Height, Autoimmune Thyroid Disease, and Thyroid Cancer: A Mendelian Randomization Study

Background: Increased height has been associated with increased risk of hypothyroidism or thyroid cancer in epidemiological studies. However, the potential causal association between height and hypothyroidism or thyroid cancer has not been thoroughly explored. Autoimmune thyroid disease (AITD) mainl...

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Veröffentlicht in:Thyroid (New York, N.Y.) N.Y.), 2023-12, Vol.33 (12), p.1476-1482
Hauptverfasser: Papadopoulou, Areti, Åsvold, Bjørn O, Burgess, Stephen, Kuś, Aleksander, Medici, Marco, Sterenborg, Rosalie, Teumer, Alexander, Deloukas, Panos, Marouli, Eirini
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container_end_page 1482
container_issue 12
container_start_page 1476
container_title Thyroid (New York, N.Y.)
container_volume 33
creator Papadopoulou, Areti
Åsvold, Bjørn O
Burgess, Stephen
Kuś, Aleksander
Medici, Marco
Sterenborg, Rosalie
Teumer, Alexander
Deloukas, Panos
Marouli, Eirini
description Background: Increased height has been associated with increased risk of hypothyroidism or thyroid cancer in epidemiological studies. However, the potential causal association between height and hypothyroidism or thyroid cancer has not been thoroughly explored. Autoimmune thyroid disease (AITD) mainly presents as hypothyroidism, thus we aim to evaluate the causal relationship between height as exposure and its association with AITD or thyroid cancer. Methods: Mendelian randomization (MR) analyses were performed by using genetic instruments associated with height, which were selected from the largest genome-wide association meta-analysis for height in up to 5.4 million individuals. Summary-level data for AITD and thyroid cancer (including 30,234 and 3001 cases, respectively) were collected from the large number of available genome-wide association studies. Bidirectional MR was performed to test for reverse causal association between AITD and adult height. Results: MR analyses showed that increased genetically predicted height was associated with a 4% increased risk of AITD ([CI 1.02 to 1.07], p -value = 1.99E-03) per 1-standard deviation (SD) increase in genetically predicted height. The bidirectional MR did not show any causal association between AITD and adult height. Additionally, increased genetically predicted height was associated with 15% increased risk of thyroid cancer ([CI 1.07 to 1.23], p -value = 2.32E-04) per 1-SD increase in height. Sensitivity analysis confirmed the main results. Conclusions: This MR study showed that 1-SD increase in genetically predicted height was associated with increased risk of AITD and thyroid cancer. In contrast, there was no evidence of a causal association of genetically predicted AITD with height. These results could further aid in investigation of height-related pathways as a means of gaining new mechanistic insights into AITD and thyroid cancer.
doi_str_mv 10.1089/thy.2023.0272
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However, the potential causal association between height and hypothyroidism or thyroid cancer has not been thoroughly explored. Autoimmune thyroid disease (AITD) mainly presents as hypothyroidism, thus we aim to evaluate the causal relationship between height as exposure and its association with AITD or thyroid cancer. Methods: Mendelian randomization (MR) analyses were performed by using genetic instruments associated with height, which were selected from the largest genome-wide association meta-analysis for height in up to 5.4 million individuals. Summary-level data for AITD and thyroid cancer (including 30,234 and 3001 cases, respectively) were collected from the large number of available genome-wide association studies. Bidirectional MR was performed to test for reverse causal association between AITD and adult height. Results: MR analyses showed that increased genetically predicted height was associated with a 4% increased risk of AITD ([CI 1.02 to 1.07], p -value = 1.99E-03) per 1-standard deviation (SD) increase in genetically predicted height. The bidirectional MR did not show any causal association between AITD and adult height. Additionally, increased genetically predicted height was associated with 15% increased risk of thyroid cancer ([CI 1.07 to 1.23], p -value = 2.32E-04) per 1-SD increase in height. Sensitivity analysis confirmed the main results. Conclusions: This MR study showed that 1-SD increase in genetically predicted height was associated with increased risk of AITD and thyroid cancer. In contrast, there was no evidence of a causal association of genetically predicted AITD with height. These results could further aid in investigation of height-related pathways as a means of gaining new mechanistic insights into AITD and thyroid cancer.