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. 2014 Jun;133(6):1564-71.
doi: 10.1016/j.jaci.2013.10.030. Epub 2013 Dec 31.

Genome-wide association analysis identifies 11 risk variants associated with the asthma with hay fever phenotype

Collaborators, Affiliations

Genome-wide association analysis identifies 11 risk variants associated with the asthma with hay fever phenotype

Manuel A R Ferreira et al. J Allergy Clin Immunol. 2014 Jun.

Abstract

Background: To date, no genome-wide association study (GWAS) has considered the combined phenotype of asthma with hay fever. Previous analyses of family data from the Tasmanian Longitudinal Health Study provide evidence that this phenotype has a stronger genetic cause than asthma without hay fever.

Objective: We sought to perform a GWAS of asthma with hay fever to identify variants associated with having both diseases.

Methods: We performed a meta-analysis of GWASs comparing persons with both physician-diagnosed asthma and hay fever (n = 6,685) with persons with neither disease (n = 14,091).

Results: At genome-wide significance, we identified 11 independent variants associated with the risk of having asthma with hay fever, including 2 associations reaching this level of significance with allergic disease for the first time: ZBTB10 (rs7009110; odds ratio [OR], 1.14; P = 4 × 10(-9)) and CLEC16A (rs62026376; OR, 1.17; P = 1 × 10(-8)). The rs62026376:C allele associated with increased asthma with hay fever risk has been found to be associated also with decreased expression of the nearby DEXI gene in monocytes. The 11 variants were associated with the risk of asthma and hay fever separately, but the estimated associations with the individual phenotypes were weaker than with the combined asthma with hay fever phenotype. A variant near LRRC32 was a stronger risk factor for hay fever than for asthma, whereas the reverse was observed for variants in/near GSDMA and TSLP. Single nucleotide polymorphisms with suggestive evidence for association with asthma with hay fever risk included rs41295115 near IL2RA (OR, 1.28; P = 5 × 10(-7)) and rs76043829 in TNS1 (OR, 1.23; P = 2 × 10(-6)).

Conclusion: By focusing on the combined phenotype of asthma with hay fever, variants associated with the risk of allergic disease can be identified with greater efficiency.

Keywords: Rhinitis; atopy; bivariate; genetic correlation; selection; single nucleotide polymorphism.

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Conflict of interest statement

Disclosure of potential conflict of interest: M. A. R. Ferreira has received research support from the Australian National Health and Medical Research Council (NHMRC). A. K. Kiefer has received research support from the National Institutes of Health (NIH) and is employed by and has stock/stock options in 23andMe. D. L Duffy has received research support from the NHMRC. N. Eriksson has received research support from the NIH and is employed by and has stock/stock options in 23andMe. P. A. Madden has received research support from the NIH (R01DA012854 [NAG] and R25DA027995 [R25]) and has received lecture fees. M. J. Abramson has received research support from Pfizer and has received travel support from Boehringer Ingelheim. A. C. Heath has received research support from the National Institutes of Health. C. F. Robertson has received research support from the NHMRC (grants 436959, 490321, 491246, 1006215, 044816, and 1044829), the MCRI, the US Cystic Fibrosis Foundation, the Australian Cystic Fibrosis Research Trust, and the NHMRC Centre for Research Excellence. G. W. Montgomery has received research support from the NHMRC. A. J. Henderson has received research support from the Medical Research Council UK and the Wellcome Trust. J. Y. Tung has received research support from the NIH (1R43HL115873-01) and is employed by and has stock/stock options in 23andMe. C. Pennell has received research support from the NHMRC (APP572613, 2009–2012), the NIH, CIHR, and Channel 7 Telethon; is a board member for the Raine Executive Committee; is employed by the University of Western Australia; has patents from the United States; and has received travel expenses from the March of Dimes Preventing Prematurity meeting, the GAPPS meeting, and PreHOT meetings from 2009–2012. D. M. Evans has received research support from the MRC and the Wellcome trust (supply core support to Avon Longitudinal Study of Parents and Their Children). D. A. Hinds has received research support from the NIH (1R43HL115873-01) and is employed by and has stock/stock options in 23andMe. The rest of the authors declare that they have no relevant conflicts of interest.

Figures

FIG. 1
FIG. 1
Effect (OR ±95% CI) of the top 11 loci on the mutually exclusive phenotypes of asthma without hay fever (A+H−) and hay fever without asthma (A−H+). Results are based on the comparison between 14,091 control subjects (no asthma and no hay fever, A−H−) and either 2,776 asthma without hay fever (A+H−) cases or 9,301 hay fever without asthma (A−H+) cases.

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