Association between immune cells and allergic purpura: a Mendelian randomization study

Abstract Background Increasing evidence indicates a substantial correlation between the immune cells and the risk of allergic purpura. We utilized Mendelian randomization (MR) to investigate causal effect of immune cell on allergic purpura. Methods Genetic instrumental variables for immune cells wer...

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Main Authors: Wei Xian, Huiyi Zhang, Huasong Zeng
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s13052-025-01847-6
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author Wei Xian
Huiyi Zhang
Huasong Zeng
author_facet Wei Xian
Huiyi Zhang
Huasong Zeng
author_sort Wei Xian
collection DOAJ
description Abstract Background Increasing evidence indicates a substantial correlation between the immune cells and the risk of allergic purpura. We utilized Mendelian randomization (MR) to investigate causal effect of immune cell on allergic purpura. Methods Genetic instrumental variables for immune cells were sourced from an extensive genome-wide association study (GWAS) comprising 3757 participants. Summary statistics of allergic purpura, involving 470 cases and 216,099 controls, were obtained from FinnGen. The primary analysis employed the inverse-variance weighted (IVW) method. Rigorous sensitivity analyses including MR-Egger, weighted median and MR-PRESSO were conducted to ensure the reliability of the causal estimate. Results We identified two immunophenotypes associated with an increased risk of allergic purpura: HLA-DR on CD14 + CD16- monocyte (OR: 1.2379; 95% CI: 1.0612–1.4440; P = 0.0066) and CD11b on basophil (OR: 1.2973; 95% CI: 1.0905–1.5433; P = 0.0033). The sensitivity analyses consistently yielded similar results for these immunophenotypes. Conclusions Our analyses confirmed a potential causal effect of HLA-DR on CD14 + CD16- monocyte, as well as CD11b on basophils, in relation to the risk of allergic purpura. Further studies are necessary to clarify the mechanisms by which these immunophenotypes influence the development of allergic purpura.
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spelling doaj-art-5b95cfe6f7b641e59d38286e6470fa702025-08-20T02:12:02ZengBMCItalian Journal of Pediatrics1824-72882025-04-015111810.1186/s13052-025-01847-6Association between immune cells and allergic purpura: a Mendelian randomization studyWei Xian0Huiyi Zhang1Huasong Zeng2Department of Pediatric Allergy, Immunology and Rheumatology, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversitySun Yat-Sen University School of Medicine, Shenzhen Campus of Sun Yat-sen UniversityDepartment of Pediatric Allergy, Immunology and Rheumatology, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityAbstract Background Increasing evidence indicates a substantial correlation between the immune cells and the risk of allergic purpura. We utilized Mendelian randomization (MR) to investigate causal effect of immune cell on allergic purpura. Methods Genetic instrumental variables for immune cells were sourced from an extensive genome-wide association study (GWAS) comprising 3757 participants. Summary statistics of allergic purpura, involving 470 cases and 216,099 controls, were obtained from FinnGen. The primary analysis employed the inverse-variance weighted (IVW) method. Rigorous sensitivity analyses including MR-Egger, weighted median and MR-PRESSO were conducted to ensure the reliability of the causal estimate. Results We identified two immunophenotypes associated with an increased risk of allergic purpura: HLA-DR on CD14 + CD16- monocyte (OR: 1.2379; 95% CI: 1.0612–1.4440; P = 0.0066) and CD11b on basophil (OR: 1.2973; 95% CI: 1.0905–1.5433; P = 0.0033). The sensitivity analyses consistently yielded similar results for these immunophenotypes. Conclusions Our analyses confirmed a potential causal effect of HLA-DR on CD14 + CD16- monocyte, as well as CD11b on basophils, in relation to the risk of allergic purpura. Further studies are necessary to clarify the mechanisms by which these immunophenotypes influence the development of allergic purpura.https://doi.org/10.1186/s13052-025-01847-6Allergic purpuraImmune cellsMendelian randomizationSingle nucleotide polymorphism
spellingShingle Wei Xian
Huiyi Zhang
Huasong Zeng
Association between immune cells and allergic purpura: a Mendelian randomization study
Italian Journal of Pediatrics
Allergic purpura
Immune cells
Mendelian randomization
Single nucleotide polymorphism
title Association between immune cells and allergic purpura: a Mendelian randomization study
title_full Association between immune cells and allergic purpura: a Mendelian randomization study
title_fullStr Association between immune cells and allergic purpura: a Mendelian randomization study
title_full_unstemmed Association between immune cells and allergic purpura: a Mendelian randomization study
title_short Association between immune cells and allergic purpura: a Mendelian randomization study
title_sort association between immune cells and allergic purpura a mendelian randomization study
topic Allergic purpura
Immune cells
Mendelian randomization
Single nucleotide polymorphism
url https://doi.org/10.1186/s13052-025-01847-6
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AT huiyizhang associationbetweenimmunecellsandallergicpurpuraamendelianrandomizationstudy
AT huasongzeng associationbetweenimmunecellsandallergicpurpuraamendelianrandomizationstudy