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Updated: Jun 30, 2026

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
Immune Cells as Mediators Between Gut Microbiota and Multiple Sclerosis: Insights From Mendelian Randomization
Pingping Ning1,2, Xin Mu3, Xiaohui Zhang1,2
1Department of Geriatric Neurology, Shaanxi Provincial People's Hospital, Xi'an, China.
Background:
Multiple sclerosis (MS) is a neuroimmunological disorder marked by demyelination and neuronal damage, significantly impacting young individuals' health and quality of life. Recent studies suggest a pivotal role of the gut microbiota and immune system in MS development, though the precise mechanisms remain unclear.
Methods:
This study utilizes Mendelian randomization (MR) to explore the causal relationships between gut microbiota, immune traits, and MS. We conducted MR analysis using genetic data from 18,340 participants for gut microbiota, 3757 individuals for immune traits, and 47,429 MS cases alongside 68,374 controls.
Results:
Our results suggested six microbial taxa with nominally significant associations to MS, with two taxa (Roseburia and Ruminococcus2) exhibiting putative mediating trends through specific immune cell phenotypes (CD28 on CD28+ CD4+ T cells and CD45 on HLA-DR+ CD8+ T cells). Mediation analysis demonstrated that 8.97% and 12.18% of the nominal effects of these taxa on MS were potentially mediated through the aforementioned immune traits, respectively. These results only represent exploratory trends and need to be interpreted with caution.
Conclusion:
These nominally significant exploratory findings provide hypothesis-generating clues that immune cell activation, particularly in CD4+ and CD8+ T cells, might be involved in the microbiota-MS relationship. These findings require validation in independent populations and experimental studies.
Insights
This study explored gut microbes and immune cells in multiple sclerosis (MS). Certain gut bacteria may influence MS through specific T cell activations, suggesting a link between the gut microbiome and MS pathogenesis.
Area of Science:
- Neuroimmunology
- Microbiome research
- Genetic epidemiology
Background:
- Multiple sclerosis (MS) is a debilitating neuroimmunological disease affecting young adults.
- The gut microbiota and immune system are implicated in MS, but mechanisms are unclear.
Purpose of the Study:
- To investigate causal links between gut microbiota, immune traits, and MS using Mendelian randomization.
- To identify specific microbial taxa and immune pathways associated with MS risk.
Main Methods:
- Mendelian randomization (MR) analysis was performed.
- Genetic data from large cohorts for gut microbiota (18,340), immune traits (3,757), and MS cases/controls (47,429/68,374) were utilized.
Main Results:
- Six microbial taxa showed nominal associations with MS.
- Roseburia and Ruminococcus2 potentially mediated MS risk through CD28+ CD4+ and HLA-DR+ CD8+ T cell phenotypes.
- Mediation analysis indicated 8.97% and 12.18% of effects were potentially mediated.
Conclusions:
- Exploratory findings suggest immune cell activation (CD4+, CD8+ T cells) may link gut microbiota to MS.
- These results are hypothesis-generating and require further validation in independent studies and experiments.
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