Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study

Abstract BackgroundGraves disease (GD) is an autoimmune thyroid disorder characterized by hyperthyroidism and autoantibodies. The COVID-19 pandemic has raised questions about its potential relationship with autoimmune diseases like GD. ObjectiveThis study aims to i...

Full description

Saved in:
Bibliographic Details
Main Authors: Hui Nian, Yu Bai, Hua Yu
Format: Article
Language:English
Published: JMIR Publications 2025-04-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2025/1/e66003
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850199577894846464
author Hui Nian
Yu Bai
Hua Yu
author_facet Hui Nian
Yu Bai
Hua Yu
author_sort Hui Nian
collection DOAJ
description Abstract BackgroundGraves disease (GD) is an autoimmune thyroid disorder characterized by hyperthyroidism and autoantibodies. The COVID-19 pandemic has raised questions about its potential relationship with autoimmune diseases like GD. ObjectiveThis study aims to investigate the causal association between COVID-19 and GD through Mendelian randomization (MR) analysis and assess the impact of COVID-19 on GD. MethodsWe conducted an MR study using extensive genome-wide association study data for GD and COVID-19 susceptibility and its severity. We used stringent single nucleotide polymorphism selection criteria and various MR methodologies, including inverse-variance weighting, MR-Egger, and weighted median analyses, to assess causal relationships. We also conducted tests for directional pleiotropy and heterogeneity, as well as sensitivity analyses. ResultsThe MR analysis, based on the largest available dataset to date, did not provide evidence supporting a causal relationship between COVID-19 susceptibility (odds ratio [OR] 0.989, 95% CI 0.405‐2.851; PPP ConclusionsThis comprehensive MR study does not provide sufficient evidence to support a causal relationship between COVID-19 and the onset or exacerbation of GD. These results contribute to a better understanding of the potential association between COVID-19 and autoimmune diseases, alleviating concerns about a surge in autoimmune thyroid diseases due to the pandemic. Further research is warranted to explore this complex relationship thoroughly.
format Article
id doaj-art-b2634ee8d38c416ab9187e417b37ee3f
institution OA Journals
issn 2561-326X
language English
publishDate 2025-04-01
publisher JMIR Publications
record_format Article
series JMIR Formative Research
spelling doaj-art-b2634ee8d38c416ab9187e417b37ee3f2025-08-20T02:12:34ZengJMIR PublicationsJMIR Formative Research2561-326X2025-04-019e66003e6600310.2196/66003Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization StudyHui Nianhttp://orcid.org/0009-0001-1152-7073Yu Baihttp://orcid.org/0009-0001-4273-8383Hua Yuhttp://orcid.org/0000-0002-1599-6192 Abstract BackgroundGraves disease (GD) is an autoimmune thyroid disorder characterized by hyperthyroidism and autoantibodies. The COVID-19 pandemic has raised questions about its potential relationship with autoimmune diseases like GD. ObjectiveThis study aims to investigate the causal association between COVID-19 and GD through Mendelian randomization (MR) analysis and assess the impact of COVID-19 on GD. MethodsWe conducted an MR study using extensive genome-wide association study data for GD and COVID-19 susceptibility and its severity. We used stringent single nucleotide polymorphism selection criteria and various MR methodologies, including inverse-variance weighting, MR-Egger, and weighted median analyses, to assess causal relationships. We also conducted tests for directional pleiotropy and heterogeneity, as well as sensitivity analyses. ResultsThe MR analysis, based on the largest available dataset to date, did not provide evidence supporting a causal relationship between COVID-19 susceptibility (odds ratio [OR] 0.989, 95% CI 0.405‐2.851; PPP ConclusionsThis comprehensive MR study does not provide sufficient evidence to support a causal relationship between COVID-19 and the onset or exacerbation of GD. These results contribute to a better understanding of the potential association between COVID-19 and autoimmune diseases, alleviating concerns about a surge in autoimmune thyroid diseases due to the pandemic. Further research is warranted to explore this complex relationship thoroughly.https://formative.jmir.org/2025/1/e66003
spellingShingle Hui Nian
Yu Bai
Hua Yu
Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study
JMIR Formative Research
title Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study
title_full Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study
title_fullStr Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study
title_full_unstemmed Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study
title_short Assessing the Causal Association Between COVID-19 and Graves Disease: Mendelian Randomization Study
title_sort assessing the causal association between covid 19 and graves disease mendelian randomization study
url https://formative.jmir.org/2025/1/e66003
work_keys_str_mv AT huinian assessingthecausalassociationbetweencovid19andgravesdiseasemendelianrandomizationstudy
AT yubai assessingthecausalassociationbetweencovid19andgravesdiseasemendelianrandomizationstudy
AT huayu assessingthecausalassociationbetweencovid19andgravesdiseasemendelianrandomizationstudy