out reverse causality. Lastly, a two-step approach was employed to ascertain the proportion of inflammatory proteins that mediate immune cell-mediated effects in COPD.The combination of the inverse variance weighting method and the Bayesian weighting algorithm identified 30 immune cells that were found to be causally associated with COPD, as well as eight inflammatory proteins that were associated with COPD. By two-step analysis, six inflammatory proteins were found to mediate the effects of eight immune cell phenotypes on COPD, with CXCL10 having the highest percentage of mediation at 14.49%, followed by IL20RA at 11.47%.This study provides a comprehensive investigation of the causal relationship between immune cells and COPD, as well as an estimation of the proportion of the effect of inflammatory proteins as mediators. These findings facilitate the identification of individuals at high risk of COPD and offer novel insights for early prevention and clinical intervention.

Keywords

RC705-779, copd, Bayes Theorem, International Journal of Chronic Obstructive Pulmonary Disease, Mendelian Randomization Analysis, Diseases of the respiratory system, Pulmonary Disease, Chronic Obstructive, immune cells, circulating inflammatory proteins, Phenotype, Risk Factors, mendelian randomization, Humans, Genetic Predisposition to Disease, Inflammation Mediators, mediation analysis, bayesian weighted mendelian randomization, Biomarkers, Original Research, Genome-Wide Association Study

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
Green
gold