Exploring the Relationship Between Immune Cells and Scoliosis by Mendelian Randomization, Colocalization Analysis, and SMR
Chaofan Qin
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorZhengjian Yan
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorQingshuai Yu
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorMingxin Chen
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorTao Hu
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorXin Wang
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorBo Lei
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorYu Chen
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorKe Ma
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorCorresponding Author
Zhongliang Deng
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorCorresponding Author
Si Cheng
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorChaofan Qin
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorZhengjian Yan
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorQingshuai Yu
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorMingxin Chen
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorTao Hu
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorXin Wang
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorBo Lei
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorYu Chen
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorKe Ma
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorCorresponding Author
Zhongliang Deng
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorCorresponding Author
Si Cheng
Department of Orthopedics , Second Affiliated Hospital , Chongqing Medical University , Chongqing , China , cqmu.edu.cn
Search for more papers by this authorAbstract
Background: Scoliosis is a condition that can have severe consequences for millions of individuals on an annual basis. Current research in this field is increasingly focusing on the role of the immune system in the development of the disease. However, the precise relationship between immunity and scoliosis remains to be fully elucidated.
Method: Our investigation involved a comprehensive Mendelian randomization (MR) analysis to explore the potential causal relationship between immune cells and scoliosis. The comprehensive univariable MR analysis encompassed 731 immune cells to explore their relationship with scoliosis. Cochran’s Q test, the leave-one-out test, and MR-Egger intercept analysis were used to assess pleiotropy and heterogeneity. We performed multivariable MR analysis to account for potential confounding factors between the immune cells. The colocalization analysis and summary data-based MR (SMR) analysis were utilized to explore relationship between immune cells and cis-eQTL.
Results: Our study identified 13 immune cells that were significantly associated with scoliosis by univariable MR, including four risk factors and nine protective factors for scoliosis. In order to reduce confounding between immune cells, multivariable MR was employed, and it was determined that only six immune cell types had independent effects on scoliosis. SERPINH1 shared the same variant with CX3CR1 on CD14− CD16−. FSD1L shared the same variant with CCR2 on CD14− CD16−. SNHG14, SNORA33, NET1, and SNORD100 shared the same variant with HLA DR on CD14+ CD16+ monocyte.
Conclusion: Our findings suggested a possible link between immune cells and scoliosis and found the key genes for the immune cell, which provides a new direction for further research. However, the specific underlying mechanisms require further investigation in future experiments.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The data that support the findings of this study are openly available in GWAS Catalog (https://www.ebi.ac.uk/gwas), IEU Open GWAS (https://gwas.mrcieu.ac.uk), eQTLGen Consortium (https://www.eqtlgen.org/cis-eqtls.html) and FinnGen database (https://www.finngen.fi/en).
Supporting Information
Filename | Description |
---|---|
mi8833556-sup-0001-f1.docxWord 2007 document , 27.1 KB | Supporting Information 1 Table S1: Information on the univariable MR of SNPs and the F-statistic of SNPs. |
mi8833556-sup-0002-f2.docxWord 2007 document , 178.4 KB | Supporting Information 2 Table S2: The results of univariable MR between the 731 immune cells and scoliosis. |
mi8833556-sup-0003-f3.docxWord 2007 document , 22.6 KB | Supporting Information 3 Table S3: The significant results of univariable MR between the 40 immune cells and scoliosis. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
References
- 1 Cheng J. C., Castelein R. M., and Chu W. C., et al.Adolescent Idiopathic Scoliosis, Nature Reviews Disease Primers. (2015) 1, https://doi.org/10.1038/nrdp.2015.30, 2-s2.0-85021668642, 15030.
- 2 Weinstein S. L., Dolan L. A., Spratt K. F., Peterson K. K., Spoonamore M. J., and Ponseti I. V., Health and Function of Patients With Untreated Idiopathic Scoliosis: A 50-Year Natural History Study, JAMA. (2003) 289, no. 5, 559–567, https://doi.org/10.1001/jama.289.5.559, 2-s2.0-0037419908.
- 3 Peng Y., Wang S.-R., Qiu G.-X., Zhang J.-G., and Zhuang Q.-Y., Research Progress on the Etiology and Pathogenesis of Adolescent Idiopathic Scoliosis, Chinese Medical Journal. (2020) 133, no. 4, 483–493, https://doi.org/10.1097/CM9.0000000000000652.
- 4 Wajchenberg M., Martins D. E., and de P. Luciano R., et al.Histochemical Analysis of Paraspinal Rotator Muscles From Patients With Adolescent Idiopathic Scoliosis: A Cross-Sectional Study, Medicine. (2015) 94, no. 8, https://doi.org/10.1097/MD.0000000000000598, 2-s2.0-84928481719, e598.
