Objective: Observational studies show the correlation between COVID-19 and venous thromboembolism (VTE) risk. However, the causal effects remain uncertain. We aimed to explore the potential causal association between COVID-19 and VTE using Mendelian randomization (MR) design. Methods: Two-sample MR was used to evaluate the potential causality between COVID-19 and VTE by selecting single-nucleotide polymorphisms (SNPs) as instrumental variables (IVs) from genome-wide association studies (GWAS). The weighted median, MR-Egger, simple mode, and weighted mode were employed as supplementary methods for MR estimations, with the inverse-variance weighted (IVW) method serving as the principal analysis. In addition, we took sensitivity analyses, including Cochran's test, MR-Pleiotropy Residual Sum and Outlier (MR-PRESSO), and leave-one-out analysis to ensure that we obtained stable and reliable results. Results: Our study selected 26 COVID-19 severity, 31 COVID-19 hospitalization, and 13 COVID-19 susceptibility SNPs as instrumental variables. The IVW analysis results revealed that there was no causal relationship between COVID-19 severity, hospitalization, or susceptibility and VTE, with odds ratios of 0.974 (95%CI: 0.936-1.013, p = 0.19), 0.976 (95%CI: 0.918-1.039, p = 0.447), and 0.908 (95%CI: 0.775-1.065, p = 0.235), respectively. The IVW approach yielded consistent results with MR-Egger, Weighted Median simple mode, and weighted mode. MR-PRESSO and sensitivity analysis further confirmed the stability and consistency of the MR results. Conclusions: This study did not find evidence to support a causal relationship between COVID-19 and VTE at the genetic level. Further investigation is warranted to determine if the significant association reported in previous observational studies between the two is due to confounding factors.
基金:
The author(s) disclosed receipt of the following financial support
for the research, authorship, and/or publication of this article: This
work was supported by the National Key R&D Program of China
No.2021YFC2500500.
第一作者机构:[1]Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
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推荐引用方式(GB/T 7714):
Wang Hui,Wu Sensen,Pan Dikang,et al.Causal relationships between COVID-19 and venous thromboembolism: A mendelian randomization analysis[J].Phlebology.2024,2683555241266659.doi:10.1177/02683555241266659.
APA:
Wang Hui,Wu Sensen,Pan Dikang,Meng Wenzhuo,Hu Lefan...&Gu Yongquan.(2024).Causal relationships between COVID-19 and venous thromboembolism: A mendelian randomization analysis.Phlebology,,
MLA:
Wang Hui,et al."Causal relationships between COVID-19 and venous thromboembolism: A mendelian randomization analysis".Phlebology .(2024):2683555241266659