Miao Ruifen, Ge Haibo, Xu Lin, Sun Zhaoping, Li Chen, Wang Rong, Ding Songning, Yang Chen, Xu Fei
Department of Chronic Communicable Disease, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China.
Nanjing Chest Hospital, Nanjing 210029, China.
Infect Genet Evol. 2016 Jun;40:214-218. doi: 10.1016/j.meegid.2016.03.005. Epub 2016 Mar 8.
Genome-wide association study (GWAS) recently identified several susceptibility loci in ASAP1 gene on chromosome 8q24 for tuberculosis (TB) in a Russian population, but no relevant studies have been performed to validate these findings. In addition, previous GWAS in Ghana and Gambia found that the variant rs4331426 at 18q11.2 was a susceptibility locus for TB. However, the follow-up studies reported conflicting results. Herein, we investigated the contribution of genetic variants at 8q24 and 18q11.2 to TB in Chinese population.
We genotyped four genetic variants at 8q24 (rs10956514 and rs11774633) and 18q11.2 (rs4331426 and rs6507226) in a case-control study with 355 newly bacteriologically confirmed pulmonary TB cases and 395 healthy controls using TaqMan allelic discrimination assay. Subsequently, we conducted a meta-analysis including 4 reported studies in Chinese populations and our case-control study with a total of 3118 cases and 3226 controls to further evaluate the relationship between rs4331426 at 18q11.2 and TB risk.
We did not find significant association between genetic variants at 8q24 and risk of TB (rs10956514: OR=0.89, 95%CI: 0.72-1.09, P=0.253; rs11774633: OR=0.86, 95%CI: 0.69-1.08, P=0.206). We did not observe significant association for genetic variants at 18q11.2 (rs4331426: OR=0.62, 95%CI: 0.34-1.14, P=0.122; and rs6507226: OR=0.98, 95%CI: 0.80-1.20, P=0.853). Moreover, the pooled results from the Meta-analysis further supported that rs4331426 at 18q11.2 was not associated with TB risk in Chinese population (OR=0.90, 95% CI: 0.63-1.29).
Our findings indicate that TB risk-associated loci at 8q24 and 18q11.2 identified by GWAS from the other populations may not contribute to TB susceptibility in Chinese population.
全基因组关联研究(GWAS)最近在俄罗斯人群中确定了位于8号染色体8q24上的 ASAP1 基因中的几个结核易感性位点,但尚未进行相关研究来验证这些发现。此外,先前在加纳和冈比亚进行的GWAS发现,位于18q11.2的rs4331426变异是结核病的一个易感性位点。然而,后续研究报告的结果相互矛盾。在此,我们调查了8q24和18q11.2处的基因变异对中国人群结核病的影响。
在一项病例对照研究中,我们使用TaqMan等位基因鉴别分析方法,对355例新确诊的菌阳肺结核病例和395例健康对照进行了8q24(rs10956514和rs11774633)和18q11.2(rs4331426和rs6507226)的四个基因变异的基因分型。随后,我们进行了一项荟萃分析,纳入了4项已发表的中国人群研究以及我们的病例对照研究,共3118例病例和3226例对照,以进一步评估18q11.2处的rs4331426与结核病风险之间的关系。
我们未发现8q24处的基因变异与结核病风险之间存在显著关联(rs10956514:比值比=0.89,95%可信区间:0.72-1.09,P=0.253;rs11774633:比值比=0.86,95%可信区间:0.69-1.08,P=0.206)。我们也未观察到18q11.2处的基因变异存在显著关联(rs4331426:比值比=0.62,95%可信区间:0.34-1.14,P=0.122;rs6507226:比值比=0.98,95%可信区间:0.80-1.20,P=0.853)。此外,荟萃分析的汇总结果进一步支持,18q11.2处的rs4331426与中国人群的结核病风险无关(比值比=0.90,95%可信区间:0.63-1.29)。
我们的研究结果表明,其他人群通过GWAS确定的8q24和18q11.2处的结核风险相关位点可能与中国人群的结核易感性无关。