Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19

Abstract Background Several observational studies demonstrated that pregnant individuals with COVID-19 had a higher risk of preeclampsia and preterm birth. We aimed to determine whether women with COVID-19 diagnosis had adverse pregnancy outcomes. Methods A two-sample Mendelian randomization (MR) an...

Full description

Bibliographic Details
Main Authors: Yan Fang, Dajun Fang
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Virology Journal
Subjects:
Online Access:https://doi.org/10.1186/s12985-024-02348-4
_version_ 1797233852932947968
author Yan Fang
Dajun Fang
author_facet Yan Fang
Dajun Fang
author_sort Yan Fang
collection DOAJ
description Abstract Background Several observational studies demonstrated that pregnant individuals with COVID-19 had a higher risk of preeclampsia and preterm birth. We aimed to determine whether women with COVID-19 diagnosis had adverse pregnancy outcomes. Methods A two-sample Mendelian randomization (MR) analysis in this study was used to evaluate the casual relationships between COVID-19 infection and obstetric-related diseases based on genome-wide association studies (GWAS) dataset. Inverse-variance weighted (IVW), MR-Egger and MR-PRESSO were used to infer the connection and estimate the pleiotropy respectively. Results The significant connection was observed between COVID-19 and placental disorders with betaIVW of 1.57 and odds ratio (OR) of 4.81 (95% confidence interval [CI]: 1.05–22.05, p = 0.04). However, there were no associations between COVID-19 infection and gestational diabetes mellitus (GDM) (OR = 1.12; 95% CI: 0.85–1.45, p = 0.41), other disorders of amniotic fluid and membranes (OR = 0.90; 95% CI: 0.61–1.32, p = 0.59), Intrahepatic Cholestasis of Pregnancy (ICP) (OR = 1.42; 95% CI: 0.85–2.36, p = 0.18), birth weight (OR = 1.02; 95% CI: 0.99–1.05, p = 0.19), gestational hypertension (OR = 1.00; 95% CI: 1.00–1.00, p = 0.85), spontaneous miscarriages (OR = 1.00; 95% CI: 0.96–1.04, p = 0.90) and stillbirth (OR = 1.00; 95% CI: 0.98–1.01, p = 0.62). Conclusion There was no direct causal relationship between COVID-19 infection and maternal and neonatal poor outcomes. Our study could alleviate the anxiety of pregnant women under the COVID-19 pandemic conditions partly.
first_indexed 2024-04-24T16:22:46Z
format Article
id doaj.art-c5396c9aa7204b799fd21c145401cd1c
institution Directory Open Access Journal
issn 1743-422X
language English
last_indexed 2024-04-24T16:22:46Z
publishDate 2024-03-01
publisher BMC
record_format Article
series Virology Journal
spelling doaj.art-c5396c9aa7204b799fd21c145401cd1c2024-03-31T11:10:32ZengBMCVirology Journal1743-422X2024-03-012111810.1186/s12985-024-02348-4Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19Yan Fang0Dajun Fang1Department of Obstetrics and Gynecology, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityDepartment of Obstetrics and Gynecology, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityAbstract Background Several observational studies demonstrated that pregnant individuals with COVID-19 had a higher risk of preeclampsia and preterm birth. We aimed to determine whether women with COVID-19 diagnosis had adverse pregnancy outcomes. Methods A two-sample Mendelian randomization (MR) analysis in this study was used to evaluate the casual relationships between COVID-19 infection and obstetric-related diseases based on genome-wide association studies (GWAS) dataset. Inverse-variance weighted (IVW), MR-Egger and MR-PRESSO were used to infer the connection and estimate the pleiotropy respectively. Results The significant connection was observed between COVID-19 and placental disorders with betaIVW of 1.57 and odds ratio (OR) of 4.81 (95% confidence interval [CI]: 1.05–22.05, p = 0.04). However, there were no associations between COVID-19 infection and gestational diabetes mellitus (GDM) (OR = 1.12; 95% CI: 0.85–1.45, p = 0.41), other disorders of amniotic fluid and membranes (OR = 0.90; 95% CI: 0.61–1.32, p = 0.59), Intrahepatic Cholestasis of Pregnancy (ICP) (OR = 1.42; 95% CI: 0.85–2.36, p = 0.18), birth weight (OR = 1.02; 95% CI: 0.99–1.05, p = 0.19), gestational hypertension (OR = 1.00; 95% CI: 1.00–1.00, p = 0.85), spontaneous miscarriages (OR = 1.00; 95% CI: 0.96–1.04, p = 0.90) and stillbirth (OR = 1.00; 95% CI: 0.98–1.01, p = 0.62). Conclusion There was no direct causal relationship between COVID-19 infection and maternal and neonatal poor outcomes. Our study could alleviate the anxiety of pregnant women under the COVID-19 pandemic conditions partly.https://doi.org/10.1186/s12985-024-02348-4COVID-19Obstetric-related diseasesPlacental disordersPoor outcomes
spellingShingle Yan Fang
Dajun Fang
Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19
Virology Journal
COVID-19
Obstetric-related diseases
Placental disorders
Poor outcomes
title Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19
title_full Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19
title_fullStr Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19
title_full_unstemmed Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19
title_short Mendelian randomization analysis reveals causal relationship between obstetric-related diseases and COVID-19
title_sort mendelian randomization analysis reveals causal relationship between obstetric related diseases and covid 19
topic COVID-19
Obstetric-related diseases
Placental disorders
Poor outcomes
url https://doi.org/10.1186/s12985-024-02348-4
work_keys_str_mv AT yanfang mendelianrandomizationanalysisrevealscausalrelationshipbetweenobstetricrelateddiseasesandcovid19
AT dajunfang mendelianrandomizationanalysisrevealscausalrelationshipbetweenobstetricrelateddiseasesandcovid19