Transcriptome-wide Mendelian randomization and single-cell analysis during CD4+ T cell activation deciphers

Kai Cui1, Qiuming Zou1, Xinyi Qu1

  • 1State Key Laboratory of Bioactive Molecules and Druggability Assessment, MOE Key Laboratory of Tumor Molecular Biology, Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, Department of Pharmacology, School of Medicine, Jinan University, Guangzhou, China.

NPJ Precision Oncology
|December 30, 2025
PubMed

Insights

This study identifies CD4+ T cell genes as potential immunotherapy targets for colorectal cancer (CRC). PARP14 and ORMDL3 show promise for overcoming immune therapy resistance in CRC.

Area of Science:

  • Immunology
  • Genetics
  • Oncology

Background:

  • Immunotherapy is a key treatment for colorectal cancer (CRC).
  • Identifying specific immune cell targets, particularly CD4+ T cells, is crucial for effective cancer immunotherapy.
  • CD4+ T cell activation impacts both anti-tumor and pro-tumor immunity in CRC.

Purpose of the Study:

  • To identify novel immunotherapy targets for CRC by investigating causal links between CD4+ T cell activation genes and CRC.
  • To explore the role of CD4+ T cell dynamics in CRC progression and immune evasion.

Main Methods:

  • Utilized Mendelian randomization (MR) including transcriptome-wide MR and summary-based MR (SMR).
  • Employed colocalization analysis and single-cell RNA sequencing (scRNA-seq).
  • Validated findings through multi-omics approaches.

Main Results:

  • Identified 28 dynamic CD4+ T cell-related genes as potential therapeutic targets for CRC.
  • PARP14 and ORMDL3 were highlighted as key targets associated with immune therapy resistance.
  • Demonstrated significant causal relationships between specific CD4+ T cell genes and CRC development.

Conclusions:

  • CD4+ T cell activation plays a critical role in colorectal cancer progression.
  • PARP14 and ORMDL3 represent promising novel targets for enhancing immunotherapy efficacy in CRC.
  • This research provides a foundation for developing targeted immunotherapies for colorectal cancer.

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