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剖析患有和未患有慢性阻塞性肺疾病(COPD)的吸烟者慢性黏液高分泌的遗传学因素。

Dissecting the genetics of chronic mucus hypersecretion in smokers with and without COPD.

作者信息

Dijkstra Akkelies E, Boezen H Marike, van den Berge Maarten, Vonk Judith M, Hiemstra Pieter S, Barr R Graham, Burkart Kirsten M, Manichaikul Ani, Pottinger Tess D, Silverman Edward K, Cho Michael H, Crapo James D, Beaty Terri H, Bakke Per, Gulsvik Amund, Lomas David A, Bossé Yohan, Nickle David C, Paré Peter D, de Koning Harry J, Lammers Jan-Willem, Zanen Pieter, Smolonska Joanna, Wijmenga Ciska, Brandsma Corry-Anke, Groen Harry J M, Postma Dirkje S

机构信息

For lists of the authors' affiliations, and the LifeLines Cohort Study group members and their affiliations, see the Acknowledgements section

For lists of the authors' affiliations, and the LifeLines Cohort Study group members and their affiliations, see the Acknowledgements section.

出版信息

Eur Respir J. 2015 Jan;45(1):60-75. doi: 10.1183/09031936.00093314. Epub 2014 Sep 18.

Abstract

Smoking is a notorious risk factor for chronic mucus hypersecretion (CMH). CMH frequently occurs in chronic obstructive pulmonary disease (COPD). The question arises whether the same single-nucleotide polymorphisms (SNPs) are related to CMH in smokers with and without COPD. We performed two genome-wide association studies of CMH under an additive genetic model in male heavy smokers (≥20 pack-years) with COPD (n=849, 39.9% CMH) and without COPD (n=1348, 25.4% CMH), followed by replication and meta-analysis in comparable populations, and assessment of the functional relevance of significantly associated SNPs. Genome-wide association analysis of CMH in COPD and non-COPD subjects yielded no genome-wide significance after replication. In COPD, our top SNP (rs10461985, p=5.43×10(-5)) was located in the GDNF-AS1 gene that is functionally associated with the GDNF gene. Expression of GDNF in bronchial biopsies of COPD patients was significantly associated with CMH (p=0.007). In non-COPD subjects, four SNPs had a p-value <10(-5) in the meta-analysis, including a SNP (rs4863687) in the MAML3 gene, the T-allele showing modest association with CMH (p=7.57×10(-6), OR 1.48) and with significantly increased MAML3 expression in lung tissue (p=2.59×10(-12)). Our data suggest the potential for differential genetic backgrounds of CMH in individuals with and without COPD.

摘要

吸烟是慢性黏液高分泌(CMH)的一个众所周知的风险因素。CMH在慢性阻塞性肺疾病(COPD)中经常出现。问题在于,在患有和未患有COPD的吸烟者中,相同的单核苷酸多态性(SNP)是否与CMH相关。我们在加性遗传模型下对患有COPD(n = 849,CMH占39.9%)和未患有COPD(n = 1348,CMH占25.4%)的男性重度吸烟者(≥20包年)进行了两项CMH全基因组关联研究,随后在可比人群中进行了重复验证和荟萃分析,并评估了显著相关SNP的功能相关性。在重复验证后,COPD和非COPD受试者中CMH的全基因组关联分析未产生全基因组显著性。在COPD中,我们的顶级SNP(rs10461985,p = 5.43×10⁻⁵)位于与GDNF基因功能相关的GDNF-AS1基因中。COPD患者支气管活检中GDNF的表达与CMH显著相关(p = 0.007)。在非COPD受试者中,四项SNP在荟萃分析中的p值<10⁻⁵,包括MAML3基因中的一个SNP(rs⁴⁸⁶³⁶⁸⁷),T等位基因与CMH有适度关联(p = 7.57×10⁻⁶,OR 1.48),并且与肺组织中MAML3表达显著增加相关(p = 2.59×10⁻¹²)。我们的数据表明,患有和未患有COPD的个体中CMH存在不同遗传背景的可能性。

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