</description><identifier>ISSN: 1050-7256</identifier><identifier>EISSN: 1557-9077</identifier><identifier>DOI: 10.1089/thy.2023.0272</identifier><identifier>PMID: 37772697</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Adult ; Epidemiology ; Genome-Wide Association Study - methods ; Hashimoto Disease ; Humans ; Hypothyroidism - genetics ; Mendelian Randomization Analysis - methods ; Polymorphism, Single Nucleotide ; Thyroid Neoplasms - genetics</subject><ispartof>Thyroid (New York, N.Y.), 2023-12, Vol.33 (12), p.1476-1482</ispartof><rights>2023, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-ecbb3e56d3fdeb150adc0563bdc81635ea40453ce3ef79624d07a0ed08bbc2013</citedby><cites>FETCH-LOGICAL-c376t-ecbb3e56d3fdeb150adc0563bdc81635ea40453ce3ef79624d07a0ed08bbc2013</cites><orcidid>0000-0001-6179-1609 ; 0000-0001-5422-6900 ; 0000-0003-3158-7951 ; 0000-0001-9251-070X ; 0000-0003-3837-2101 ; 0000-0002-8309-094X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37772697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Papadopoulou, Areti</creatorcontrib><creatorcontrib>Åsvold, Bjørn O</creatorcontrib><creatorcontrib>Burgess, Stephen</creatorcontrib><creatorcontrib>Kuś, Aleksander</creatorcontrib><creatorcontrib>Medici, Marco</creatorcontrib><creatorcontrib>Sterenborg, Rosalie</creatorcontrib><creatorcontrib>Teumer, Alexander</creatorcontrib><creatorcontrib>Deloukas, Panos</creatorcontrib><creatorcontrib>Marouli, Eirini</creatorcontrib><title>Height, Autoimmune Thyroid Disease, and Thyroid Cancer: A Mendelian Randomization Study</title><title>Thyroid (New York, N.Y.)</title><addtitle>Thyroid</addtitle><description>Background: Increased height has been associated with increased risk of hypothyroidism or thyroid cancer in epidemiological studies. However, the potential causal association between height and hypothyroidism or thyroid cancer has not been thoroughly explored. Autoimmune thyroid disease (AITD) mainly presents as hypothyroidism, thus we aim to evaluate the causal relationship between height as exposure and its association with AITD or thyroid cancer. Methods: Mendelian randomization (MR) analyses were performed by using genetic instruments associated with height, which were selected from the largest genome-wide association meta-analysis for height in up to 5.4 million individuals. Summary-level data for AITD and thyroid cancer (including 30,234 and 3001 cases, respectively) were collected from the large number of available genome-wide association studies. Bidirectional MR was performed to test for reverse causal association between AITD and adult height. Results: MR analyses showed that increased genetically predicted height was associated with a 4% increased risk of AITD ([CI 1.02 to 1.07], p -value = 1.99E-03) per 1-standard deviation (SD) increase in genetically predicted height. The bidirectional MR did not show any causal association between AITD and adult height. Additionally, increased genetically predicted height was associated with 15% increased risk of thyroid cancer ([CI 1.07 to 1.23], p -value = 2.32E-04) per 1-SD increase in height. Sensitivity analysis confirmed the main results. Conclusions: This MR study showed that 1-SD increase in genetically predicted height was associated with increased risk of AITD and thyroid cancer. In contrast, there was no evidence of a causal association of genetically predicted AITD with height. 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However, the potential causal association between height and hypothyroidism or thyroid cancer has not been thoroughly explored. Autoimmune thyroid disease (AITD) mainly presents as hypothyroidism, thus we aim to evaluate the causal relationship between height as exposure and its association with AITD or thyroid cancer. Methods: Mendelian randomization (MR) analyses were performed by using genetic instruments associated with height, which were selected from the largest genome-wide association meta-analysis for height in up to 5.4 million individuals. Summary-level data for AITD and thyroid cancer (including 30,234 and 3001 cases, respectively) were collected from the large number of available genome-wide association studies. Bidirectional MR was performed to test for reverse causal association between AITD and adult height. 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subjects Adult
Epidemiology
Genome-Wide Association Study - methods
Hashimoto Disease
Humans
Hypothyroidism - genetics
Mendelian Randomization Analysis - methods
Polymorphism, Single Nucleotide
Thyroid Neoplasms - genetics
title Height, Autoimmune Thyroid Disease, and Thyroid Cancer: A Mendelian Randomization Study
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