The Mediating Role of Immune Cells in the Genetically Predicted Relationship between Gut Microbiota and Puerperal

Yihui Chai1, Chunsong Gu2, Zhiliang Fan1

  • 1School of Basic Medicine, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.

Abstract

Insights

Certain gut bacteria are causally linked to puerperal sepsis (PS). Immune cells, specifically IgD-CD27- B cells and CD62L- monocytes, partially mediate this risk, offering insights into PS development.

Area of Science:

  • Microbiome research
  • Immunology
  • Genetics

Background:

  • The link between gut microbiota and puerperal sepsis (PS) is not well understood.
  • The role of immune cells in mediating this relationship requires further investigation.

Purpose of the Study:

  • To investigate the causal relationship between gut microbiota and PS using Mendelian randomization (MR).
  • To assess the mediating role of immune cells in the development of PS.

Main Methods:

  • Utilized large-scale genome-wide association studies (GWAS) data for gut microbiota, immune cell phenotypes, and PS.
  • Employed univariate Mendelian randomization (UVMR) with inverse variance weighting (IVW) and sensitivity analyses.
  • Conducted two-step mediation Mendelian randomization (MR) analysis to explore mediation pathways.

Main Results:

  • Identified 11 gut microbial species with a causal association with PS, including Azorhizobiume and Bacillus velezensis.
  • Confirmed no reverse causality between PS and gut microbiota.
  • Found that IgD-CD27- B cells (10.26%) and CD62L- monocytes (17.29%) partially mediated the effect of CAG-245 sp000435175 on PS risk.

Conclusions:

  • Established a causal link between specific gut microbiota and PS.
  • Demonstrated a mediating role for certain immune cell populations in PS pathogenesis.
  • Findings may inform personalized PS treatments and biomarker development.

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