- 5 Li J., Tang M., Yang G., Wang L., Gao Q., and Zhang H., Muscle Injury Associated Elevated Oxidative Stress and Abnormal Myogenesis in Patients With Idiopathic Scoliosis, International Journal of Biological Sciences. (2019) 15, no. 12, 2584–2595, https://doi.org/10.7150/ijbs.33340, 2-s2.0-85074162359.
- 6 Rudrapatna S., Peterson D., and Missiuna P., et al.Understanding Muscle-Immune Interactions in Adolescent Idiopathic Scoliosis: A Feasibility Study, Pilot and Feasibility Studies. (2017) 3, https://doi.org/10.1186/s40814-017-0193-0, 2-s2.0-85046728222, 50.
- 7 Samaan M. C., Missiuna P., Peterson D., and Thabane L., Understanding the Role of the Immune System in Adolescent Idiopathic Scoliosis: Immunometabolic CONnections to Scoliosis (ICONS) Study Protocol, BMJ Open. (2016) 6, no. 7, https://doi.org/10.1136/bmjopen-2016-011812, 2-s2.0-84978544293, e011812.
- 8 Moyer A. L. and Wagner K. R., Regeneration versus Fibrosis in Skeletal Muscle, Current Opinion in Rheumatology. (2011) 23, no. 6, 568–573, https://doi.org/10.1097/BOR.0b013e32834bac92, 2-s2.0-82955235651.
- 9 Tidball J. G. and Wehling-Henricks M., Shifts in Macrophage Cytokine Production Drive Muscle Fibrosis, Nature Medicine. (2015) 21, no. 7, 665–666, https://doi.org/10.1038/nm.3896, 2-s2.0-84936862556.
- 10 Reading Mendelian randomisation Studies: A Guide, Glossary, and Checklist for Clinicians - PMC, (accessed 2023-08-16) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041728/.
- 11 Giambartolomei C., Vukcevic D., and Schadt E. E., et al.Bayesian Test for Colocalisation Between Pairs of Genetic Association Studies Using Summary Statistics, PLoS Genetics. (2014) 10, no. 5, https://doi.org/10.1371/journal.pgen.1004383, 2-s2.0-84901631426, e1004383.
- 12 Zhu Z., Zhang F., and Hu H., et al.Integration of Summary Data From GWAS and EQTL Studies Predicts Complex Trait Gene Targets, Nature Genetics. (2016) 48, no. 5, 481–487, https://doi.org/10.1038/ng.3538, 2-s2.0-84961927084.
- 13 Widding-Havneraas T. and Zachrisson H. D., A Gentle Introduction to Instrumental Variables, Journal of Clinical Epidemiology. (2022) 149, 203–205, https://doi.org/10.1016/j.jclinepi.2022.06.022.
- 14 Qin C., Yu Q., and Deng Z., et al.Causal Relationship Between the Immune Cells and Ankylosing Spondylitis: Univariable, Bidirectional, and Multivariable Mendelian Randomization, Frontiers in Immunology. (2024) 15, https://doi.org/10.3389/fimmu.2024.1345416, 1345416.
- 15 Ye X., Bai Y., and Li M., et al.Genetic Associations Between Circulating Immune Cells and Periodontitis Highlight the Prospect of Systemic Immunoregulation in Periodontal Care, eLife. (2024) 12, https://doi.org/10.7554/eLife.92895.3, RP92895.
- 16 Orrù V., Steri M., and Sidore C., et al.Complex Genetic Signatures in Immune Cells Underlie Autoimmunity and Inform Therapy, Nature Genetics. (2020) 52, no. 10, 1036–1045, https://doi.org/10.1038/s41588-020-0684-4.
- 17 Võsa U., Claringbould A., and Westra H.-J., et al.Large-Scale Cis- and Trans-EQTL Analyses Identify Thousands of Genetic Loci and Polygenic Scores That Regulate Blood Gene Expression, Nature Genetics. (2021) 53, no. 9, 1300–1310, https://doi.org/10.1038/s41588-021-00913-z.
- 18 Guidelines for Performing Mendelian Randomization Investigations: Update for Summer 2023 - PMC, (accessed 2023-08-16) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7384151/.
- 19 Zeng R., Wang J., and Jiang R., et al.Investigating Causality and Shared Genetic Architecture Between Neurodegenerative Disorders and Inflammatory Bowel Disease, Aging and Disease. (2023) 14, no. 4, 1349–1359, https://doi.org/10.14336/AD.2022.12209.
- 20 Assessing the Suitability of Summary Data for Two-Sample Mendelian Randomization Analyses Using MR-Egger Regression: the Role of the [… Formula …] Statistic - PMC, (accessed 2023-08-16) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446088/.
