Thyroid disease

Association Between Systemic Lupus Erythematosus and Primary Hypothyroidism: Evidence from Complementary Genetic Methods

J Clin Endocrinol MetabPublished Mendelian randomization study

Authors' conclusion

In summary, a bidirectional causal relationship between SLE and primary hypothyroidism was observed with complementary genetic approaches.

Study context

Population
Summary statistics from large-scale genome-wide association studies of systemic lupus erythematosus (SLE), primary hypothyroidism and thyroid-stimulating hormone (TSH)
Comparison
SLE vs primary hypothyroidism
Outcome
Causal association between SLE and primary hypothyroidism
Methodological detailsgenetic correlation, bidirectional Mendelian randomization (MR), colocalization analysis, validation data set
  • Genetic correlation
  • Bidirectional MR
  • Colocalization analysis
  • Validation data set

Performance

As reported in the abstract

Genetic correlation between SLE and primary hypothyroidism (LD score regression), P = 6.00 × 10-4

0.2488

OR of SLE on primary hypothyroidism (IVW MR), 95% CI 1.013-1.061, P = 2.00 × 10-3

1.037

OR of primary hypothyroidism on SLE (IVW MR), 95% CI 1.217-1.520, P < 0.001

1.359

Further findings

SLE and TSH

OR of SLE on TSH, 95% CI 1.001-1.013, P = 0.032
1.007
TSH not causally associated with SLE, P = 0.152

Sensitivity, colocalization and validation

Similar results with different MR methods
Colocalization suggested shared causal variants between SLE and primary hypothyroidism
Validation analysis indicated bidirectional causal relationship and shared loci

Original publication

Association Between Systemic Lupus Erythematosus and Primary Hypothyroidism: Evidence from Complementary Genetic Methods. J Clin Endocrinol Metab. Published 20 October 2022. doi:10.1210/clinem/dgac614

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