Title | Genome-wide association studies identify CHRNA5/3 and HTR4 in the development of airflow obstruction. |
Publication Type | Journal Article |
Year of Publication | 2012 |
Authors | Wilk, JB, Shrine, NRG, Loehr, LR, Zhao, JH, Manichaikul, A, Lopez, LM, Smith, AVernon, Heckbert, SR, Smolonska, J, Tang, W, Loth, DW, Curjuric, I, Hui, J, Cho, MH, Latourelle, JC, Henry, AP, Aldrich, M, Bakke, P, Beaty, TH, Bentley, AR, Borecki, IB, Brusselle, GG, Burkart, KM, Chen, T-H, Couper, D, Crapo, JD, Davies, G, Dupuis, J, Franceschini, N, Gulsvik, A, Hancock, DB, Harris, TB, Hofman, A, Imboden, M, James, AL, Khaw, K-T, Lahousse, L, Launer, LJ, Litonjua, A, Liu, Y, Lohman, KK, Lomas, DA, Lumley, T, Marciante, KD, McArdle, WL, Meibohm, B, Morrison, AC, Musk, AW, Myers, RH, North, KE, Postma, DS, Psaty, BM, Rich, SS, Rivadeneira, F, Rochat, T, Rotter, JI, Artigas, MSoler, Starr, JM, Uitterlinden, AG, Wareham, NJ, Wijmenga, C, Zanen, P, Province, MA, Silverman, EK, Deary, IJ, Palmer, LJ, Cassano, PA, Gudnason, V, R Barr, G, Loos, RJF, Strachan, DP, London, SJ, H Boezen, M, Probst-Hensch, N, Gharib, SA, Hall, IP, O'Connor, GT, Tobin, MD, Stricker, BH |
Journal | Am J Respir Crit Care Med |
Volume | 186 |
Issue | 7 |
Pagination | 622-32 |
Date Published | 2012 Oct 01 |
ISSN | 1535-4970 |
Keywords | Aged, Female, Forced Expiratory Volume, Genome-Wide Association Study, Humans, Male, Middle Aged, Nerve Tissue Proteins, Polymorphism, Single Nucleotide, Pulmonary Disease, Chronic Obstructive, Receptors, Nicotinic, Receptors, Serotonin, 5-HT4, Smoking, Vital Capacity |
Abstract | <p><b>RATIONALE: </b>Genome-wide association studies (GWAS) have identified loci influencing lung function, but fewer genes influencing chronic obstructive pulmonary disease (COPD) are known.</p><p><b>OBJECTIVES: </b>Perform meta-analyses of GWAS for airflow obstruction, a key pathophysiologic characteristic of COPD assessed by spirometry, in population-based cohorts examining all participants, ever smokers, never smokers, asthma-free participants, and more severe cases.</p><p><b>METHODS: </b>Fifteen cohorts were studied for discovery (3,368 affected; 29,507 unaffected), and a population-based family study and a meta-analysis of case-control studies were used for replication and regional follow-up (3,837 cases; 4,479 control subjects). Airflow obstruction was defined as FEV(1) and its ratio to FVC (FEV(1)/FVC) both less than their respective lower limits of normal as determined by published reference equations.</p><p><b>MEASUREMENTS AND MAIN RESULTS: </b>The discovery meta-analyses identified one region on chromosome 15q25.1 meeting genome-wide significance in ever smokers that includes AGPHD1, IREB2, and CHRNA5/CHRNA3 genes. The region was also modestly associated among never smokers. Gene expression studies confirmed the presence of CHRNA5/3 in lung, airway smooth muscle, and bronchial epithelial cells. A single-nucleotide polymorphism in HTR4, a gene previously related to FEV(1)/FVC, achieved genome-wide statistical significance in combined meta-analysis. Top single-nucleotide polymorphisms in ADAM19, RARB, PPAP2B, and ADAMTS19 were nominally replicated in the COPD meta-analysis.</p><p><b>CONCLUSIONS: </b>These results suggest an important role for the CHRNA5/3 region as a genetic risk factor for airflow obstruction that may be independent of smoking and implicate the HTR4 gene in the etiology of airflow obstruction.</p> |
DOI | 10.1164/rccm.201202-0366OC |
Alternate Journal | Am. J. Respir. Crit. Care Med. |
PubMed ID | 22837378 |
PubMed Central ID | PMC3480517 |
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