The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study

Abstract Background Most of hepatocellular carcinoma (HCC) arises on the background of chronic inflammation. The presence of infiltrating inflammatory cells is associated with tumour initiation, progression and clinical response to treatment. The influence of white blood cell (WBC) subtype counts on...

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Main Authors: Guo-Qiang Pan, Chun-Cheng Yang, Xiao-ling Shang, Zhao-Ru Dong, Tao Li
Format: Article
Language:English
Published: BMC 2022-12-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-022-00900-y
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author Guo-Qiang Pan
Chun-Cheng Yang
Xiao-ling Shang
Zhao-Ru Dong
Tao Li
author_facet Guo-Qiang Pan
Chun-Cheng Yang
Xiao-ling Shang
Zhao-Ru Dong
Tao Li
author_sort Guo-Qiang Pan
collection DOAJ
description Abstract Background Most of hepatocellular carcinoma (HCC) arises on the background of chronic inflammation. The presence of infiltrating inflammatory cells is associated with tumour initiation, progression and clinical response to treatment. The influence of white blood cell (WBC) subtype counts on HCC progression remains unclear. Methods In this study, we performed a Mendelian randomization (MR) study with the validation of two datasets. The summary data for WBC counts were extracted from a recent large GWAS of individuals of European ancestry. The GWAS data related to HCC were obtained from the UK Biobank (UKB). Univariable and multivariable MR analyses were used to identify risk factors genetically associated with HCC risks. Results In the discovery dataset, multivariable MR analysis revealed that sum basophil neutrophil counts had an independent causal effect on the occurrence of HCC, with the sum basophil neutrophil counts as follows: (OR = 0.437, P = 0.003, CI 0.252–0.757). Similarly, in the validation dataset, total basophil neutrophil counts were also been identified as an independent risk factor for HCC. The sum basophil neutrophil counts were as follows: (OR = 0.574, P = 0.021, CI 0.358–0.920). Conclusion In the European population, genetically predicted lower total basophil neutrophil counts might be an independent risk factor for HCC.
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spelling doaj.art-87946c1a269544698629ed4ec5a077ce2022-12-22T03:50:32ZengBMCEuropean Journal of Medical Research2047-783X2022-12-0127111010.1186/s40001-022-00900-yThe causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization studyGuo-Qiang Pan0Chun-Cheng Yang1Xiao-ling Shang2Zhao-Ru Dong3Tao Li4Department of General Surgery, Qilu Hospital, Shandong UniversityDepartment of General Surgery, Qilu Hospital, Shandong UniversityDepartment of Medical Oncology, Qilu Hospital, Shandong UniversityDepartment of General Surgery, Qilu Hospital, Shandong UniversityDepartment of Hepatobiliary Surgery, The Second Hospital of Shandong UniversityAbstract Background Most of hepatocellular carcinoma (HCC) arises on the background of chronic inflammation. The presence of infiltrating inflammatory cells is associated with tumour initiation, progression and clinical response to treatment. The influence of white blood cell (WBC) subtype counts on HCC progression remains unclear. Methods In this study, we performed a Mendelian randomization (MR) study with the validation of two datasets. The summary data for WBC counts were extracted from a recent large GWAS of individuals of European ancestry. The GWAS data related to HCC were obtained from the UK Biobank (UKB). Univariable and multivariable MR analyses were used to identify risk factors genetically associated with HCC risks. Results In the discovery dataset, multivariable MR analysis revealed that sum basophil neutrophil counts had an independent causal effect on the occurrence of HCC, with the sum basophil neutrophil counts as follows: (OR = 0.437, P = 0.003, CI 0.252–0.757). Similarly, in the validation dataset, total basophil neutrophil counts were also been identified as an independent risk factor for HCC. The sum basophil neutrophil counts were as follows: (OR = 0.574, P = 0.021, CI 0.358–0.920). Conclusion In the European population, genetically predicted lower total basophil neutrophil counts might be an independent risk factor for HCC.https://doi.org/10.1186/s40001-022-00900-yHCCWhite blood cellsMendelian randomization studyCausal relationship
spellingShingle Guo-Qiang Pan
Chun-Cheng Yang
Xiao-ling Shang
Zhao-Ru Dong
Tao Li
The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study
European Journal of Medical Research
HCC
White blood cells
Mendelian randomization study
Causal relationship
title The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study
title_full The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study
title_fullStr The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study
title_full_unstemmed The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study
title_short The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study
title_sort causal relationship between white blood cell counts and hepatocellular carcinoma a mendelian randomization study
topic HCC
White blood cells
Mendelian randomization study
Causal relationship
url https://doi.org/10.1186/s40001-022-00900-y
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