Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis

Abstract Tuberculosis (TB), caused by infectious agent Mycobacterium tuberculosis (Mtb) seriously poses a great threat to health. An array of metabolites generated by metabolic pathways are essential for Mtb pathophysiology. However, a specific causal relationship between TB and human metabolites re...

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Main Authors: Zhenyu Shi, Chenyi Zhao, Xiaowen Yu, Dingding Zhao, Yongqiang Li
Format: Article
Language:English
Published: SpringerOpen 2025-06-01
Series:AMB Express
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Online Access:https://doi.org/10.1186/s13568-025-01901-w
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author Zhenyu Shi
Chenyi Zhao
Xiaowen Yu
Dingding Zhao
Yongqiang Li
author_facet Zhenyu Shi
Chenyi Zhao
Xiaowen Yu
Dingding Zhao
Yongqiang Li
author_sort Zhenyu Shi
collection DOAJ
description Abstract Tuberculosis (TB), caused by infectious agent Mycobacterium tuberculosis (Mtb) seriously poses a great threat to health. An array of metabolites generated by metabolic pathways are essential for Mtb pathophysiology. However, a specific causal relationship between TB and human metabolites remains indistinct. This study aimed to investigate the relationship between 1400 metabolites and TB by Mendelian randomization (MR) analysis. In this study, a total of 1400 metabolites were utilized as exposure factors, while TB-related data served as the outcomes. And TwoSampleMR package and R software were adopted to perform this MR analysis. Various regression fitting methods were employed to conduct MR analysis, including inverse variance weighted (IVW), MR-Egger, weighted median, simple mode, and weighted mode. In addition, potential biases arising from linkage disequilibrium and weak instrumental variables were considered. Metabolites that failed to meet the criteria in both the heterogeneity and pleiotropy tests were considered to have no substantial causal influence on the results, ensuring the robustness and reliability of our analysis. IVW analysis showed that six human metabolites exhibited a significant causal influence (P < 0.05) on TB. Among them, dodecanedioate, myristoleate (14:1n5), and 1-(1-enyl-palmitoyl)-2-arachidonoyl-GPE(p-16:0/20:4) demonstrated a strong causally positive effect on TB, indicating that with the increase of these metabolites, TB progressed robustly. Glycerol 3-phosphate, sphingomyelin (d18:1/20:2, d18:2/20:1, and d16:1/22:2), and 2-methylserine were significantly negatively associated with TB, an increase in these metabolites inhibited TB progression. This is the first time to reveal the causal effects of human metabolites on TB through MR, and the metabolites may be potential biomarkers candidate for TB diagnosis, and monitoring these metabolites might have great clinic significance for TB diagnosis and treatment in the future.
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spelling doaj-art-46c54333f3404f5a8c3fa35aebead9ae2025-08-20T02:07:41ZengSpringerOpenAMB Express2191-08552025-06-0115111110.1186/s13568-025-01901-wBidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosisZhenyu Shi0Chenyi Zhao1Xiaowen Yu2Dingding Zhao3Yongqiang Li4Huaihe Hospital, Henan UniversityHuaihe Hospital, Henan UniversityChongqing Key Laboratory of Traditional Chinese Medicine to Prevent and Treat Autoimmune DiseasesHuaihe Hospital, Henan UniversityHuaihe Hospital, Henan UniversityAbstract Tuberculosis (TB), caused by infectious agent Mycobacterium tuberculosis (Mtb) seriously poses a great threat to health. An array of metabolites generated by metabolic pathways are essential for Mtb pathophysiology. However, a specific causal relationship between TB and human metabolites remains indistinct. This study aimed to investigate the relationship between 1400 metabolites and TB by Mendelian randomization (MR) analysis. In this study, a total of 1400 metabolites were utilized as exposure factors, while TB-related data served as the outcomes. And TwoSampleMR package and R software were adopted to perform this MR analysis. Various regression fitting methods were employed to conduct MR analysis, including inverse variance weighted (IVW), MR-Egger, weighted median, simple mode, and weighted mode. In addition, potential biases arising from linkage disequilibrium and weak instrumental variables were considered. Metabolites that failed to meet the criteria in both the heterogeneity and pleiotropy tests were considered to have no substantial causal influence on the results, ensuring the robustness and reliability of our analysis. IVW analysis showed that six human metabolites exhibited a significant causal influence (P < 0.05) on TB. Among them, dodecanedioate, myristoleate (14:1n5), and 1-(1-enyl-palmitoyl)-2-arachidonoyl-GPE(p-16:0/20:4) demonstrated a strong causally positive effect on TB, indicating that with the increase of these metabolites, TB progressed robustly. Glycerol 3-phosphate, sphingomyelin (d18:1/20:2, d18:2/20:1, and d16:1/22:2), and 2-methylserine were significantly negatively associated with TB, an increase in these metabolites inhibited TB progression. This is the first time to reveal the causal effects of human metabolites on TB through MR, and the metabolites may be potential biomarkers candidate for TB diagnosis, and monitoring these metabolites might have great clinic significance for TB diagnosis and treatment in the future.https://doi.org/10.1186/s13568-025-01901-wMendelian randomizationTBMetabolitesCasual effect
spellingShingle Zhenyu Shi
Chenyi Zhao
Xiaowen Yu
Dingding Zhao
Yongqiang Li
Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
AMB Express
Mendelian randomization
TB
Metabolites
Casual effect
title Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
title_full Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
title_fullStr Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
title_full_unstemmed Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
title_short Bidirectional two-sample Mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
title_sort bidirectional two sample mendelian randomization reveals causal link between genetic blood metabolites and tuberculosis
topic Mendelian randomization
TB
Metabolites
Casual effect
url https://doi.org/10.1186/s13568-025-01901-w
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AT xiaowenyu bidirectionaltwosamplemendelianrandomizationrevealscausallinkbetweengeneticbloodmetabolitesandtuberculosis
AT dingdingzhao bidirectionaltwosamplemendelianrandomizationrevealscausallinkbetweengeneticbloodmetabolitesandtuberculosis
AT yongqiangli bidirectionaltwosamplemendelianrandomizationrevealscausallinkbetweengeneticbloodmetabolitesandtuberculosis