Evidence map›Paper›PMID 40988970›Full record

ArticleCureus2025

Mendelian Randomization Identifies IL-4, IL-6, CCL19, and DNER as Potential Causal Inflammatory Proteins in Allergic Rhinitis: Evidence Partially Supported by Transcriptomics and Protein Interaction Analysis.

Shiming Quan, Fuquan Zhang

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

2 authors.

Shiming QuanOtolaryngology, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, CHN.
Fuquan ZhangPsychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, CHN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Inflammatory proteins play a significant role in the pathogenesis of allergic rhinitis (AR), but the causal relationships remain unclear. We aimed to identify potential causal circulating inflammatory proteins contributing to the development of AR. Methods We employed Mendelian randomization (MR) analysis to determine the causal relationship between 91 circulating inflammatory proteins and AR. Inverse variance weighted (IVW) was the main analytic pipeline, followed by sensitivity analysis. The genome-wide association study (GWAS) summary datasets for AR and circulating inflammatory proteins were used for the analysis. The AR dataset comprised 12,240 cases and 392,069 controls, while the summary datasets for 91 plasma proteins contained 14,824 participants. Subsequent to the MR analysis, bioinformatic analysis was employed to probe differences in specific gene expression levels and to construct a network of associated proteins. Results The results of the MR analysis indicated that four inflammatory proteins had a causal effect on AR, including interleukin-4 (IL-4), interleukin-6 (IL-6), Chemokine (C-C motif) ligand 19 (CCL19), and Delta/Notch-like epidermal growth factor (EGF)-related receptor (DNER). Through differential gene expression analysis, IL4 mRNA expression was significantly elevated in AR patients compared to healthy controls. Protein-protein interaction (PPI) analysis via the STRING database revealed that IL-6, IL-4, and CCL19 constituted a densely connected network. Conclusion Our study supports the involvement of four circulating inflammatory proteins (IL-4, IL-6, CCL19, and DNER), especially IL-4, in susceptibility to AR. These findings highlight IL-4, IL-6, CCL19, and DNER as promising immunotherapeutic targets, providing mechanistic insights for developing novel diagnostics and biologic therapies for AR management.

Indexed as

allergic rhinitiscirculating inflammatory proteinscytokinedifferential gene expressionimmunotherapeutic targetsmendelian randomization

Identifiers

PMID40988970
PMCPMC12451041

What OpenQuestion holds

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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 OpenQuestion graph.