ArticleFunctional & integrative genomics2026
Integration of transcriptome and mendelian randomization elucidates the protective role of aspirin in pulmonary tuberculosis development.
Article in Functional & integrative genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPulmonary tuberculosis (PTB) is a chronic respiratory infectious disease with suboptimal treatment outcomes in some patients. The potential protective effect of aspirin against PTB and its underlying mechanisms remain unclear.
methodsTwo-sample Mendelian randomization (MR) was used to evaluate the association between aspirin use and PTB risk. Aspirin target genes from DrugBank were further assessed by summary-data-based Mendelian randomization (SMR) using eQTLGen and the Iceland dataset. Transcriptomic analysis compared gene expression between TB progressors and nonprogressors, and Kaplan-Meier analysis examined associations between gene expression and TB progression among household contacts. In vitro experiments were performed in BCG-stimulated monocytes.
resultsMR analysis showed that aspirin use was associated with reduced PTB risk (IVW: OR = 0.06, 95% CI: 0.01-0.51, p = 0.01). pQTL-based SMR identified significant associations of TNFAIP6 and NEU1 with PTB (p = 0.02, p-FDR = 0.03; p = 9.6 × 10⁻
conclusionThese findings suggest that aspirin may reduce PTB risk and implicate TNFAIP6 and NEU1 as potential mediators, supporting aspirin as a candidate adjunctive therapeutic strategy for PTB.
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