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An admixture mapping meta-analysis implicates genetic variation at 18q21 with asthma susceptibility in Latinos - 06/03/19

Doi : 10.1016/j.jaci.2016.08.057 
Christopher R. Gignoux, PhD a, b, , , Dara G. Torgerson, PhD c, , Maria Pino-Yanes, PhD c, d, Lawrence H. Uricchio, PhD b, §, Joshua Galanter, MD, MAS b, c, Lindsey A. Roth, MA c, Celeste Eng, BS c, Donglei Hu, PhD c, Elizabeth A. Nguyen, BS c, Scott Huntsman, MS c, Rasika A. Mathias, ScD e, Rajesh Kumar, MD, MSPH f, Jose Rodriguez-Santana, MD g, Neeta Thakur, MD, MPH c, Sam S. Oh, PhD c, Meghan McGarry, MD h, Andres Moreno-Estrada, MD, PhD i, Karla Sandoval, PhD i, Cheryl A. Winkler, PhD j, Max A. Seibold, PhD k, Badri Padhukasahasram, PhD l, David V. Conti, PhD m, Harold J. Farber, MD, MSPH o, Pedro Avila, MD p, Emerita Brigino-Buenaventura, MD q, Michael Lenoir, MD r, Kelley Meade, MD n, Denise Serebrisky, MD s, Luisa N. Borrell, DDS, PhD t, William Rodriguez-Cintron, MD u, Shannon Thyne, MD c, Bonnie R. Joubert, PhD v, Isabelle Romieu, MD w, Albert M. Levin, PhD l, Juan-Jose Sienra-Monge, MD x, Blanca Estela del Rio-Navarro, MD x, Weiniu Gan, PhD y, Benjamin A. Raby, MD, MPH z, Scott T. Weiss, MD z, Eugene Bleecker, MD aa, Deborah A. Meyers, PhD aa, Fernando J. Martinez, MD bb, W. James Gauderman, PhD m, Frank Gilliland, MD m, Stephanie J. London, MD, PhD v, Carlos D. Bustamante, PhD i, Dan L. Nicolae, PhD cc, Carole Ober, PhD dd, Saunak Sen, PhD ee, Kathleen Barnes, PhD e, L. Keoki Williams, MD, MAS l, ff, Ryan D. Hernandez, PhD a, b, Esteban G. Burchard, MD, MPH a, b, c
a Program in Pharmaceutical Sciences and Pharmacogenomics, University of California, San Francisco, San Francisco, Calif 
b Department of Bioengineering & Therapeutic Sciences, University of California, San Francisco, San Francisco, Calif 
c Department of Medicine, University of California, San Francisco, San Francisco, Calif 
h Department of Pediatrics, University of California, San Francisco, San Francisco, Calif 
d CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain 
e Department of Medicine, Johns Hopkins University, Baltimore, Md 
f Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, Ill 
p Division of Allergy-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, Ill 
g Centro de Neumologia Pediatrica, San Juan, Puerto Rico 
i Department of Genetics, Stanford University, Palo Alto, Calif 
j Molecular Genetics Epidemiology Section, Frederick National Laboratory for Cancer Research, Frederick, Md 
k Integrated Center for Genes, Environment, and Health, Department of Pediatrics, Division of Pulmonary and Critical Care Medicine, National Jewish Health, Denver, Colo 
l Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Mich 
m Department of Preventative Medicine, University of Southern California, Los Angeles, Calif 
n Children's Hospital and Research Center Oakland, Oakland, Calif 
o Department of Pediatrics, Section of Pulmonology, Baylor College of Medicine and Texas Children's Hospital, Houston, Tex 
q Department of Allergy & Immunology, Kaiser Permanente-Vallejo Medical Center, Vallejo, Calif 
r Bay Area Pediatrics, Oakland, Calif 
s Pediatric Pulmonary Division, Jacobi Medical Center, Bronx, NY 
t Department of Health Sciences, Graduate Program in Public Health, Lehman College, City University of New York, Bronx, NY 
u Veterans Caribbean Health Care System, San Juan, Puerto Rico 
v National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 
w Nutritional Epidemiology Group, International Agency for Research on Cancer, Lyon, France 
x Departmento de Alergia e Inmunologia, Clinica Hospital Infantil de Mexico Federico Gomez, Mexico City, Mexico 
y Division of Lung Diseases, National Heart, Lung, and Blood Institute, Bethesda, Md 
z Department of Medicine, Harvard Medical School, Boston, Mass 
aa Center for Genomics & Personalized Medicine Research, Wake Forest University, Winston-Salem, NC 
bb BIO5 Institute, University of Arizona, Tucson, Ariz 
cc Physical Sciences Division, Department of Statistics, University of Chicago, Chicago, Ill 
dd Department of Human Genetics, University of Chicago, Chicago, Ill 
ee Department of Preventive Medicine, University of Tennessee Health Sciences Center, Memphis, Tenn 
ff Department of Internal Medicine, Henry Ford Health System, Detroit, Mich 

Corresponding author: Christopher R. Gignoux, PhD, University of Colorado Denver-Anschutz Medical Campus, Colorado Center for Personalized Medicine and Department of Biostatistics, Colorado Center for Personalized Medicine, Aurora, CO 80045.University of Colorado Denver-Anschutz Medical CampusColorado Center for Personalized Medicine and Department of BiostatisticsColorado Center for Personalized MedicineAuroraCO80045

Abstract

Background

Asthma is a common but complex disease with racial/ethnic differences in prevalence, morbidity, and response to therapies.

