Shorter telomere length increases the risk of lymphocyte
immunodeficiency: A Mendelian randomization study
Abstract
Background: For a long time, the prevailing viewpoint suggests that
shorter telomere contribute to chromosomal instability, which is a
shared characteristic of both aging and cancer. The newest research
presented that T cell immune deficiency rather than chromosome
instability predisposes patients with short telomere syndromes to some
cancers. However, the relationship between genetically determined
telomere length and immune cells remains unclear. Methods: The
two-sample Mendelian randomization (MR) analysis was conducted to
elucidate the potential causal relationship. The genetic data of
telomere length and the quantity of lymphocytes were obtained from the
Genome-Wide Association Study. The inverse variance-weighted method was
used to estimate the effects primarily and another four methods were as
a supplement. Relevant sensitivity analysis was used to test the
results. Results: The IVW method showed a significant correlation
between telomere length and the percentage of T lymphocytes (OR: 1.222,
95% CI: 1.014-1.472, P = 0.035), indicating that short telomere length
significantly increases the risk of low T cell percentage. Further
analysis of T cell subsets indicated that shorter telomere length may
primarily lead to a lower proportion of Natural Killer T cells (OR:
1.574, 95% CI: 1.281-1.935, P < 0.001). Analysis of B cell
subsets revealed that shorter telomere length may be associated with a
higher proportion of Naive-mature B cells, and a lower proportion of
Memory B cells. And the sensitivity analysis indicated the validity and
robustness of our findings. Conclusion: In summary, a causal
relationship existed between telomere length and the quantity and
differentiation of immune cells. Specifically, genetically predicted
shorter telomere length was found to increase the risk of occurrence of
immunosuppression and immunodeficiency.