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Gene-Excessive Sleepiness Interactions Suggest Treatment Targets for Obstructive Sleep Apnea Subtype.

TitleGene-Excessive Sleepiness Interactions Suggest Treatment Targets for Obstructive Sleep Apnea Subtype.
Publication TypeJournal Article
Year of Publication2024
AuthorsNagarajan, 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 AuthorsTOPMed Sleep Trait WG
JournalmedRxiv
Date Published2024 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>
DOI10.1101/2024.10.25.24316158
Alternate JournalmedRxiv
PubMed ID39574859
PubMed Central IDPMC11581070
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UL1 RR033176 / RR / NCRR NIH HHS / United States
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ePub date: 
24/10