Thyroid disease

Association of DIO2 and MCT10 Polymorphisms With Persistent Symptoms in LT4-Treated Patients in the UK Biobank

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

rs225014, rs225015, rs12885300, and rs17606253 could not explain changed psychological well-being, cognitive function, or cardiovascular risk factors in LT4-treated patients. Our findings do not support a gene-treatment interaction between these SNVs and LT4 treatment.

Study context

Population
UK Biobank participants: Levothyroxine (LT4)-treated patients with hypothyroidism and controls
Exposure
Single-nucleotide variations (SNVs) in DIO2 and MCT10 in LT4-treated patients vs controls
Outcome
Psychological well-being, cognitive function and cardiovascular risk factors (outcomes indicative of local tissue hypothyroidism)
Methodological detailspopulation-based, UK Biobank
  • Population-based
  • UK Biobank

Main finding

As reported in the abstract

Association of rs225014, rs225015, rs12885300, rs17606253 with outcomes in LT4-treated patients
  • No association of the 4 SNVs with any outcome in LT4-treated patients, except minor rs225015 A allele with financial dissatisfaction
  • Carrying the risk allele at the 4 SNVs did not amplify symptoms associated with LT4 treatment vs controls
  • Adjusted for sex, age, sex-age interaction, genetic principal components 1 to 10

Observational data: associations, not effects.

Further findings

OutcomeP value
LT4 treatment vs controlsLT4-treated vs Controls · increased frequency of tirednessP < 0.001
LT4 treatment vs controlsLT4-treated vs Controls · decreased well-being factor scoreP < 0.001
LT4 treatment vs controlsLT4-treated vs Controls · increased reaction-timeP < 0.001
LT4 treatment vs controlsLT4-treated vs Controls · increased BMIP < 0.001

LT4 treatment vs controls

LT4 treatment adversely associated with almost all outcomes vs controls

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of DIO2 and MCT10 Polymorphisms With Persistent Symptoms in LT4-Treated Patients in the UK Biobank. J Clin Endocrinol Metab. Published 22 September 2023. doi:10.1210/clinem/dgad556

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