AUTHOR=Liu Xue , Yuan Jie , Liu Shuai , Tang Mulin , Meng Xue , Wang Xinhui , Li Yuchen , Chai Yuwei , Kou Chunjia , Yang Qingqing , Li Juyi , Zhang Li , Guan Qingbo , Zhang Haiqing TITLE=Investigating causal associations among gut microbiota, metabolites and autoimmune hypothyroidism: a univariable and multivariable Mendelian randomization study JOURNAL=Frontiers in Immunology VOLUME=Volume 14 - 2023 YEAR=2024 URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2023.1213159 DOI=10.3389/fimmu.2023.1213159 ISSN=1664-3224 ABSTRACT=Accumulating evidence suggests that the gut microbiota and its metabolites may be involved in autoimmune hypothyroidism. However, the causal association between gut microbiota, metabolites and autoimmune hypothyroidism remains to be determined.Instrumental variables were screened from the GWAS datasets of 211 gut microbiota taxonomic groups, gut microbiota-derived metabolites, and autoimmune hypothyroidism. Univariable Mendelian randomization (MR) and multivariable Mendelian randomization (MVMR) were used to analyse the potential causal relationship between autoimmune hypothyroidism, these metabolites, or these microbiota. During the MR analysis, we alternated multiple MR methods with different model assumptions to assess the consistency and robustness of the findings: inverse variance weighted (IVW), weighted median, MR pleiotropy residual sum and