CD4 and breast cancer: Validation: OR, 0.843; P = 4.09E-07) with Caspase 8 levels mediating 18.9% of the reduced BC risk associated with immune cells(Mediation proportion=a×b/c, Discovery:0.151×-0.005/-0.004 = 18.9%; Validation:0.151×-0.214/-0.171 = 18.9%).<h4>Conclusion</h4>Our study establishes a causal connection linking CD4+ T cells and BC, with Caspase 8 levels partially mediating this relationship.