FUT2-ABO epistasis increases the risk of early childhood asthma and Streptococcus pneumoniae respiratory illnesses.

FUT2-ABO epistasis increases the risk of early childhood asthma and Streptococcus pneumoniae respiratory illnesses.
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FUT2-ABO上学增加了幼儿哮喘和肺炎链球菌呼吸道疾病的风险。

DOI:
10.1038/s41467-020-19814-6
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发表时间:
2020-12-16
影响因子:
16.6
通讯作者:
Bønnelykke K
Bønnelykke K
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Ahluwalia TS;Eliasen AU;Sevelsted A;Pedersen CT;Stokholm J;Chawes B;Bork-Jensen J;Grarup N;Pedersen O;Hansen T;Linneberg A;Sharma A;Weiss ST;Evans MD;Jackson DJ;Morin A;Krogfelt KA;Schjørring S;Mortensen PB;Hougaard DM;Bybjerg-Grauholm J;Bækvad-Hansen M;Mors O;Nordentoft M;Børglum AD;Werge T;Agerbo E;Gern JE;Lemanske RF Jr;Ober C;Pedersen AG;Bisgaard H;Bønnelykke K

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Asthma with severe exacerbation is the most common cause of hospitalization among young children. We aim to increase the understanding of this clinically important disease entity through a genome-wide association study. The discovery analysis comprises 2866 children experiencing severe asthma exacerbation between ages 2 and 6 years, and 65,415 non-asthmatic controls, and we replicate findings in 918 children from the Copenhagen Prospective Studies on Asthma in Childhood (COPSAC) birth cohorts. We identify rs281379 near FUT2/MAMSTR on chromosome 19 as a novel risk locus (OR = 1.18 (95% CI = 1.11–1.25), Pdiscovery = 2.6 × 10−9) as well as a biologically plausible interaction between functional variants in FUT2 and ABO. We further discover and replicate a potential causal mechanism behind this interaction related to S. pneumoniae respiratory illnesses. These results suggest a novel mechanism of early childhood asthma and demonstrates the importance of phenotype-specificity for discovery of asthma genes and epistasis. Genetic variants discovered through genome-wide association studies for asthma together account for a small portion of the heritability. Here, the authors identify a possible epistatic relationship between coding variants in FUT2 and ABO, especially pronounced in severe and early onset asthma.
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