- 21 Hemani G., Zheng J., and Elsworth B., et al.The MR-Base Platform Supports Systematic Causal Inference Across the Human Phenome, eLife. (2018) 7, https://doi.org/10.7554/eLife.34408, 2-s2.0-85051679391, e34408.
- 22 Bowden J., Davey Smith G., and Burgess S., Mendelian Randomization With Invalid Instruments: Effect Estimation and Bias Detection Through Egger Regression, International Journal of Epidemiology. (2015) 44, no. 2, 512–525, https://doi.org/10.1093/ije/dyv080, 2-s2.0-84936755918.
- 23 Arnold L., Perrin H., and de Chanville C. B., et al.CX3CR1 Deficiency Promotes Muscle Repair and Regeneration by Enhancing Macrophage ApoE Production, Nature Communications. (2015) 6, https://doi.org/10.1038/ncomms9972, 2-s2.0-84949293493, 8972.
- 24 Zhong H., Wang Z., and Wei X., et al.Prognostic and Immunological Role of SERPINH1 in Pan-Cancer, Frontiers in Genetics. (2022) 13, https://doi.org/10.3389/fgene.2022.900495, 900495.
- 25 Blanc R. S., Kallenbach J. G., Bachman J. F., Mitchell A., Paris N. D., and Chakkalakal J. V., Inhibition of Inflammatory CCR2 Signaling Promotes Aged Muscle Regeneration and Strength Recovery After Injury, Nature Communications. (2020) 11, no. 1, https://doi.org/10.1038/s41467-020-17620-8, 4167.
- 26 Contreras-Shannon V., Ochoa O., and Reyes-Reyna S. M., et al.Fat Accumulation With Altered Inflammation and Regeneration in Skeletal Muscle of CCR2-/- Mice Following Ischemic Injury, American Journal of Physiology-Cell Physiology. (2007) 292, no. 2, C953–C967, https://doi.org/10.1152/ajpcell.00154.2006, 2-s2.0-33847060894.
- 27 Chazaud B., Sonnet C., and Lafuste P., et al.Satellite Cells Attract Monocytes and Use Macrophages as a Support to Escape Apoptosis and Enhance Muscle Growth, The Journal of Cell Biology. (2003) 163, no. 5, 1133–1143, https://doi.org/10.1083/jcb.200212046, 2-s2.0-0346849710.
- 28 Chazaud B., Brigitte M., and Yacoub-Youssef H., et al.Dual and Beneficial Roles of Macrophages During Skeletal Muscle Regeneration, Exercise and Sport Sciences Reviews. (2009) 37, no. 1, 18–22, https://doi.org/10.1097/JES.0b013e318190ebdb, 2-s2.0-62149131518.
- 29 Wang B., Xing A.-Y., Li G.-X., Liu L., and Xing C., SNHG14 Promotes Triple-Negative Breast Cancer Cell Proliferation, Invasion, and Chemoresistance by Regulating the ERK/MAPK Signaling Pathway, IUBMB Life. (2024) 76, no. 12, 1295–1308, https://doi.org/10.1002/iub.2910.
- 30 Lin Z., Jin J., Bai W., Li J., and Shan X., Netrin-1 Prevents the Attachment of Monocytes to Endothelial Cells via an Anti-Inflammatory Effect, Molecular Immunology. (2018) 103, 166–172, https://doi.org/10.1016/j.molimm.2018.08.021, 2-s2.0-85054179835.
- 31 Dubey G., Singh M., and Singh H., et al.Emerging Roles of SnoRNAs in the Pathogenesis and Treatment of Autoimmune Disorders, Pathology Research and Practice. (2024) 253, https://doi.org/10.1016/j.prp.2023.154952, 154952.
- 32 Mittrücker H.-W., Visekruna A., and Huber M., Heterogeneity in the Differentiation and Function of CD8+ T Cells, Archivum Immunologiae et Therapiae Experimentalis. (2014) 62, no. 6, 449–458, https://doi.org/10.1007/s00005-014-0293-y, 2-s2.0-84937677987.
- 33 Lee J., Park N., and Park J. Y., et al.Induction of Immunosuppressive CD8+CD25+FOXP3+ Regulatory T Cells by Suboptimal Stimulation With Staphylococcal Enterotoxin C1, The Journal of Immunology. (2018) 200, no. 2, 669–680, https://doi.org/10.4049/jimmunol.1602109, 2-s2.0-85043523766.
- 34 Laitano O., Robinson G. P., and Garcia C. K., et al.Skeletal Muscle Interleukin-6 Contributes to the Innate Immune Response in Septic Mice, Shock. (2021) 55, no. 5, 676–685, https://doi.org/10.1097/SHK.0000000000001641.