Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits

Abstract Background Osteoarthritis (OA), wherever affecting the hip or knee, is the most commonly diagnosed degenerative joint disorder. However, the relationship between hip osteoarthritis (HOA) and knee osteoarthritis (KOA) remains unclear. Moreover, their specific associations with immune traits...

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Main Authors: Qiuping Fan, Yongmin Wei, Shaodong Chen, Weiping Ji, Hao Li
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-025-08946-9
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author Qiuping Fan
Yongmin Wei
Shaodong Chen
Weiping Ji
Hao Li
author_facet Qiuping Fan
Yongmin Wei
Shaodong Chen
Weiping Ji
Hao Li
author_sort Qiuping Fan
collection DOAJ
description Abstract Background Osteoarthritis (OA), wherever affecting the hip or knee, is the most commonly diagnosed degenerative joint disorder. However, the relationship between hip osteoarthritis (HOA) and knee osteoarthritis (KOA) remains unclear. Moreover, their specific associations with immune traits also remain unclear. Method Using two-sample Mendelian randomization (MR) analysis, the association between HOA and KOA was comprehensively assessed. To investigate the relationship between immune traits and HOA/KOA, forward MR analysis treated immune traits as the exposure and HOA/KOA as the outcome, Conversely, reverse MR analysis treated HOA/KOA as the exposure and immune phenotypes as the outcome. After adjusting for the false discovery rate, significant statistical associations were identified among KOA and HOA, KOA and immune traits, and HOA and immune traits. Results The analysis revealed a causal relationship between KOA and HOA, with each increasing the risk of the other. Additionally, several identified immune traits were found to serve as independent factors on KOA and HOA. Specifically, KOA was associated with CD25 on IgD + CD24+, while HOA was associated with CD20 on memory B cells and PDL-1 on CD14- CD16 + monocytes. Conclusion This study provides the first comprehensive evaluation of the interactions between HOA, KOA, and immune responses. These findings offer novel insights into the pathogenesis of HOA and KOA, and suggest potential therapeutic strategies, such as targeting immunological pathways.
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series BMC Musculoskeletal Disorders
spelling doaj-art-a213452c77c44081b4b4fe836187bcc52025-08-20T04:01:43ZengBMCBMC Musculoskeletal Disorders1471-24742025-07-0126111110.1186/s12891-025-08946-9Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traitsQiuping Fan0Yongmin Wei1Shaodong Chen2Weiping Ji3Hao Li4Department of Bone and Joint Surgery, The People’s Hospital of LishuiDepartment of Orthopaedic Trauma Surgery, The People’s Hospital of LishuiDepartment of Bone and Joint Surgery, The People’s Hospital of LishuiDepartment of Bone and Joint Surgery, The People’s Hospital of LishuiDepartment of Bone and Joint Surgery, The People’s Hospital of LishuiAbstract Background Osteoarthritis (OA), wherever affecting the hip or knee, is the most commonly diagnosed degenerative joint disorder. However, the relationship between hip osteoarthritis (HOA) and knee osteoarthritis (KOA) remains unclear. Moreover, their specific associations with immune traits also remain unclear. Method Using two-sample Mendelian randomization (MR) analysis, the association between HOA and KOA was comprehensively assessed. To investigate the relationship between immune traits and HOA/KOA, forward MR analysis treated immune traits as the exposure and HOA/KOA as the outcome, Conversely, reverse MR analysis treated HOA/KOA as the exposure and immune phenotypes as the outcome. After adjusting for the false discovery rate, significant statistical associations were identified among KOA and HOA, KOA and immune traits, and HOA and immune traits. Results The analysis revealed a causal relationship between KOA and HOA, with each increasing the risk of the other. Additionally, several identified immune traits were found to serve as independent factors on KOA and HOA. Specifically, KOA was associated with CD25 on IgD + CD24+, while HOA was associated with CD20 on memory B cells and PDL-1 on CD14- CD16 + monocytes. Conclusion This study provides the first comprehensive evaluation of the interactions between HOA, KOA, and immune responses. These findings offer novel insights into the pathogenesis of HOA and KOA, and suggest potential therapeutic strategies, such as targeting immunological pathways.https://doi.org/10.1186/s12891-025-08946-9Hip osteoarthritisKnee osteoarthritisImmunityRiskCausal inferenceMendelian randomization.
spellingShingle Qiuping Fan
Yongmin Wei
Shaodong Chen
Weiping Ji
Hao Li
Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
BMC Musculoskeletal Disorders
Hip osteoarthritis
Knee osteoarthritis
Immunity
Risk
Causal inference
Mendelian randomization.
title Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
title_full Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
title_fullStr Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
title_full_unstemmed Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
title_short Identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
title_sort identification the correlation between hip and knee osteoarthritis and their causal relationship with immune traits
topic Hip osteoarthritis
Knee osteoarthritis
Immunity
Risk
Causal inference
Mendelian randomization.
url https://doi.org/10.1186/s12891-025-08946-9
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AT shaodongchen identificationthecorrelationbetweenhipandkneeosteoarthritisandtheircausalrelationshipwithimmunetraits
AT weipingji identificationthecorrelationbetweenhipandkneeosteoarthritisandtheircausalrelationshipwithimmunetraits
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