Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization

Abstract Objectives Endometriosis is a common condition among women, characterized by chronic pain and infertility, presenting significant challenges for clinicians. This study aims to identify potential druggable targets to offer new therapeutic approaches. Method We utilized the summary-data-based...

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Main Authors: Shaohua Ling, Delong Xie, Lifang Huang, Siqi Huang, Chun Tian, Liying Huang, Rong Chen, Li Qin, Xiao Qin
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Hereditas
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Online Access:https://doi.org/10.1186/s41065-025-00457-w
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author Shaohua Ling
Delong Xie
Lifang Huang
Siqi Huang
Chun Tian
Liying Huang
Rong Chen
Li Qin
Xiao Qin
author_facet Shaohua Ling
Delong Xie
Lifang Huang
Siqi Huang
Chun Tian
Liying Huang
Rong Chen
Li Qin
Xiao Qin
author_sort Shaohua Ling
collection DOAJ
description Abstract Objectives Endometriosis is a common condition among women, characterized by chronic pain and infertility, presenting significant challenges for clinicians. This study aims to identify potential druggable targets to offer new therapeutic approaches. Method We utilized the summary-data-based Mendelian randomization (SMR) method to investigate the causal relationships between druggable genes that encode plasma proteins and endometriosis. The data sources included the deCODE database, the UKB-PPP, and the FinnGen database. Colocalization analysis was used to identify whether candidate genes and the disease share a common causal genetic variant. Finally, we measured the protein abundance and relative mRNA expression levels of targeted druggable genes in the plasma and peripheral blood mononuclear cells (PBMCs) of endometriosis patients using ELISA and RT-qPCR. Results By integrating the results of SMR and colocalization analyses, we found that EPHB4 is strongly associated with the risk of endometriosis, with higher levels of EPHB4 correlating with an increased risk of the condition (PFDR < 0.05, PPH4 = 0.99). RSPO3 is moderately associated, with higher levels of RSPO3 correlating with an increased risk of endometriosis (PFDR < 0.001, PPH4 = 0.78). CD109, SAA1, SAA2, FSHB, and SEZ6L2 are weakly associated with endometriosis, with higher levels of FSHB and SEZ6L2 correlating with an increased risk of endometriosis, and higher levels of CD109, SAA1, and SAA2 correlating with a decreased risk of endometriosis (PFDR < 0.05, PPH4 < 0.6). ELISA and RT-qPCR analyses showed that the EPHB4 protein abundance in plasma and mRNA expression levels in PBMCs were significantly higher in the endometriosis group compared to the control group (P-value < 0.05). Conclusions We found that the druggable genes EPHB4, CD109, SAA1, SAA2, FSHB, and SEZ6L2 may be associated with the pathogenesis of endometriosis and are potential therapeutic targets for drug treatment. However, this preliminary study is limited by sample size and population diversity, requiring further validation to confirm the reliability of these findings.
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spelling doaj-art-4a5bb75281c84d29b83ca19d43ff725d2025-08-20T01:59:57ZengBMCHereditas1601-52232025-05-01162111010.1186/s41065-025-00457-wIdentification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomizationShaohua Ling0Delong Xie1Lifang Huang2Siqi Huang3Chun Tian4Liying Huang5Rong Chen6Li Qin7Xiao Qin8Reproductive Medicine Center, Baise People’s Hospital/Affiliated Southwest Hospital of Youjiang Medical University for NationalitiesClinical Laboratory, Baise People’s Hospital/Affiliated Southwest Hospital of Youjiang Medical University for NationalitiesReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for NationalitiesDepartment of Gynecology, Baise People’s Hospital/Affiliated Southwest Hospital of Youjiang Medical University for NationalitiesReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for NationalitiesReproductive Medicine Center, Baise People’s Hospital/Affiliated Southwest Hospital of Youjiang Medical University for NationalitiesReproductive Medicine Center, Baise People’s Hospital/Affiliated Southwest Hospital of Youjiang Medical University for NationalitiesReproductive Medicine Center, Affiliated Hospital of Youjiang Medical University for NationalitiesReproductive Medicine Center, Baise People’s Hospital/Affiliated Southwest Hospital of Youjiang Medical University for NationalitiesAbstract Objectives Endometriosis is a common condition among women, characterized by chronic pain and infertility, presenting significant challenges for clinicians. This study aims to identify potential druggable targets to offer new therapeutic approaches. Method We utilized the summary-data-based Mendelian randomization (SMR) method to investigate the causal relationships between druggable genes that encode plasma proteins and endometriosis. The data sources included the deCODE database, the UKB-PPP, and the FinnGen database. Colocalization analysis was used to identify whether candidate genes and the disease share a common causal genetic variant. Finally, we measured the protein abundance and relative mRNA expression levels of targeted druggable genes in the plasma and peripheral blood mononuclear cells (PBMCs) of endometriosis patients using ELISA and RT-qPCR. Results By integrating the results of SMR and colocalization analyses, we found that EPHB4 is strongly associated with the risk of endometriosis, with higher levels of EPHB4 correlating with an increased risk of the condition (PFDR < 0.05, PPH4 = 0.99). RSPO3 is moderately associated, with higher levels of RSPO3 correlating with an increased risk of endometriosis (PFDR < 0.001, PPH4 = 0.78). CD109, SAA1, SAA2, FSHB, and SEZ6L2 are weakly associated with endometriosis, with higher levels of FSHB and SEZ6L2 correlating with an increased risk of endometriosis, and higher levels of CD109, SAA1, and SAA2 correlating with a decreased risk of endometriosis (PFDR < 0.05, PPH4 < 0.6). ELISA and RT-qPCR analyses showed that the EPHB4 protein abundance in plasma and mRNA expression levels in PBMCs were significantly higher in the endometriosis group compared to the control group (P-value < 0.05). Conclusions We found that the druggable genes EPHB4, CD109, SAA1, SAA2, FSHB, and SEZ6L2 may be associated with the pathogenesis of endometriosis and are potential therapeutic targets for drug treatment. However, this preliminary study is limited by sample size and population diversity, requiring further validation to confirm the reliability of these findings.https://doi.org/10.1186/s41065-025-00457-wEndometriosisMendelian randomizationDruggable genomeEPHB4Colocalization analysis
spellingShingle Shaohua Ling
Delong Xie
Lifang Huang
Siqi Huang
Chun Tian
Liying Huang
Rong Chen
Li Qin
Xiao Qin
Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization
Hereditas
Endometriosis
Mendelian randomization
Druggable genome
EPHB4
Colocalization analysis
title Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization
title_full Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization
title_fullStr Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization
title_full_unstemmed Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization
title_short Identification of EPHB4 as a potential causal gene and therapeutic target for endometriosis using Mendelian randomization
title_sort identification of ephb4 as a potential causal gene and therapeutic target for endometriosis using mendelian randomization
topic Endometriosis
Mendelian randomization
Druggable genome
EPHB4
Colocalization analysis
url https://doi.org/10.1186/s41065-025-00457-w
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