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. 2020 Aug 14;10:13814. doi: 10.1038/s41598-020-70790-9

Table 4.

Average direct effect and causal mediation effect (mediated through B-cell activation markers) of known risk factors on B-cell lymphoma subtypes.

Average causal mediation effect ρ Average direct effect * Total effect Proportion mediated ‡
sCD23, CLL, n = 737
BMI 0.04 (− 0.006 to 0.09) 0.4 0.05 (− 0.03 to 0.12) 0.09 (− 0.01 to 0.18)† 0.44
Alcohol − 0.05 (− 0.10 to 0.003)† 0.4 0.01 (− 0.07 to 0.09) − 0.04 (− 0.14 to 0.06) 0.80
sCD23, DLBCL, n = 698
BMI 0.02 (0.002 to 0.04) 0.3 − 0.07 (− 0.14 to 0.02) − 0.05 (− 0.12 to 0.04) − 0.26
CXCL13, FL, n = 648
Physical activity − 0.01 (− 0.03 to 0.001)† 0.3 0.002 (− 0.07 to 0.08) − 0.01 (− 0.08 to 0.06) 0.23
CXCL13, DLBCL, n = 693
BMI 0.02 (0.0005 to 0.05) 0.4 − 0.07 (− 0.15 to 0.02) − 0.05 (− 0.12 to 0.04) − 0.34
Physical activity − 0.02 (− 0.05 to − 0.003) 0.3 0.01 (− 0.07 to 0.09) − 0.01 (− 0.09 to 0.07) 0.41

Diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), chronic lymphocytic leukemia (CLL); Cases and control have been analyzed together; Correlation parameter (ρ) for mediated effect at which the sign of average causal mediation effect (ACME) is reversed; Effect estimates are the change in probability for moving the exposure variable from the reference category to the exposure category: alcohol intake: non-drinker (0) versus drinker (1), activity: first 3 categories (0) versus active(1), and BMI: < 30 (0) versus ≥ 30 (1); * “average direct effect” shows the estimate for unmediated effect which is the effect from any other path except the mediated one; † significant at p = 0.065; ‡ Shows the percentage of total effect mediated by the immune marker, it can be negative or greater than 100 depend on direct and mediated effect magnitudes and directions. Bold: statistically significant at p-value ≤ 0.05.