Transcriptome-wide Mendelian randomization exploring dynamic CD4+ T cell gene expression in colorectal cancer development

. 2025 Sep 17 ; () : . [epub] 20250917

Status Publisher Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid40974097

Recent research suggests higher circulating lymphocyte counts may protect against colorectal cancer (CRC). However, the role of specific lymphocyte subtypes and activation states remain unclear. CD4+ T cells - a highly dynamic lymphocyte subtype - undergo gene expression changes upon activation that are critical to their effector function. Previous studies using bulk tissue have limited our understanding of their role in CRC risk to static associations. We applied Mendelian randomization (MR) and genetic colocalisation to evaluate causal relationships of gene expression on CRC risk across multiple CD4+ T cell subtypes and activation states. Genetic proxies were obtained from single-cell transcriptomic data, allowing us to investigate the causal effect of expression of 1,805 genes across CD4+ T cell activation states on CRC risk (78,473 cases; 107,143 controls). Analyses were stratified by CRC anatomical subsites and sex, with sensitivity analyses assessing whether the observed effect estimates were likely to be CD4+ T cell-specific. We identified six genes - FADS2, FHL3, HLA-DRB1, HLA-DRB5, RPL28, and TMEM258 - with strong evidence for a causal role in CRC development (FDR-P<0.05; colocalisation H4>0.8). Causal estimates varied by CD4+ T cell subtype, activation state, CRC subsite and sex. However, many of genetic proxies used to instrument gene expression in CD4+ T cells also act as eQTLs in other tissues, highlighting the challenges of using genetic proxies to instrument tissue-specific expression changes. We demonstrate the importance of capturing the dynamic nature of CD4+ T cells in understanding CRC risk, and prioritize genes for further investigation in cancer prevention.

Cancer Epidemiology and Prevention Research Unit School of Public Health Imperial College London London United Kingdom

Center for Cancer Research Medical University of Vienna Vienna Austria

Colorectal Oncogenomics Group Department of Clinical Pathology The University of Melbourne Parkville VIC 3010 Australia

Department of Clinical Genetics Karolinska University Hospital Stockholm Sweden

Department of Endocrine and Metabolic Diseases Shanghai Institute of Endocrine and Metabolic Diseases Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China

Department of Epidemiology and Biostatistics School of Public Health Imperial College London UK

Department of Epidemiology Harvard T H Chan School of Public Health Boston Massachusetts USA

Department of Epidemiology University of Washington Seattle Washington USA

Department of Laboratory Medicine and Pathology Mayo Clinic Arizona Scottsdale AZ USA

Department of Molecular Biology of Cancer Institute of Experimental Medicine of the Czech Academy of Sciences Prague Czech Republic

Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden

Department of Oncologic Pathology Dana Farber Cancer Institute Boston Massachusetts USA

Division of Medical Oncology and Hematology Princess Margaret Cancer Centre Toronto Canada

Genomic Medicine and Family Cancer Clinic Royal Melbourne Hospital Parkville Melbourne VIC 3000 Australia

Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden

MRC Integrative Epidemiology Unit University of Bristol Bristol UK

Nutrition and Metabolism Branch International Agency for Research on Cancer WHO Lyon France

Population Health Sciences Bristol Medical School University of Bristol Bristol UK

Program in MPE Molecular Pathological Epidemiology Department of Pathology Brigham and Women's Hospital Harvard Medical School Boston Massachusetts USA

Public Health Sciences Division Fred Hutchinson Cancer Center Seattle Washington USA

School of Cellular and Molecular Medicine University of Bristol Bristol UK

Shanghai National Clinical Research Center for Metabolic Diseases Key Laboratory for Endocrine and Metabolic Diseases of the National Health Commission Shanghai National Center for Translational Medicine Ruijin Hospital Shanghai Jiaotong University School of Medicine Shanghai China

Translational Health Sciences Bristol Medical School University of Bristol Bristol UK

University of Melbourne Centre for Cancer Research Victorian Comprehensive Cancer Centre Parkville VIC 3010 Australia

University of Southern California Department of Population and Public Health Sciences Los Angeles California USA

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