"Serum Calcium in Relation to COVID-19 in Asian Population: A Two-Sample Mendelian Randomization Study"

Lili Wang
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Abstract

To explore the causal relationship between serum calcium concentration and the risk of COVID-19 in Asian population, this study apply the analysis method of two samples of Mendelian randomization to demonstrate. Methods: Through literature search, the summary statistic data of the whole gene association study (GWAS) related to serum calcium concentration was obtained, and this data was subjected to secondary data analysis. From the large-sample GWAS summary data, the genetic variation closely related to the serum calcium concentration was selected as an instrumental variable. Five models (Inverse variance weighted, MR Egger, Weighted median, Simple mode and Weighted mode) were used for analyzing and evaluating the causal relationship between serum calcium concentration and the risk of COVID-19 with OR value and 95% confidence interval. Results: A total of 8 SNPs were included as instrumental variables in this study. The results of gene pleiotropy test showed that there was no gene pleiotropy (P = 0.54). The IVW results showed that each increase in serum calcium concentration by one standard deviation would reduce the risk of COVID-19 (OR=0.01, 95%CI: 0.0001-0.73, P=0.03). Conclusion: Appropriate supplementation of serum calcium concentration can help prevent the onset of COVID-19.
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亚洲人群血清钙与COVID-19的关系:一项双样本孟德尔随机化研究
为探讨亚洲人群血钙浓度与COVID-19风险之间的因果关系,本研究采用孟德尔随机化两样本分析方法进行论证。方法:通过文献检索,获得与血钙浓度相关的全基因关联研究(GWAS)汇总统计资料,并对该资料进行二次资料分析。从大样本GWAS汇总数据中,选择与血钙浓度密切相关的遗传变异作为工具变量。采用反方差加权、MR Egger、加权中位数、简单模型和加权模型5种模型,用OR值和95%置信区间分析评价血钙浓度与COVID-19风险的因果关系。结果:本研究共纳入8个snp作为工具变量。基因多效性试验结果显示无基因多效性(P = 0.54)。IVW结果显示,血钙浓度每增加一个标准差,COVID-19的风险就会降低(OR=0.01, 95%CI: 0.0001 ~ 0.73, P=0.03)。结论:适当补充血钙有助于预防COVID-19的发病。
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