Evidence map›Paper›PMID 40419926›Full record

ArticleMedicine2025

Causal analysis of 731 immunophenotypes and heart failure: A bidirectional Mendelian randomization study.

Zhenyu Yang, Jixin Li, Fengzhao Liu, Xiaohan Xiu, Weibo Zhong, Zhigang Sun, Xinyu Zhu, Mengzhu Chen, Xihao Chen, Haohong Zheng and 1 more

Abstract read
In one paragraph

Article in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Zhenyu YangThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Jixin LiDepartment of Cardiovascular Medicine, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Fengzhao LiuDepartment of Cardiovascular Medicine, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Xiaohan XiuDepartment of Critical Care Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Weibo ZhongThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Zhigang SunThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Xinyu ZhuThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Mengzhu ChenThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Xihao ChenThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Haohong ZhengThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.
Dandan GuoThe Second Clinical Medical College of Heilongjiang University of Chinese Medicine, Harbin, China.ORCID 0009-0003-5124-6422

Funding

Applied Technology Research and Development Project of Science and Tech-nology Bureau of Harbin, Heilongjiang Province 2017RAQXJ208TCM research Project of Heilongjiang Province ZHY2020-148TCM research Project of Heilongjiang Province ZHY2023-174
6 · The paper itself

Abstract

The aim of this study was to elucidate the causal relationship between immunophenotypes and heart failure (HF) using bidirectional Mendelian randomization (MR) analysis. Summary-level data for HF and immunophenotypes were obtained from public genome-wide association study data. Five robust MR methods were employed to delineate the causal effects between the 2. Further analyses included horizontal pleiotropic analysis, Cochran Q analysis, MR-Egger intercept test, and leave-one-out analysis. Finally, we used the screened immunophenotypes as outcomes and HF as exposure for reverse MR analyses. Eight immunophenotypes demonstrated an increased risk of HF, including immunoglobin D+ (IgD+) CD38br absolute cell (AC); double positive (CD4+CD8+) %leukocyte; CD28- CD127- CD25++ CD8br %T cell; CD28- CD127- CD25++ CD8br %CD8br; CD28+ CD45RA+ CD8br %T cell; CD19 on IgD+ CD38br; CD27 on IgD- CD38dim; CD45 on lymphocyte. Conversely, 7 immunophenotypes exhibited a reduced risk of HF, including Activated Treg AC; Im myeloid-derived suppressor cell %CD33dim human leukocyte antigen DR- (HLA DR-) CD66b-; CD33dim HLA DR+ CD11b+ %CD33dim HLA DR+; CD20 on IgD- CD38dim; side scatter-A (SSC-A) on CD14+ monocyte; SSC-A on HLA DR+ natural killer cell; CD11b on CD14+ monocyte. Importantly, we did not find any horizontal multidimensional outliers, genetic heterogeneity, directional pleiotropy, or a single nucleotide polymorphism that determines ultimate causality. The results of the reverse MR analysis were not statistically significant. In this study, the genetic correlation between 15 immunophenotypes and HF was revealed by MR analysis, which provides a reference for future clinical treatment.

Indexed as

Heart FailureImmunophenotypingGenome-Wide Association StudyHumansMendelian Randomization Analysisheart failureimmunophenotypesMendelian randomization

Identifiers

PMID40419926
PMCPMC12114048

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.