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Genetically Supported Causality Between Immune Cells Traits and Low Back Pain: A Bi-Directional Two-Sample Mendelian
Jianbing Wang1,2, Mengye Zhu1,3, Yuhan Liu4
1Department of Pain Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, People's Republic of China.
Journal of Pain Research
|March 31, 2025
Summary
This study found a genetic link between six immune cell types and low back pain (LBP) risk. These findings suggest immune cells may causally influence LBP development.
Area of Science:
- Immunology
- Genetics
- Pain Research
Background:
- Low back pain (LBP) is a prevalent condition with complex etiologies.
- Emerging evidence suggests a role for immune cells in LBP pathogenesis.
Purpose of the Study:
- To investigate the potential causal relationship between various immune cell types and the risk of developing LBP.
- To utilize a bi-directional Mendelian randomization (MR) approach to assess genetic predispositions.
Main Methods:
- Employed a bi-directional Mendelian randomization (MR) study design.
- Utilized Single Nucleotide Polymorphisms (SNPs) associated with immune cell abundance as instrumental variables.
- Applied the inverse variance weighted (IVW) method, with MR-Egger and MR-PRESSO for sensitivity analyses.
Main Results:
- Identified a significant causal association between six immune cell types and LBP risk (P < 0.05).
- Specific immune cell types, including CD4 Treg AC and CD19 on CD20-CD38-, showed a reduced risk of LBP.
- Reverse MR analysis indicated no significant causal effect of LBP on the investigated immune cell types.
Conclusions:
- Established a significant genetic link between specific immune cell populations and susceptibility to LBP.
- Findings support the role of immune dysregulation in LBP etiology.
- Provides a foundation for future research into targeted immunomodulatory therapies for LBP.
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