Title | Gene-Excessive Sleepiness Interactions Suggest Treatment Targets for Obstructive Sleep Apnea Subtype. |
Publication Type | Journal Article |
Year of Publication | 2024 |
Authors | Nagarajan, P, Kurniansyah, N, Lee, J, Gharib, SA, Xu, Y, Zhang, Y, Spitzer, B, Faquih, T, Zhou, H, Boerwinkle, E, Chen, H, Gottlieb, DJ, Guo, X, Heard-Costa, NL, Hidalgo, BA, Levy, D, Liu, PY, Mei, H, Montalvan, R, Mukherjee, S, North, KE, O'Conner, GT, Palmer, LJ, Patel, SR, Psaty, BM, Purcell, SM, Raffield, LM, Rich, SS, Rotter, JI, Saxena, R, Smith, AV, Stone, KL, Zhu, X, Cade, BE, Sofer, T, Redline, S, Wang, H |
Corporate/Institutional Authors | TOPMed Sleep Trait WG |
Journal | medRxiv |
Date Published | 2024 Oct 28 |
Abstract | <p>Obstructive sleep apnea (OSA) is a multifactorial sleep disorder characterized by a strong genetic basis. Excessive daytime sleepiness (EDS) is a symptom that is reported by a subset of OSA patients, persisting even after treatment with continuous positive airway pressure (CPAP). It is recognized as a clinical subtype underlying OSA carrying alarming heightened cardiovascular risk. Thus, conceptualizing EDS as an exposure variable, we sought to investigate EDS's influence on genetic variation linked to apnea-hypopnea index (AHI), a diagnostic measure of OSA severity. This study serves as the first large-scale genome-wide gene x environment interaction analysis for AHI, investigating the interplay between its genetic markers and EDS across and within specific sex. Our work pools together whole genome sequencing data from seven cohorts, enabling a diverse dataset (four population backgrounds) of over 11,500 samples. Among the total 16 discovered genetic targets with interaction evidence with EDS, eight are previously unreported for OSA, including , , and identified in all sexes; , , and identified in males; and and identified in females. We discuss connections to insulin resistance, thiamine deficiency, and resveratrol use that may be worthy of therapeutic consideration for excessively sleepy OSA patients.</p> |
DOI | 10.1101/2024.10.25.24316158 |
Alternate Journal | medRxiv |
PubMed ID | 39574859 |
PubMed Central ID | PMC11581070 |
Grant List | U01 AG042139 / AG / NIA NIH HHS / United States HHSN268201100037C / HL / NHLBI NIH HHS / United States UL1 RR033176 / RR / NCRR NIH HHS / United States R01 HL103612 / HL / NHLBI NIH HHS / United States HHSN268201300005C / HL / NHLBI NIH HHS / United States HHSN268201500003C / HL / NHLBI NIH HHS / United States HHSN268201800012C / HL / NHLBI NIH HHS / United States HHSN268201300004C / HL / NHLBI NIH HHS / United States N01HC95160 / HL / NHLBI NIH HHS / United States R01 HL071251 / HL / NHLBI NIH HHS / United States R01 HL120393 / HL / NHLBI NIH HHS / United States R01 HL070848 / HL / NHLBI NIH HHS / United States R01 HL046380 / HL / NHLBI NIH HHS / United States U54 HG003067 / HG / NHGRI NIH HHS / United States HHSN268201300001C / HL / NHLBI NIH HHS / United States R01 HL071259 / HL / NHLBI NIH HHS / United States UL1 RR025005 / RR / NCRR NIH HHS / United States HHSN268201300003I / HL / NHLBI NIH HHS / United States 75N92022D00002 / HL / NHLBI NIH HHS / United States R01 HL071194 / HL / NHLBI NIH HHS / United States N01HC95163 / HL / NHLBI NIH HHS / United States U01 HL080295 / HL / NHLBI NIH HHS / United States HHSN268201500001C / HL / NHLBI NIH HHS / United States UL1 TR001079 / TR / NCATS NIH HHS / United States R01 HL070847 / HL / NHLBI NIH HHS / United States HHSN268201800014I / HB / NHLBI NIH HHS / United States U01 HL130114 / HL / NHLBI NIH HHS / United States UL1 TR000128 / TR / NCATS NIH HHS / United States R01 HL092577 / HL / NHLBI NIH HHS / United States HHSN268200800007C / HL / NHLBI NIH HHS / United States R01 HL085251 / HL / NHLBI NIH HHS / United States N01HC95169 / HL / NHLBI NIH HHS / United States U01 HL120393 / HL / NHLBI NIH HHS / United States R01 HL113338 / HL / NHLBI NIH HHS / United States R01 HL071250 / HL / NHLBI NIH HHS / United States R01 HL086694 / HL / NHLBI NIH HHS / United States N01HC65236 / HL / NHLBI NIH HHS / United States R01 HL070842 / HL / NHLBI NIH HHS / United States U01 AG042124 / AG / NIA NIH HHS / United 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