Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study

Purpose: This Mendelian randomization (MR) analysis study aimed to investigate the genetic causal relationship between non-thyroidal autoimmune diseases (ADs) and Graves' ophthalmopathy (GO). Materials: Single nucleotide polymorphisms (SNPs) associated with inflammatory bowel disease (IBD), mul...

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Main Authors: Lan Ma, Xue Jiang, Zhijia Hou, Dongmei Li
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Advances in Ophthalmology Practice and Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667376224000714
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author Lan Ma
Xue Jiang
Zhijia Hou
Dongmei Li
author_facet Lan Ma
Xue Jiang
Zhijia Hou
Dongmei Li
author_sort Lan Ma
collection DOAJ
description Purpose: This Mendelian randomization (MR) analysis study aimed to investigate the genetic causal relationship between non-thyroidal autoimmune diseases (ADs) and Graves' ophthalmopathy (GO). Materials: Single nucleotide polymorphisms (SNPs) associated with inflammatory bowel disease (IBD), multiple sclerosis (MS), psoriasis vulgaris (PV), type 1 diabetes (T1D), systemic lupus erythematosus (SLE), and rheumatoid arthritis (RA) were obtained from the IEU Open genome-wide association studies (GWAS) database, GWAS data for GO were obtained from the FinnGen database. Bidirectional MR analysis was conducted using inverse variance weighted (IVW) method, weighted median (WM) method and MR-Egger test. Cochran's Q statistic was used to assess the heterogeneity between SNP estimates. MR-Egger regression was used to evaluate horizontal pleiotropy and MR pleiotropy residual sum and outlier (MR-PRESSO) test was used to detect the outliers. Results: For non-thyroidal ADs, the forward MR results using the IVM method showed that T1D (OR ​= ​1.259, 95%CI 1.026–1.5465; P ​= ​0.028) and SLE (OR ​= ​1.807, 95%CI 1.229–2.655; P ​= ​0.003) were correlated with the risk of GO at the genetic level, while there was no evidence showing that IBD, MS, PV and RA were correlated with GO. In the reverse MR study, there was a significant increase in the risk of developing T1D in GO (OR ​= ​1.135, 95%CI 1.018–1.265; P ​= ​0.022), but pleiotropy and heterogeneity existed. Conclusions: In the European population, there is strong genetic evidence that patients with T1D and SLE have a higher risk of developing GO, whereas the effect of GO on ADs is unclear.
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spelling doaj-art-4f0b4f333349486c8737190d75b88e812025-02-12T05:33:06ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622025-02-01516672Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization studyLan Ma0Xue Jiang1Zhijia Hou2Dongmei Li3Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, ChinaCorresponding author. Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, China.; Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, ChinaPurpose: This Mendelian randomization (MR) analysis study aimed to investigate the genetic causal relationship between non-thyroidal autoimmune diseases (ADs) and Graves' ophthalmopathy (GO). Materials: Single nucleotide polymorphisms (SNPs) associated with inflammatory bowel disease (IBD), multiple sclerosis (MS), psoriasis vulgaris (PV), type 1 diabetes (T1D), systemic lupus erythematosus (SLE), and rheumatoid arthritis (RA) were obtained from the IEU Open genome-wide association studies (GWAS) database, GWAS data for GO were obtained from the FinnGen database. Bidirectional MR analysis was conducted using inverse variance weighted (IVW) method, weighted median (WM) method and MR-Egger test. Cochran's Q statistic was used to assess the heterogeneity between SNP estimates. MR-Egger regression was used to evaluate horizontal pleiotropy and MR pleiotropy residual sum and outlier (MR-PRESSO) test was used to detect the outliers. Results: For non-thyroidal ADs, the forward MR results using the IVM method showed that T1D (OR ​= ​1.259, 95%CI 1.026–1.5465; P ​= ​0.028) and SLE (OR ​= ​1.807, 95%CI 1.229–2.655; P ​= ​0.003) were correlated with the risk of GO at the genetic level, while there was no evidence showing that IBD, MS, PV and RA were correlated with GO. In the reverse MR study, there was a significant increase in the risk of developing T1D in GO (OR ​= ​1.135, 95%CI 1.018–1.265; P ​= ​0.022), but pleiotropy and heterogeneity existed. Conclusions: In the European population, there is strong genetic evidence that patients with T1D and SLE have a higher risk of developing GO, whereas the effect of GO on ADs is unclear.http://www.sciencedirect.com/science/article/pii/S2667376224000714Graves' ophthalmopathyMendelian randomizationAutoimmune diseasesGenome-wide association studies
spellingShingle Lan Ma
Xue Jiang
Zhijia Hou
Dongmei Li
Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study
Advances in Ophthalmology Practice and Research
Graves' ophthalmopathy
Mendelian randomization
Autoimmune diseases
Genome-wide association studies
title Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study
title_full Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study
title_fullStr Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study
title_full_unstemmed Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study
title_short Causal association between non-thyroidal autoimmune diseases and Graves' ophthalmopathy: A mendelian randomization study
title_sort causal association between non thyroidal autoimmune diseases and graves ophthalmopathy a mendelian randomization study
topic Graves' ophthalmopathy
Mendelian randomization
Autoimmune diseases
Genome-wide association studies
url http://www.sciencedirect.com/science/article/pii/S2667376224000714
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