Comprehensive Mendelian randomization and colocalization analysis of plasma proteomics to identify new therapeutic

Jieming Zuo1, Junhao Chen1, Zhiyong Tan1

  • 1Yunnan Institute of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China.

Journal of Cancer
|July 31, 2025
PubMed

Insights

This study identifies novel plasma proteins linked to bladder cancer risk, offering potential for early diagnosis and new targeted treatments. Researchers found specific proteins like NOV and GSTM3 may be key to understanding and treating this aggressive cancer.

Area of Science:

  • Oncology
  • Proteomics
  • Genetics

Background:

  • Bladder cancer presents high recurrence and chemoresistance, necessitating improved diagnostics and therapies.
  • Current treatments show limited efficacy, highlighting the need for novel biomarkers and targeted interventions.

Purpose of the Study:

  • To identify plasma protein targets causally associated with bladder cancer risk.
  • To explore potential roles of identified proteins in bladder cancer biology and therapeutic strategies.

Main Methods:

  • Integration of plasma proteomic data (UKB-PPP, deCODE) with genome-wide association study (GWAS) data.
  • Application of two-sample Mendelian randomization (MR), Bayesian colocalization, and SMR/HEIDI analyses.
  • Molecular docking to assess drug-binding potential of candidate proteins.

Main Results:

  • 199 plasma proteins significantly associated with bladder cancer risk were identified.
  • Five core candidate proteins (SLURP1, LY6D, WFDC1, NOV, GSTM3) were highlighted.
  • NOV and GSTM3 showed robust causal links to bladder cancer and potential binding to hormone-regulating drugs.

Conclusions:

  • Identified plasma proteins have causal links to bladder cancer, implicating roles in immune evasion, antioxidant defense, and metabolism.
  • Findings offer new insights into bladder cancer biology.
  • Potential targets for precision therapy and drug repositioning were revealed.