Unraveling the immunological landscape in acute pancreatitis progression to sepsis : insights from a Mendelian randomization study on immune cell traits

Copyright © 2024 Liu, Wang, Zhao, Yang, Zheng, Gong, Pei, Xu, Li, Yang, Mao, Chen and Chen..

Background: Acute pancreatitis (AP) is a severe digestive system disorder with a significant risk of progressing to sepsis, a major cause of mortality. Unraveling the immunological pathways in AP is essential for developing effective treatments, particularly understanding the role of specific immune cell traits in this progression.

Methods: Employing a bidirectional two-sample Mendelian Randomization (MR) approach, this study first examined the causal relationship between AP and 731 immune cell traits to identify those significantly associated with AP. Subsequently, we explored the causal associations between 731 immune cell traits and sepsis. The analysis utilized extensive genome-wide association studies (GWAS) summary datasets, with a focus on identifying common immune cell traits with statistically significant causal associations between AP and sepsis.

Results: Our investigation identified 44 immune cell traits unidirectionally associated with AP and 36 traits unidirectionally associated with sepsis. Among these, CD127 on CD28+ CD45RA- CD8+ T cells emerged as a common mediator, accounting for 5.296% of the increased risk of sepsis in AP patients. This finding highlights the significant role of specific memory CD8+ T cells in the pathophysiology of AP and its progression to sepsis.

Conclusion: This study elucidates the critical role of specific immune cell traits, particularly CD127hi memory CD8+ T cells, in the progression of AP to sepsis. Our findings provide a foundation for future research into targeted immune-modulatory therapies, potentially improving patient outcomes in AP-related sepsis and offering new insights into the complex immunological dynamics of this condition.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Frontiers in immunology - 15(2024) vom: 27., Seite 1374787

Sprache:

Englisch

Beteiligte Personen:

Liu, Wenbin [VerfasserIn]
Wang, Xiaofeng [VerfasserIn]
Zhao, Shanzhi [VerfasserIn]
Yang, Song [VerfasserIn]
Zheng, Xiangtao [VerfasserIn]
Gong, Fangchen [VerfasserIn]
Pei, Lei [VerfasserIn]
Xu, Dan [VerfasserIn]
Li, Ranran [VerfasserIn]
Yang, Zhitao [VerfasserIn]
Mao, Enqiang [VerfasserIn]
Chen, Erzhen [VerfasserIn]
Chen, Ying [VerfasserIn]

Links:

Volltext

Themen:

Acute pancreatitis
CD127
Immune cell traits
Journal Article
Mendelian randomization
Research Support, Non-U.S. Gov't
Sepsis

Anmerkungen:

Date Completed 12.04.2024

Date Revised 25.04.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.3389/fimmu.2024.1374787

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370904745