Immune cell phenotype in endometrial cancer: from biological significance to clinical utility using Mendelian randomisation analysis

Background We investigated the relationship between immune cells and endometrial cancer by conducting a two-sample bidirectional Mendelian randomisation (MR) analysis.Methods MR uses genetic variation as an instrumental variable to study the causal effects of exposure on observed data outcomes. We c...

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Bibliographic Details
Main Authors: Lingfang Ye, Beilei Chen, Meng Cen, Qianya Lin
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Obstetrics and Gynaecology
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Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2025.2541610
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Summary:Background We investigated the relationship between immune cells and endometrial cancer by conducting a two-sample bidirectional Mendelian randomisation (MR) analysis.Methods MR uses genetic variation as an instrumental variable to study the causal effects of exposure on observed data outcomes. We conducted a dual-sample MR analysis to investigate the causal relationship between 731 immune cell phenotypes and endometrial cancer (EC). The weighted-median method and inverse variance weighted method MR were mainly used, and the p-value was corrected with the Benjamini-Hochberg procedure.Results The forward MR analysis revealed a causal relationship between EC and eight immune-cell phenotypes. The reverse MR analysis identified two immune-cell phenotypes with a potential causal effect on EC, with additional subtype-specific associations observed for endometrioid and non-endometrioid histology.Conclusion Our study demonstrated a causal relationship between immune cells and EC, thereby providing guidance for the development of future immunoregulatory therapeutic strategies.
ISSN:0144-3615
1364-6893