Journal ArticleDOI
Genetic Thyrotropin Regulation of Atrial Fibrillation Risk Is Mediated Through an Effect on Height.
Mingjian Shi,Ali Manouchehri,Christian M. Shaffer,Nataraja Sarma Vaitinadin,Jacklyn N. Hellwege,Joe-Elie Salem,Lea K. Davis,Jill H. Simmons,Dan M. Roden,Dan M. Roden,M. Benjamin Shoemaker,Jane F. Ferguson,Jonathan D. Mosley +12 more
TLDR
In this article, the authors used two-sample Mendelian randomization (MR) to test associations between TSH-associated single nucleotide polymorphisms (SNPs) and 16 candidate mediators.Abstract:
Background A genetic predisposition to lower thyroid stimulating hormone (TSH) levels associates with increased atrial fibrillation (AF) risk through undefined mechanisms. Defining the genetic mediating mechanisms could lead to improved targeted therapies to mitigate AF risk. Methods We used two-sample Mendelian randomization (MR) to test associations between TSH-associated single nucleotide polymorphisms (SNPs) and 16 candidate mediators. We then performed multivariable Mendelian randomization (MVMR) to test for a significant attenuation of the genetic association between TSH and AF, after adjusting for each mediator significantly associated with TSH. Results Four candidate mediators (free T4, systolic blood pressure, heart rate, and height) were significantly inversely associated with genetically predicted TSH after adjusting for multiple testing. In MVMR analyses, adjusting for height significantly decreased the magnitude of the association between TSH and AF from -0.12 (s.e. 0.02) occurrences of AF per standard deviation change in height to -0.06 (0.02) (p=0.005). Adjusting for the other candidate mediators did not significantly attenuate the association. Conclusions The genetic association between TSH and increased AF risk is mediated, in part, by taller stature. Thus, some genetic mechanisms underlying TSH variability may contribute to AF risk through mechanisms determining height occurring early in life that differ from those driven by thyroid hormone level elevations in later life.read more
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Journal ArticleDOI
The bidirectional relationship of thyroid disease and atrial fibrillation: Established knowledge and future considerations
A. Bekiaridou,Anastasios Kartas,Dimitrios V Moysidis,Andreas S Papazoglou,Amalia Baroutidou,Anastasios Papanastasiou,Georgios Giannakoulas +6 more
TL;DR: The objective of this review is to summarize the up-to-date epidemiology, pathogenesis, pathophysiology, and management of interacting thyroid disease and AF.
References
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TL;DR: It is demonstrated that genetic studies of glycemic traits can identify type 2 diabetes risk loci, as well as loci containing gene variants that are associated with a modest elevation in glucose levels but are not associated with overt diabetes.
Journal ArticleDOI
Thyroid hormone and the cardiovascular system.
Irwin Klein,Kaie Ojamaa +1 more
TL;DR: Changes in serum T( 3) levels in patients with chronic congestive heart failure are caused by alterations in thyroid hormone metabolism suggesting that patients may benefit from T(3) replacement in this setting.
Journal ArticleDOI
A high-performance computing toolset for relatedness and principal component analysis of SNP data
TL;DR: Zheng et al. as mentioned in this paper developed gdsfmt and SNPRelate (R packages for multi-core symmetric multiprocessing computer architectures) to accelerate two key computations on SNP data: principal component analysis and relatedness analysis using identity-by-descent measures.