Inherited Disease Research Branch, National Human Genome Research Institute, National Institutes of Health, Baltimore, MD, USA.
J Allergy Clin Immunol. 2010 Feb;125(2):336-346.e4. doi: 10.1016/j.jaci.2009.08.031. Epub 2009 Nov 11.
Asthma is a complex disease characterized by striking ethnic disparities not explained entirely by environmental, social, cultural, or economic factors. Of the limited genetic studies performed on populations of African descent, notable differences in susceptibility allele frequencies have been observed.
We sought to test the hypothesis that some genes might contribute to the profound disparities in asthma.
We performed a genome-wide association study in 2 independent populations of African ancestry (935 African American asthmatic cases and control subjects from the Baltimore-Washington, DC, area and 929 African Caribbean asthmatic subjects and their family members from Barbados) to identify single-nucleotide polymorphisms (SNPs) associated with asthma.
A meta-analysis combining these 2 African-ancestry populations yielded 3 SNPs with a combined P value of less than 10(-5) in genes of potential biologic relevance to asthma and allergic disease: rs10515807, mapping to the alpha-1B-adrenergic receptor (ADRA1B) gene on chromosome 5q33 (3.57 x 10(-6)); rs6052761, mapping to the prion-related protein (PRNP) gene on chromosome 20pter-p12 (2.27 x 10(-6)); and rs1435879, mapping to the dipeptidyl peptidase 10 (DPP10) gene on chromosome 2q12.3-q14.2. The generalizability of these findings was tested in family and case-control panels of United Kingdom and German origin, respectively, but none of the associations observed in the African groups were replicated in these European studies. Evidence for association was also examined in 4 additional case-control studies of African Americans; however, none of the SNPs implicated in the discovery population were replicated.
This study illustrates the complexity of identifying true associations for a complex and heterogeneous disease, such as asthma, in admixed populations, especially populations of African descent.
哮喘是一种复杂的疾病,其显著的种族差异不能完全用环境、社会、文化或经济因素来解释。在对非洲裔人群进行的有限的遗传研究中,已经观察到易感等位基因频率的显著差异。
我们试图检验某些基因可能导致哮喘严重种族差异的假设。
我们对两个具有非洲血统的独立人群(来自巴尔的摩-华盛顿特区地区的 935 名非裔美国哮喘病例和对照以及来自巴巴多斯的 929 名非裔加勒比哮喘患者及其家庭成员)进行了全基因组关联研究,以鉴定与哮喘相关的单核苷酸多态性(SNP)。
对这两个非洲血统人群进行的荟萃分析产生了 3 个 SNP,它们在与哮喘和过敏性疾病具有潜在生物学相关性的基因中具有小于 10(-5)的联合 P 值:rs10515807,位于染色体 5q33 的α-1B-肾上腺素能受体(ADRA1B)基因上(3.57 x 10(-6)); rs6052761,位于染色体 20pter-p12 上的朊病毒相关蛋白(PRNP)基因上(2.27 x 10(-6)); 和 rs1435879,位于染色体 2q12.3-q14.2 上的二肽基肽酶 10(DPP10)基因上。这些发现的可推广性分别在英国和德国的家系和病例对照面板中进行了测试,但在这些欧洲研究中,没有一个在非洲人群中观察到的关联得到复制。在另外 4 项非裔美国人的病例对照研究中也对关联进行了检验;然而,在发现人群中涉及的 SNP 均未得到复制。
这项研究说明了在混合人群中识别复杂和异质疾病(如哮喘)的真正关联的复杂性,尤其是非洲裔人群。