Identification of novel genetic susceptibility loci for thoracic and abdominal aortic aneurysms via genome-wide association study using the UK Biobank Cohort.

Identification of novel genetic susceptibility loci for thoracic and abdominal aortic aneurysms via genome-wide association study using the UK Biobank Cohort.
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DOI:
10.1371/journal.pone.0247287
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Hong CC
Hong CC
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Ashvetiya T;Fan SX;Chen YJ;Williams CH;O'Connell JR;Perry JA;Hong CC

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众所周知,胸主动脉瘤(TAA)和腹主动脉瘤(AAA)具有很强的遗传成分。在一项使用英国生物银行的全基因组关联研究(GWAS)中,我们分析了1363名AAA患者的基因组,与27,260名年龄、血统和性别匹配的对照组(1:20病例:对照研究设计)进行了比较。对435名TAA患者和8700名对照组进行了类似的分析。小等位基因频率(MAF)为0.0.5%。除了三个已知的基因座外,我们还在LINC01021、ATOH8和JAK2基因附近发现了新的基因座,这些基因座对AAA具有全基因组意义(p值<5 × 10-8)。对于TAA, CTNNA3、FRMD6和MBP中的三个新位点具有全基因组意义。与AAAs和TAAs相关的基因没有重叠。此外,我们还发现了一个高频变异连锁组(MAFs ~10%),其中包括马凡综合征的致病基因FBN1,该基因与TAA相关。在FinnGen PheWeb中,这种FBN1单倍型与主动脉夹层相关。最后,我们发现基线心动过缓与TAA相关,而与AAA无关。我们的GWAS发现AAA和TAA与不同的基因组相关,表明不同的潜在遗传结构。我们还发现基线心动过缓与TAA之间存在关联。这些发现,包括JAK2关联,提供了合理的机制和治疗见解。我们还发现,在没有马凡氏综合征的患者中,常见的FBN1连锁组与TAA和主动脉夹层相关。这些FBN1变异提示马凡病和散发性TAA之间存在共同的病理生理机制。
Thoracic aortic aneurysm (TAA) and abdominal aortic aneurysm (AAA) are known to have a strong genetic component. In a genome-wide association study (GWAS) using the UK Biobank, we analyzed the genomes of 1,363 individuals with AAA compared to 27,260 age, ancestry, and sex-matched controls (1:20 case:control study design). A similar analysis was repeated for 435 individuals with TAA compared to 8,700 controls. Polymorphism with minor allele frequency (MAF) >0.5% were evaluated. We identified novel loci near LINC01021, ATOH8 and JAK2 genes that achieved genome-wide significance for AAA (p-value <5x10-8), in addition to three known loci. For TAA, three novel loci in CTNNA3, FRMD6 and MBP achieved genome-wide significance. There was no overlap in the genes associated with AAAs and TAAs. Additionally, we identified a linkage group of high-frequency variants (MAFs ~10%) encompassing FBN1, the causal gene for Marfan syndrome, which was associated with TAA. In FinnGen PheWeb, this FBN1 haplotype was associated with aortic dissection. Finally, we found that baseline bradycardia was associated with TAA, but not AAA. Our GWAS found that AAA and TAA were associated with distinct sets of genes, suggesting distinct underlying genetic architecture. We also found association between baseline bradycardia and TAA. These findings, including JAK2 association, offer plausible mechanistic and therapeutic insights. We also found a common FBN1 linkage group that is associated with TAA and aortic dissection in patients who do not have Marfan syndrome. These FBN1 variants suggest shared pathophysiology between Marfan disease and sporadic TAA.
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