Thyroid disease

Genetically predicted selenium concentrations and thyroid function: A two‐sample Mendelian randomization study

Clin Endocrinol (Oxf)Published Two-sample Mendelian randomization study

Authors' conclusion

The present MR study indicated that high Se concentration enable the decreasing of FT4 levels, and the effects of Se concentrations on FT4 remain sex-specific.

Study context

Population
Genome-wide association study (GWAS) summary statistics: blood selenium (Se) and toenail Se; thyroid phenotypes from ThyroidOmics consortium (thyroid-stimulating hormone (TSH) n = 54,288; Free thyroxin (FT4) n = 49,269; hypothyroidism n = 53,423; hyperthyroidism n = 51,823)blood Se 5,477 · toenail Se 4,162
Comparison
Genetically predicted Se concentrations and thyroid function
Outcome
FT4
Methodological detailsinverse-variance weighted method, weighted median and mode-based sensitivity analyses
  • Inverse-variance weighted method
  • Weighted median and mode-based sensitivity analyses

Main finding

As reported in the abstract

Genetically determined toenail and blood (TAB) Se and FT4, β (95% CI −0.106, −0.028; p = 0.001), inverse-variance weighted (IVW); also in weighted median and weighted-mode analyses

−.067

Further findings

Hypothyroidism

Suggestive association of higher TAB Se with lower hypothyroidism risk, IVW OR
0.847 (95% CI 0.728, 0.985; p = 0.031)

FT4 in women

TAB Se and FT4 in women, β (95% CI −0.129, −0.024; p = 0.004)
−.076

TSH and hyperthyroidism

No significant effect of higher Se on TSH or hyperthyroidism in primary and sensitivity analyses

Original publication

Genetically predicted selenium concentrations and thyroid function: A two‐sample Mendelian randomization study. Clin Endocrinol (Oxf). Published 25 December 2022. doi:10.1111/cen.14867

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