Mendelian Randomization (MR) experiments using the genetic variations associated with serum 25OHD as instrumental variables have been conducted to investigate the causative role of vitamin D in COVID-19 risk.
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In UK, an observational investigation on vitamin D and COVID-19 risk for Medical Research – Pubrica
1. In UK, An Observational
Investigation On Vitamin D
and COVID-19 Risk For
Medical Research
An Academic presentation by
Dr. Nancy Agnes, Head, Technical Operations, Pubrica
Group: www.pubrica.com
Email: sales@pubrica.com
3. According to an increasing body of evidence, original
medical research for vitamin D insufficiency has been
linked to an increased vulnerability to viral and bacterial
respiratory infections.
Similar findings have recently been published for
COVID-19: researchers discovered a significant
association between vitamin D insufficiency and COVID-
19 risk by analyzing publically available patient data.
Furthermore, data suggests that COVID-19 affects black
and minority ethnic people disproportionately, with one
possible explanation being a higher frequency of vitamin
D deficiency, among other risk factors.
Contd...
4. As a result, it's thought that having enough vitamin D
can help minimize the danger of catching the SARS-
CoV-2 virus, as well as the likelihood of severe or fatal
COVID-19 disease.
This original research article aimed to look at the link
between vitamin D and COVID-19 risk and outcomes.
Logical regression was used in the 417,342 UK
participants to find relationships between vitamin D
factors and COVID-19 (risk of infection, hospitalization,
and mortality).
Contd...
5. Mendelian Randomization (MR) experiments using the
genetic variations associated with serum 25OHD as
instrumental variables have been conducted to investigate
the causative role of vitamin D in COVID-19 risk.
It has been demonstrated that a genetic tendency to low
vitamin D levels is not causally linked to infection with
SARS-CoV-2 or severe COVID-19 illness.
It is crucial to highlight that while vitamin D level has a high
genetic heritability in winter, , its status may be primarily
influenced by environmental factors regulating ultraviolet B
(UVB) radiation exposure (such as season and
geographical latitude) in summer.
6. As a result of this manuscript research article, an integrative assessment of vitamin D
levels determined by genetics and ambient UVB radiation during the pandemic would
provide comprehensive insight into the causative inference related to vitamin D and
COVID-19 risk.
7.
8. CHOICE OF 25OHD
GENETIC INSTRUMENTS
METHODS
A research manuscript article used a
genome-wide association study (GWAS) to
uncover genetic variations that explain
25OHD levels, which is, to our knowledge,
the biggest published GWAS of 25OHD
levels.
Importantly, this research article took into
the season in which vitamin D was
measured to find genetic variations strongly
linked to 25OHD levels.
9. SNPs whose influence on 25OHD level was genome-wide
significant (p < 5 10-8), whose minor allele frequency was
more than 1%, and with linkage disequilibrium coefficients
(r2) of less than 5% from the list of conditionally
independent variations supplied (using the LDlink tool and
the European 1000 Genomes dataset, excluding Finnish
populations).
They utilized the LDlink tool to find genetic proxies in the
European 1000 Genomes dataset (excluding Finnish
populations) for SNPs that were not accessible in the
outcome GWAS or with palindromic alleles of intermediate
frequency (between 42% and 58%).
10. PRIMARY MR ANALYSIS
The Wald ratio approach was used to determine the effect of the
25OHD level on COVID-19 outcomes for each SNP.
Each SNP's result was expressed as a standardized log-
transformed 25OHD level.
We used the inverse-variance weighted (IVW) method to estimate,
and we used variant heterogeneity tests to ensure that IVW results
were robust. The TwoSampleMR package was used for allele
harmonization and computations.
11. DISCUSSION
We examined a link between vitamin D and COVID-19 risk
and severity in this scientific original research paper by
studying a complete set of essential vitamin D variables
together for the first time and employing several techniques to
explore the consistency of our findings.
We identified a robust inverse relationship between disease
severity and an integrated ambient UVB measure before
disease onset (vitD-UVB).
Since UVB radiation is low at this time of year, particularly in
the high northern latitudes of the UK, the UVB variable's
discriminatory power is limited in this study; nevertheless,
more substantial impacts may be detected if UVB variation is
more significant.
Contd...
12. We only used ambient UVB and did not account for individual behavioural characteristics that could
influence vitamin D production in the skin, such as the amount of time spent outside, the time of
day spent outside, clothes, etc.
It's worth noting that the best predictor of vitD-UVB is the time of year.
To avoid bias, control dates were allocated to the same distribution as case dates, which may have
artificially reduced differences in vitD-UVB between cases and controls; nevertheless, this did not
affect analyses of hospitalization and mortality.
13. CONCLUSION
After controlling for confounders, the researchers observed no
significant relationships between COVID-19 risk and
measured 25-OHD levels; however, this finding is constrained
by the fact that vitamin D levels were assessed on average 11
years before the pandemic.
COVID-19 hospitalization and death were highly and inversely
related to ambient UVB.
Although MR sensitivity studies revealed a potential causal
effect, the primary MR study did not show that genetically-
predicted vitamin D levels were causally connected with
COVID-19 risk.
Contd...
14. Overall, the impact of vitamin D levels on the
likelihood or severity of COVID-19 is debatable; more
research is needed to confirm vitamin D
supplementation as a strategy of preventing
worsening COVID-19.
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