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Published on: October 13, 2023
Mendelian randomization and Bayesian model averaging of autoimmune diseases and Long COVID
Jieni Feng1, Jiankun Chen1,2,3, Xiaoya Li1
1The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Insights
This study investigated the causal link between autoimmune diseases and Long COVID. Inflammatory bowel disease, Crohn's disease, and ulcerative colitis were found to increase the risk of developing Long COVID.
Area of Science:
- Genetics
- Immunology
- Public Health
Background:
- Long COVID is a growing concern following SARS-CoV-2 infection.
- Autoimmune diseases (AIDs) have been reported in individuals with Long COVID.
- The bidirectional causal relationship between Long COVID and AIDs remains under-investigated.
Purpose of the Study:
- To investigate the potential causal effects of autoimmune diseases on the development of Long COVID.
- To explore the bidirectional causal relationships between Long COVID and various AIDs.
Main Methods:
- Utilized summary-level data from genome-wide association studies (GWAS) for Long COVID and AIDs.
- Employed Mendelian randomization (MR) and Bayesian model averaging (BMA) to assess bidirectional causal effects.
Main Results:
- Found evidence of causal effects from inflammatory bowel disease (IBD), Crohn's disease (CD), and ulcerative colitis (UC) on Long COVID.
- UC was identified as the highest-ranked causal factor for Long COVID in the MR-BMA analysis, followed by IBD and CD.
Conclusions:
- IBD, CD, and UC exhibit causal effects on Long COVID development.
- Highlights the need for screening high-risk populations for Long COVID, particularly those with these autoimmune conditions.
Background:
Following COVID-19, reports suggest Long COVID and autoimmune diseases (AIDs) in infected individuals. However, bidirectional causal effects between Long COVID and AIDs, which may help to prevent diseases, have not been fully investigated.
Methods:
Summary-level data from genome-wide association studies (GWAS) of Long COVID (N = 52615) and AIDs including inflammatory bowel disease (IBD) (N = 377277), Crohn's disease (CD) (N = 361508), ulcerative colitis (UC) (N = 376564), etc. were employed. Bidirectional causal effects were gauged between AIDs and Long COVID by exploiting Mendelian randomization (MR) and Bayesian model averaging (BMA).
Results:
The evidence of causal effects of IBD (OR = 1.06, 95% CI = 1.00-1.11, p = 3.13E-02), CD (OR = 1.10, 95% CI = 1.01-1.19, p = 2.21E-02) and UC (OR = 1.08, 95% CI = 1.03-1.13, p = 2.35E-03) on Long COVID was found. In MR-BMA, UC was estimated as the highest-ranked causal factor (MIP = 0.488, MACE = 0.035), followed by IBD and CD.
Conclusion:
This MR study found that IBD, CD and UC had causal effects on Long COVID, which suggests a necessity to screen high-risk populations.
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