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Updated: Aug 7, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Circulating levels of micronutrients and risk of infections: a Mendelian randomization study
Helene M Flatby1,2, Anuradha Ravi3,4, Jan K Damås3,5,6
1Gemini Center for Sepsis Research, Department of Circulation and Medical Imaging, NTNU, Norwegian University of Science and Technology, Prinsesse Kristinas gate 3, Akutten og Hjerte-lunge-senteret, 3. etg, 7491, Trondheim, Norway. helene.flatby@ntnu.no.
Background:
Micronutrients play an essential role at every stage of the immune response, and deficiencies can therefore lead to increased susceptibility to infections. Previous observational studies and randomized controlled trials of micronutrients and infections are limited. We performed Mendelian randomization (MR) analyses to evaluate the effect of blood levels of eight micronutrients (copper, iron, selenium, zinc, beta-carotene, vitamin B12, vitamin C, and vitamin D) on the risk of three infections (gastrointestinal infections, pneumonia, and urinary tract infections).
Methods:
Two-sample MR was conducted using publicly available summary statistics from independent cohorts of European ancestry. For the three infections, we used data from UK Biobank and FinnGen. Inverse variance-weighted MR analyses were performed, together with a range of sensitivity analyses. The threshold for statistical significance was set at P < 2.08E-03.
Results:
We found a significant association between circulating levels of copper and risk of gastrointestinal infections, where a one standard deviation increase in blood levels of copper was associated with an odds ratio of gastrointestinal infections of 0.91 (95% confidence interval 0.87 to 0.97, P = 1.38E-03). This finding was robust in extensive sensitivity analyses. There was no clear association between the other micronutrients and the risk of infection.
Conclusions:
Our results strongly support a role of copper in the susceptibility to gastrointestinal infections.
Insights
Low copper levels may increase the risk of gastrointestinal infections. This Mendelian randomization study investigated eight micronutrients and infection risk, finding a significant association only for copper.
Area of Science:
- Nutritional Immunology
- Genetic Epidemiology
Background:
- Micronutrients are vital for immune function, and deficiencies increase infection susceptibility.
- Previous studies on micronutrients and infection risk have limitations.
Purpose of the Study:
- To investigate the causal effect of blood levels of eight micronutrients on the risk of three common infections using Mendelian randomization.
- To assess the association between copper, iron, selenium, zinc, beta-carotene, vitamin B12, vitamin C, and vitamin D levels and the risk of gastrointestinal infections, pneumonia, and urinary tract infections.
Main Methods:
- Two-sample Mendelian randomization (MR) analysis utilizing summary statistics from European ancestry cohorts.
- Data from UK Biobank and FinnGen were used for infection risk data.
- Inverse variance-weighted MR and sensitivity analyses were performed.
Main Results:
- A significant inverse association was found between genetically predicted higher circulating copper levels and the risk of gastrointestinal infections (OR 0.91, P = 1.38E-03).
- Each standard deviation increase in copper was associated with a 9% reduced odds of gastrointestinal infections.
- No significant associations were observed for other investigated micronutrients (iron, selenium, zinc, beta-carotene, vitamin B12, vitamin C, vitamin D) with any of the three infection types.
Conclusions:
- Findings support a protective role for copper in susceptibility to gastrointestinal infections.
- Copper may be a key factor in modulating the risk of developing gastrointestinal infections.
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