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全基因组研究鉴定出与轻度至中度 COPD 肺功能下降相关的两个位点。

Genome-wide study identifies two loci associated with lung function decline in mild to moderate COPD.

机构信息

Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

出版信息

Hum Genet. 2013 Jan;132(1):79-90. doi: 10.1007/s00439-012-1219-6. Epub 2012 Sep 18.

Abstract

Accelerated lung function decline is a key COPD phenotype; however, its genetic control remains largely unknown. We performed a genome-wide association study using the Illumina Human660W-Quad v.1_A BeadChip. Generalized estimation equations were used to assess genetic contributions to lung function decline over a 5-year period in 4,048 European American Lung Health Study participants with largely mild COPD. Genotype imputation was performed using reference HapMap II data. To validate regions meeting genome-wide significance, replication of top SNPs was attempted in independent cohorts. Three genes (TMEM26, ANK3 and FOXA1) within the regions of interest were selected for tissue expression studies using immunohistochemistry. Two intergenic SNPs (rs10761570, rs7911302) on chromosome 10 and one SNP on chromosome 14 (rs177852) met genome-wide significance after Bonferroni. Further support for the chromosome 10 region was obtained by imputation, the most significantly associated imputed SNPs (rs10761571, rs7896712) being flanked by observed markers rs10761570 and rs7911302. Results were not replicated in four general population cohorts or a smaller cohort of subjects with moderate to severe COPD; however, we show novel expression of genes near regions of significantly associated SNPS, including TMEM26 and FOXA1 in airway epithelium and lung parenchyma, and ANK3 in alveolar macrophages. Levels of expression were associated with lung function and COPD status. We identified two novel regions associated with lung function decline in mild COPD. Genes within these regions were expressed in relevant lung cells and their expression related to airflow limitation suggesting they may represent novel candidate genes for COPD susceptibility.

摘要

肺功能加速下降是 COPD 的一个重要表型;然而,其遗传控制在很大程度上仍然未知。我们使用 Illumina Human660W-Quad v.1_A BeadChip 进行了全基因组关联研究。在 4048 名欧洲裔美国慢性阻塞性肺病患者中,使用广义估计方程评估了 5 年内肺功能下降的遗传贡献,这些患者的 COPD 主要处于轻度。使用参考 HapMap II 数据进行基因型推断。为了验证达到全基因组显著水平的区域,尝试在独立队列中复制顶级 SNP。使用免疫组织化学法选择了感兴趣区域内的三个基因(TMEM26、ANK3 和 FOXA1)进行组织表达研究。在第 10 号染色体上的两个基因间 SNP(rs10761570、rs7911302)和第 14 号染色体上的一个 SNP(rs177852)在经过 Bonferroni 校正后达到全基因组显著水平。通过推断进一步支持了第 10 号染色体区域,最显著相关的推断 SNP(rs10761571、rs7896712)被观察标记 rs10761570 和 rs7911302 所包围。在四个普通人群队列或一个中等至重度 COPD 患者的较小队列中,结果未得到复制;然而,我们在显著相关 SNP 的区域附近显示了基因的新表达,包括气道上皮和肺实质中的 TMEM26 和 FOXA1,以及肺泡巨噬细胞中的 ANK3。表达水平与肺功能和 COPD 状况相关。我们在轻度 COPD 中确定了两个与肺功能下降相关的新区域。这些区域内的基因在相关的肺细胞中表达,其表达与气流受限有关,这表明它们可能代表 COPD 易感性的新候选基因。

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