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The association between circulating leukocytes and inflammatory bowel disease: a two-sample Mendelian randomization
Li Tian1, Xiaobin Yang1, Yansen Zheng2
1Day Diagnosis and Treatment Department, The Sixth Medical Center of PLA General Hospital, Beijing, China.
Mendelian randomization analysis suggests certain leukocyte alterations causally influence inflammatory bowel disease (IBD) risk. Increased monocytes may decrease IBD risk, while neutrophils may increase it.
Area of Science:
- Genetics
- Immunology
- Gastroenterology
Background:
- Inflammatory bowel disease (IBD) is a chronic intestinal inflammation with uncertain links to circulating leukocytes.
- Observational studies suggest associations between leukocytes and IBD, but causal relationships require further investigation.
Purpose of the Study:
- To investigate the causal relationship between circulating leukocyte alterations and inflammatory bowel disease (IBD) risk using Mendelian randomization (MR).
Main Methods:
- Utilized genome-wide association study (GWAS) data for circulating leukocytes and IBD from the Blood Cell Consortium and IEU Qpen GWAS project.
- Employed inverse variance weighting (IVW) as the primary MR method, supplemented by sensitivity analyses for result validation.
Main Results:
- Increased monocyte counts, particularly CD14- CD16+ monocytes, showed a negative correlation with IBD risk.
- Elevated neutrophil counts were positively associated with the risk of IBD and ulcerative colitis.
- No causal link was found between basophil, eosinophil, or lymphocyte counts and IBD risk.
Conclusions:
- Established a causal relationship between specific circulating leukocytes and IBD risk, highlighting the leukocyte immune system's role in IBD pathogenesis.
- Findings offer novel research avenues for clinical prevention and treatment strategies targeting IBD.
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