A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma

Abstract Background Childhood asthma presents a multifaceted immune-driven pathology shaped by genetic, epigenetic, and immune regulatory interactions. Despite extensive genome-wide analyses pinpointing multiple susceptibility loci, the precise functional contributors to asthma pathogenesis remain e...

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Main Authors: Yuan Zhang, Xiaochen Du, Yujuan Yang, Yaqiong Ren, Lijun Zhou, Jun Hua, Hongying Wang
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Clinical Epigenetics
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Online Access:https://doi.org/10.1186/s13148-025-01908-x
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author Yuan Zhang
Xiaochen Du
Yujuan Yang
Yaqiong Ren
Lijun Zhou
Jun Hua
Hongying Wang
author_facet Yuan Zhang
Xiaochen Du
Yujuan Yang
Yaqiong Ren
Lijun Zhou
Jun Hua
Hongying Wang
author_sort Yuan Zhang
collection DOAJ
description Abstract Background Childhood asthma presents a multifaceted immune-driven pathology shaped by genetic, epigenetic, and immune regulatory interactions. Despite extensive genome-wide analyses pinpointing multiple susceptibility loci, the precise functional contributors to asthma pathogenesis remain elusive. This study employs a comprehensive multi-omics framework and Mendelian randomization (MR) analysis to systematically identify and validate key genetic determinants implicated in childhood asthma. Methods A genome-wide screening of over 19,000 human genes was performed to identify cis-eQTL-regulated genes associated with childhood asthma. Two-sample MR was conducted to assess causality, followed by Summary-based Mendelian Randomization (SMR) to validate findings in independent datasets. Colocalization analysis determined whether gene expression and asthma GWAS signals share a common causal variant. Protein quantitative trait loci (pQTL) analysis further validated gene associations at the protein level. DNA methylation quantitative trait loci (mQTL) MR and mediation analysis explored epigenetic regulatory mechanisms, while linkage disequilibrium score regression (LDSC) quantified genome-wide genetic correlations. Immune cell mediation analysis examined potential immune-driven effects, and Phenome-Wide Association Study (PheWAS) evaluated pleiotropy and therapeutic safety. Results Following systematic screening, STX4 emerged as a strong candidate gene for childhood asthma. MR and SMR analyses confirmed its causal role, while colocalization analysis provided robust genetic evidence supporting STX4’s regulatory influence on childhood asthma susceptibility. pQTL validation confirmed that STX4’s effects extend to the protein level, strengthening its biological relevance. DNA methylation analysis revealed key CpG (Cytosine-phosphate-Guanine) sites regulating STX4 expression, with higher methylation levels reducing childhood asthma risk. Immune cell mediation analysis demonstrated that STX4 influences childhood asthma risk via CD4+ and CD8+ T cell subsets. LDSC analysis reinforced a significant genetic correlation between STX4 and childhood asthma, while PheWAS detected no major pleiotropy, suggesting that STX4 is a specific and promising therapeutic target. Conclusions This study systematically identifies and validates STX4 as a key genetic regulator in childhood asthma by integrating large-scale genetic, epigenetic, and immune regulatory data. These findings provide strong evidence for STX4’s role in childhood asthma pathogenesis, highlighting STX4 as a potential target for future precision therapies in childhood asthma.
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spelling doaj-art-d09eee59da784cfb94c5a4b9a9b9e3c62025-08-20T03:45:11ZengBMCClinical Epigenetics1868-70832025-06-0117111810.1186/s13148-025-01908-xA multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthmaYuan Zhang0Xiaochen Du1Yujuan Yang2Yaqiong Ren3Lijun Zhou4Jun Hua5Hongying Wang6Laboratory of Pediatric Research, Children’s Hospital of Wujiang DistrictDepartment of Emergency and Intensive Care Unit, Children’s Hospital of Soochow UniversityDepartment of Clinical Laboratory, Children’s Hospital of Wujiang DistrictLaboratory of Pediatric Research, Children’s Hospital of Wujiang DistrictLaboratory of Pediatric Research, Children’s Hospital of Wujiang DistrictLaboratory of Pediatric Research, Children’s Hospital of Wujiang DistrictLaboratory of Pediatric Research, Children’s Hospital of Wujiang DistrictAbstract Background Childhood asthma presents a multifaceted immune-driven pathology shaped by genetic, epigenetic, and immune regulatory interactions. Despite extensive genome-wide analyses pinpointing multiple susceptibility loci, the precise functional contributors to asthma pathogenesis remain elusive. This study employs a comprehensive multi-omics framework and Mendelian randomization (MR) analysis to systematically identify and validate key genetic determinants implicated in childhood asthma. Methods A genome-wide screening of over 19,000 human genes was performed to identify cis-eQTL-regulated genes associated with childhood asthma. Two-sample MR was conducted to assess causality, followed by Summary-based Mendelian Randomization (SMR) to validate findings in independent datasets. Colocalization analysis determined whether gene expression and asthma GWAS signals share a common causal variant. Protein quantitative trait loci (pQTL) analysis further validated gene associations at the protein level. DNA methylation quantitative trait loci (mQTL) MR and mediation analysis explored epigenetic regulatory mechanisms, while linkage disequilibrium score regression (LDSC) quantified genome-wide genetic correlations. Immune cell mediation analysis examined potential immune-driven effects, and Phenome-Wide Association Study (PheWAS) evaluated pleiotropy and therapeutic safety. Results Following systematic screening, STX4 emerged as a strong candidate gene for childhood asthma. MR and SMR analyses confirmed its causal role, while colocalization analysis provided robust genetic evidence supporting STX4’s regulatory influence on childhood asthma susceptibility. pQTL validation confirmed that STX4’s effects extend to the protein level, strengthening its biological relevance. DNA methylation analysis revealed key CpG (Cytosine-phosphate-Guanine) sites regulating STX4 expression, with higher methylation levels reducing childhood asthma risk. Immune cell mediation analysis demonstrated that STX4 influences childhood asthma risk via CD4+ and CD8+ T cell subsets. LDSC analysis reinforced a significant genetic correlation between STX4 and childhood asthma, while PheWAS detected no major pleiotropy, suggesting that STX4 is a specific and promising therapeutic target. Conclusions This study systematically identifies and validates STX4 as a key genetic regulator in childhood asthma by integrating large-scale genetic, epigenetic, and immune regulatory data. These findings provide strong evidence for STX4’s role in childhood asthma pathogenesis, highlighting STX4 as a potential target for future precision therapies in childhood asthma.https://doi.org/10.1186/s13148-025-01908-xChildhood asthmaSTX4Multi-omicsMendelian randomizationColocalizationpQTL
spellingShingle Yuan Zhang
Xiaochen Du
Yujuan Yang
Yaqiong Ren
Lijun Zhou
Jun Hua
Hongying Wang
A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma
Clinical Epigenetics
Childhood asthma
STX4
Multi-omics
Mendelian randomization
Colocalization
pQTL
title A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma
title_full A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma
title_fullStr A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma
title_full_unstemmed A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma
title_short A multi-omics and mediation-based genetic screening approach identifies STX4 as a key link between epigenetic regulation, immune cells, and childhood asthma
title_sort multi omics and mediation based genetic screening approach identifies stx4 as a key link between epigenetic regulation immune cells and childhood asthma
topic Childhood asthma
STX4
Multi-omics
Mendelian randomization
Colocalization
pQTL
url https://doi.org/10.1186/s13148-025-01908-x
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