Objective

We sought to perform an analysis of genetic ancestry to identify new loci that contribute to asthma susceptibility.

Methods

We leveraged the mixed ancestry of 3902 Latinos and performed an admixture mapping meta-analysis for asthma susceptibility. We replicated associations in an independent study of 3774 Latinos, performed targeted sequencing for fine mapping, and tested for disease correlations with gene expression in the whole blood of more than 500 subjects from 3 racial/ethnic groups.

Results

We identified a genome-wide significant admixture mapping peak at 18q21 in Latinos (P = 6.8 × 10−6), where Native American ancestry was associated with increased risk of asthma (odds ratio [OR], 1.20; 95% CI, 1.07-1.34; P = .002) and European ancestry was associated with protection (OR, 0.86; 95% CI, 0.77-0.96; P = .008). Our findings were replicated in an independent childhood asthma study in Latinos (P = 5.3 × 10−3, combined P = 2.6 × 10−7). Fine mapping of 18q21 in 1978 Latinos identified a significant association with multiple variants 5′ of SMAD family member 2 (SMAD2) in Mexicans, whereas a single rare variant in the same window was the top association in Puerto Ricans. Low versus high SMAD2 blood expression was correlated with case status (13.4% lower expression; OR, 3.93; 95% CI, 2.12-7.28; P < .001). In addition, lower expression of SMAD2 was associated with more frequent exacerbations among Puerto Ricans with asthma.

Conclusion

Ancestry at 18q21 was significantly associated with asthma in Latinos and implicated multiple ancestry-informative noncoding variants upstream of SMAD2 with asthma susceptibility. Furthermore, decreased SMAD2 expression in blood was strongly associated with increased asthma risk and increased exacerbations.

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Key words : Asthma, asthma exacerbations, admixture mapping, meta-analysis, Latinos, SMAD2, gene expression, targeted sequencing, rare variation

Abbreviations used : eQTL, GALA I, GALA II, GWAS, LD, OR, SAGE, SKAT-O, SMAD2, SNP, TDT, ZBTB7C


Plan


 Supported in part by the National Institutes of Health (NIH; AI061774, AI077439, AI079139, CA113710, DK064695, ES015794, HL078885, HL079055, HL087699, HL088133, HL104608, M01-RR00188, and MD006902); ARRA grant RC2 HL101651; the Flight Attendant Medical Research Institute (FAMRI); UCSF Chancellor's Research Fellowship, Dissertation Year Fellowship, and in part by NIH Training Grant T32GM007175 and T32HG000044 (to C.R.G.); an RWJF Amos Medical Faculty Development Award (to E.G.B.); the Sandler Foundation; the American Asthma Foundation (to E.G.B. and L.K.W.); and NHLBI K23 (K23HL111636) and NCATS KL2 (KL2TR000143; to J.M.G.). M.P.-Y. was funded by a Postdoctoral Fellowship from Fundación Ramón Areces. K.B. was supported in part by the Mary Beryl Patch Turnbull Scholar Program. R.A.M. was supported in part by the MOSAIC initiative of Johns Hopkins University. This publication was supported by the National Center for Advancing Translational Sciences, NIH, through UCSF-CTSI grant no. KL2TR000143. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. This project has been funded in whole or in part with federal funds from the National Cancer Institute, National Institutes of Health, under contract HHSN26120080001E. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government. This research was supported in part by the Intramural Research Program of the NIH, National Cancer Institute, Center for Cancer Research.
 Disclosure of potential conflict of interest: C. R. Gignoux receives grant support and travel support from the National Institutes of Health (NIH) and holds stock with 23andMe. M. Pino-Yanes receives payments for lectures from Affymetrix. L. H. Uricchio receives grant support from the NIH. J. Galanter receives grant support from the NIH. R. Kumar receives grant support from the NIH. N. Thakur receives grant support from the National Institute of General Medical Sciences (NIGMS) and National Heart, Lung, and Blood Institute (NHLBI). S. S. Oh receives grant funding from the NIH. M. McGarry receives grant support from the NIH. M. A. Seibold receives research support from Pfizer and MedImmune. H. J. Farber receives grant support from the NIH. P. Avila receives grant and travel support from the NIH. E. Brigino-Buenaventura receives grant support, honorarium, and travel support from the Sandler Foundation. A. M. Levin received research support from the NIH. B. A. Raby receives royalties from UpToDate and holds stock with CureSpark. F. J. Martinez receives grant support from the NIH/NHLBI and Johnson & Johnson and serves as a consultant for Copeval. D. L. Nicolae receives grant support from the NIH. S. Sen has received grants from the NIH. L. Keoki Williams receives grant support from the National Institute of Allergy and Infectious Diseases (NIAID), NHLBI, and NIH. R. D. Hernandez receives grant support from the NIH. The rest of the authors declares that they have no relevant conflicts of interest.


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