Key result
Genetically higher platelet count is linked to ~28% lower glioma risk per SD.
Why the study?
Glioma is the most common primary adult brain tumor, but whether a causal relationship exists between platelet count and glioma risk remains unclear.
Does a genetically determined increase in platelet count reduce the risk of glioma?
Observational
Mendelian randomization
Does a genetically determined increase in platelet count reduce the risk of glioma?
Effect estimate: OR 0.721-0.724 (95% CI 0.554-0.938)
p-value: p=<0.05
Genetically determined higher platelet counts are causally associated with a reduced risk of glioma and glioblastoma, supported by downregulated platelet-related gene expression in glioma cells.
Genetically higher platelet count may lower glioma risk; leaves open clinical relevance pending prospective validation.
BACKGROUND: Glioma is the most common primary brain tumor in adults, with glioblastoma (GBM) being the most aggressive subtype. The causal relationship between platelet count and glioma risk remains unclear. This study aimed to evaluate this relationship using Mendelian randomization (MR) methodology. METHODS: We performed MR analysis using 707 platelet count-associated SNPs as instrumental variables, validated by three statistical methods (IVW radial, Maximum likelihood, and MR IVW). Genome-wide association study (GWAS) identified glioma susceptibility loci. We also measured mRNA expression of 4 platelet-related genes (THPO, GP6, ITGA2B, MPL) in glioma cell lines (U87-MG and U251-MG) and normal astrocytes (NHA) using qRT-PCR. RESULTS: MR analysis demonstrated that genetically determined increased platelet count significantly reduces glioma risk (OR: 0.721-0.724, 95% CI: 0.554-0.938, P < 0.05), representing approximately 27-28% risk reduction per standard deviation increase. GWAS identified multiple susceptibility loci across chromosomes 1, 5, 7, 8, 9, 11, 16, and 20. This protective association was confirmed in GBM subtype analysis (OR: 0.65-0.95). All 4 platelet-related genes showed significant downregulation in glioma cells compared to normal astrocytes (P < 0.001), with expression ranging from 0.31 to 0.48-fold of controls. CONCLUSIONS: This study establishes a causal relationship between platelet count and glioma risk through genetic evidence. Increased platelet count confers protection against glioma, including GBM. Suppressed expression of platelet-related genes in glioma cells supports this finding. These results provide new insights into glioma pathogenesis and suggest potential for platelet-based prevention strategies and biomarker development.
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Han et al. (2025) conducted an observational in Glioma. Genetically determined increased platelet count vs. Baseline platelet count was evaluated on Glioma risk (OR 0.721-0.724, 95% CI 0.554-0.938, p=<0.05). Genetically determined increased platelet count significantly reduced glioma risk by approximately 27-28% per standard deviation increase (OR 0.721-0.724).
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