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Genetically predicted CXCL16 expression is associated with Parkinson’s disease risk and peripheral immune cell dysregulation: a two-sample mendelian randomization study

delete2026-06-30
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Z
Zhou Li
R
Rong Yang *
H
Hao Feng
M
Mou Sun
DOI:10.1186/s13041-026-01324-zdelete
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Abstract

Abstract

En 中文
Parkinson’s disease (PD) is a progressive neurodegenerative disorder with limited disease-modifying therapies. PANoptosis, an integrated form of programmed cell death involving apoptosis, pyroptosis, and necroptosis, has been implicated in neuroinflammation-related neurodegeneration. However, the roles of PANoptosis-related genes in PD remain unclear. We performed two-sample Mendelian randomization (MR) using cis-eQTL instruments from the eQTLGen Consortium for 30 PANoptosis-related genes, with PD GWAS data from Nalls et al. 2019 as the outcome. Instrumental variables were selected using a hierarchical strategy, with genome-wide significant cis-eQTLs as primary instruments and a relaxed threshold applied only for genes with fewer than three independent SNPs. Sensitivity analyses included MR-Egger, weighted median, MR-PRESSO, MR-RAPS, and leave-one-out analyses. SMR/HEIDI testing and two-step MR mediation using 731 peripheral immune traits were also performed. Genetically predicted higher CXCL16 expression was associated with increased PD risk (OR = 1.115, 95% CI 1.060–1.173, p = 2.4 × 10−5), while higher FADD expression was associated with reduced PD risk (OR = 0.861, 95% CI 0.790–0.939, p = 7.1 × 10−4). CASP1 and IFI27 were nominally significant and considered exploratory. Sensitivity analyses were directionally consistent, although MR-Egger estimates were imprecise. SMR/HEIDI supported CXCL16. Exploratory mediation analysis identified 63/66 candidate immune mediators after FDR correction. These findings provide MR-based genetic evidence linking CXCL16 expression to PD risk, with exploratory mediation through peripheral immune phenotypes. The CXCL16–immune cell–PD axis warrants further experimental validation.
Keywords:
Parkinson’s disease
PANoptosis
Mendelian randomization
Immune cells
CXCL16
Neuroinflammation
eQTL
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Molecular Brain cover
Molecular Brain
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2.9
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department of neurosurgery
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