Multi-trait analysis characterizes the genetics of thyroid function and identifies causal associations with clinical implications

Author:

Sterenborg Rosalie B. T. M.ORCID,Steinbrenner IngaORCID,Li YongORCID,Bujnis Melissa N.,Naito TatsuhikoORCID,Marouli EiriniORCID,Galesloot Tessel E.,Babajide Oladapo,Andreasen Laura,Astrup ArneORCID,Åsvold Bjørn OlavORCID,Bandinelli Stefania,Beekman MarianORCID,Beilby John P.ORCID,Bork-Jensen Jette,Boutin Thibaud,Brody Jennifer A.ORCID,Brown Suzanne J.ORCID,Brumpton BenORCID,Campbell Purdey J.,Cappola Anne R.,Ceresini Graziano,Chaker Layal,Chasman Daniel I.ORCID,Concas Maria PinaORCID,Coutinho de Almeida Rodrigo,Cross Simone M.,Cucca Francesco,Deary Ian J.ORCID,Kjaergaard Alisa DevedzicORCID,Echouffo Tcheugui Justin B.,Ellervik ChristinaORCID,Eriksson Johan G.,Ferrucci LuigiORCID,Freudenberg Jan, , ,Fuchsberger Christian,Gieger ChristianORCID,Giulianini Franco,Gögele Martin,Graham Sarah E.ORCID,Grarup NielsORCID,Gunjača IvanaORCID,Hansen TorbenORCID,Harding Barbara N.,Harris Sarah E.ORCID,Haunsø Stig,Hayward Caroline,Hui Jennie,Ittermann Till,Jukema J. WouterORCID,Kajantie EeroORCID,Kanters Jørgen K.ORCID,Kårhus Line L.,Kiemeney Lambertus A. L. M.ORCID,Kloppenburg Margreet,Kühnel Brigitte,Lahti JariORCID,Langenberg Claudia,Lapauw Bruno,Leese GrahamORCID,Li ShuoORCID,Liewald David C. M.ORCID,Linneberg AllanORCID,Lominchar Jesus V. T.,Luan Jian’anORCID,Martin Nicholas G.ORCID,Matana Antonela,Meima Marcel E.,Meitinger ThomasORCID,Meulenbelt IngridORCID,Mitchell Braxton D.ORCID,Møllehave Line T.,Mora SamiaORCID,Naitza Silvia,Nauck MatthiasORCID,Netea-Maier Romana T.ORCID,Noordam RaymondORCID,Nursyifa Casia,Okada YukinoriORCID,Onano StefanoORCID,Papadopoulou AretiORCID,Palmer Colin N. A.ORCID,Pattaro Cristian,Pedersen OlufORCID,Peters AnnetteORCID,Pietzner MaikORCID,Polašek Ozren,Pramstaller Peter P.,Psaty Bruce M.ORCID,Punda Ante,Ray DebashreeORCID,Redmond Paul,Richards J. BrentORCID,Ridker Paul M.,Russ Tom C.ORCID,Ryan Kathleen A.ORCID,Olesen Morten SallingORCID,Schultheiss Ulla T.ORCID,Selvin ElizabethORCID,Siddiqui Moneeza K.ORCID,Sidore CarloORCID,Slagboom P. ElineORCID,Sørensen Thorkild I. A.ORCID,Soto-Pedre Enrique,Spector Tim D.ORCID,Spedicati BeatriceORCID,Srinivasan Sundararajan,Starr John M.,Stott David J.,Tanaka Toshiko,Torlak Vesela,Trompet StellaORCID,Tuhkanen Johanna,Uitterlinden André G.ORCID,van den Akker Erik B.ORCID,van den Eynde Tibbert,van der Klauw Melanie M.ORCID,van Heemst Diana,Verroken Charlotte,Visser W. EdwardORCID,Vojinovic Dina,Völzke Henry,Waldenberger MelanieORCID,Walsh John P.,Wareham Nicholas J.ORCID,Weiss StefanORCID,Willer Cristen J.ORCID,Wilson Scott G.ORCID,Wolffenbuttel Bruce H. R.ORCID,Wouters Hanneke J. C. M.,Wright Margaret J.ORCID,Yang QiongORCID,Zemunik TatijanaORCID,Zhou WeiORCID,Zhu Gu,Zöllner SebastianORCID,Smit Johannes W. A.,Peeters Robin P.,Köttgen AnnaORCID,Teumer AlexanderORCID,Medici Marco

Abstract

AbstractTo date only a fraction of the genetic footprint of thyroid function has been clarified. We report a genome-wide association study meta-analysis of thyroid function in up to 271,040 individuals of European ancestry, including reference range thyrotropin (TSH), free thyroxine (FT4), free and total triiodothyronine (T3), proxies for metabolism (T3/FT4 ratio) as well as dichotomized high and low TSH levels. We revealed 259 independent significant associations for TSH (61% novel), 85 for FT4 (67% novel), and 62 novel signals for the T3 related traits. The loci explained 14.1%, 6.0%, 9.5% and 1.1% of the total variation in TSH, FT4, total T3 and free T3 concentrations, respectively. Genetic correlations indicate that TSH associated loci reflect the thyroid function determined by free T3, whereas the FT4 associations represent the thyroid hormone metabolism. Polygenic risk score and Mendelian randomization analyses showed the effects of genetically determined variation in thyroid function on various clinical outcomes, including cardiovascular risk factors and diseases, autoimmune diseases, and cancer. In conclusion, our results improve the understanding of thyroid hormone physiology and highlight the pleiotropic effects of thyroid function on various diseases.

Funder

This work was supported by funding from the European and American Thyroid Associations, the Erasmus University Rotterdam, and the Dutch Organization for Scientific Research (NWO).

Publisher

Springer Science and Business Media LLC

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