Candidate loci shared among periodontal disease, diabetes and bone density.

Candidate loci shared among periodontal disease, diabetes and bone density.
复制标题

候选基因座在牙周病、糖尿病和骨密度中共有。

DOI:
10.3389/fendo.2022.1016373
复制
发表时间:
2022
影响因子:
5.2
通讯作者:
Chasman, Daniel I. I.
Chasman, Daniel I. I.
中科院分区:
医学2区
文献类型:
--
作者:
Yu, Yau-Hua;Steffensen, Bjorn;Ridker, Paul M. M.;Buring, Julie E. E.;Chasman, Daniel I. I.

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相似文献

虽然牙周病(PD)与2型糖尿病(T2D)和骨质疏松症相关,但这些关联的潜在遗传机制在很大程度上仍然未知。本研究的目的是通过评估两两遗传相关性和寻找共享多态性,应用交叉性状遗传分析来研究PD、T2D和骨密度(BMD)之间潜在的共享生物学。我们利用全基因组关联研究(GWAS)汇总统计数据进行了跨性状遗传分析:来自UKBB/GLIDE联盟的牙周炎/松动牙(PerioLT, N=506594),来自DIAGRAM联盟的T2D (Neff=228825),以及来自GEFOS联盟的骨密度(N=426824)。在这三个品种中,用连锁不平衡(LD)评分回归估计成对遗传相关。对GWAS进行多性状荟萃分析(MTAG)和共定位分析,以发现共享的全基因组显著变异(pMTAG <5 × 10-8)。为了复制,我们在女性基因组健康研究(WGHS)中进行了独立的遗传分析,这是一项前瞻性队列研究,其中14711名中年妇女提供了自我报告的牙周病诊断、口腔健康测量和牙周危险因素数据,包括T2D事件。PerioLT/T2D (Rg=0.23; SE=0.04; p=7.4e-09)与T2D/BMD (Rg=0.09; SE=0.02; p=9.8e-06)具有显著的遗传相关性。通过MTAG鉴定出21个独立的多效性变异(所有性状的pMTAG均<5 × 10-8)。在这些变体中,PerioLT和T2D的遗传信号共定位于一个候选变体(rs17522122; ProbH4 = 0.58),这是AKAP6的一个3'UTR变体。T2D/BMD和原始PerioLT GWAS p值之间的共定位表明有14个额外的位点。在独立的WGHS样本中,包括对PD监测的有效口腔健康问卷的应答,主要的共享候选(rs17522122)与较少使用牙线相关[OR(95%CI)= 0.92 (0.87-0.98), p=0.007],这一应答与PD状况较差相关。此外,另外4个候选变异间接支持以下相关性:较少使用牙线[rs75933965, 1.17(1.04-1.31), p=0.008]、较少看牙[rs77464186, 0.82(0.75-0.91), p=0.0002]、较少进行牙科预防[rs67111375, 0.91(0.83-0.99), p=0.03;Rs77464186, 0.80(0.72-0.89), p=3.8e-05],或牙齿周围骨质流失[rs8047395, 1.09(1.03-1.15), p=0.005]。这种综合方法通过比较PD、T2D和BMD的影响,确定了T2D和PD/口腔健康之间共有的一个共定位位点和14个候选位点。未来的研究需要独立验证我们的发现。
While periodontal disease (PD) has been associated with type 2 diabetes (T2D) and osteoporosis, the underlying genetic mechanisms for these associations remain largely unknown. The aim of this study is to apply cross-trait genetic analyses to investigate the potentially shared biology among PD, T2D, and bone mineral density (BMD) by assessing pairwise genetic correlations and searching for shared polymorphisms. We applied cross-trait genetic analyses leveraging genome-wide association study (GWAS) summary statistics for: Periodontitis/loose teeth from the UKBB/GLIDE consortium (PerioLT, N=506594), T2D from the DIAGRAM consortium (Neff=228825), and BMD from the GEFOS consortium (N=426824). Among all three, pair-wise genetic correlations were estimated with linkage disequilibrium (LD) score regression. Multi-trait meta-analysis of GWAS (MTAG) and colocalization analyses were performed to discover shared genome-wide significant variants (pMTAG <5x10-8). For replication, we conducted independent genetic analyses in the Women’s Genome Health Study (WGHS), a prospective cohort study of middle-aged women of whom 14711 provided self-reported periodontal disease diagnosis, oral health measures, and periodontal risk factor data including incident T2D. Significant genetic correlations were identified between PerioLT/T2D (Rg=0.23; SE=0.04; p=7.4e-09) and T2D/BMD (Rg=0.09; SE=0.02; p=9.8e-06). Twenty-one independent pleiotropic variants were identified via MTAG (pMTAG<5x10-8 across all traits). Of these variants, genetic signals for PerioLT and T2D colocalized at one candidate variant (rs17522122; ProbH4 = 0.58), a 3’UTR variant of AKAP6. Colocalization between T2D/BMD and the original PerioLT GWAS p-values suggested 14 additional loci. In the independent WGHS sample, which includes responses to a validated oral health questionnaire for PD surveillance, the primary shared candidate (rs17522122) was associated with less frequent dental flossing [OR(95%CI)= 0.92 (0.87-0.98), p=0.007], a response that is correlated with worse PD status. Moreover, 4 additional candidate variants were indirectly supported by associations with less frequent dental flossing [rs75933965, 1.17(1.04-1.31), p=0.008], less frequent dental visits [rs77464186, 0.82(0.75-0.91), p=0.0002], less frequent dental prophylaxis [rs67111375, 0.91(0.83-0.99), p=0.03; rs77464186, 0.80(0.72-0.89), p=3.8e-05], or having bone loss around teeth [rs8047395, 1.09(1.03-1.15), p=0.005]. This integrative approach identified one colocalized locus and 14 additional candidate loci that are shared between T2D and PD/oral health by comparing effects across PD, T2D and BMD. Future research is needed to independently validate our findings.
DOI: 10.1038/ng.3656
发表时间: 2016-10
期刊: NATURE GENETICS
影响因子: 30.8
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发表时间: 2012-10
期刊: Diabetes care
影响因子: 16.2
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发表时间: 2018-11
期刊: Nature genetics
影响因子: 30.8
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影响因子: 7.6
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