posted on 2019-06-11, 09:04authored byJose M. Lorenzo-Salazar, Shwu-Fan Ma, Jonathan Jou, Pei-Chi Hou, Beatriz Guillen-Guio, Richard J. Allen, R. Gisli Jenkins, Louise V. Wain, Justin M. Oldham, Imre Noth, Carlos Flores
Background: Specific common and rare single nucleotide variants (SNVs) increase the likelihood
of developing sporadic idiopathic pulmonary fibrosis (IPF). We performed target enriched
sequencing on three loci previously identified by a genome-wide association study to gain a deeper
understanding of the full spectrum of IPF genetic risk and performed a two-stage case-control
association study.
Methods: A total of 1.7 Mb of DNA from 181 IPF patients was deep sequenced (100X) across
11p15.5, 14q21.3, and 17q21.31 loci. Comparisons were performed against 501 unrelated controls
and replication studies were assessed in 3,968 subjects.
Results: Thirty-six SNVs were associated with IPF susceptibility in the discovery stage
(p<5.0x10-8). After meta-analysis, the strongest association corresponded to rs35705950
(p=9.27x10-57) located upstream from the mucin 5B (MUC5B) gene. Additionally, a novel
association was found for two co-inherited low-frequency SNVs (<5%) in MUC5AC gene,
predicting a missense amino acid change in mucin 5AC (lowest p=2.27x10-22). Conditional and
haplotype analyses in 11p15.5 supported the existence of additional contribution of MUC5AC
variants to IPF risk.
Conclusions: This study reinforces the significant IPF associations of these loci and implicates
MUC5AC as another key player in IPF susceptibility.
Funding
This research was funded by the Instituto de Salud Carlos III (grant PI17/00610) and the Spanish
Ministry of Science, Innovation and Universities (grant RTC-2017-6471-1;
MINECO/AEI/FEDER, UE), which were co-financed by the European Regional Development
Funds ‘A way of making Europe’ from the European Union, and by the agreement OA17/008 with
Instituto Tecnológico y de Energías Renovables (ITER) (Carlos Flores, PhD) to strengthen
scientific and technological education, training, research, development and innovation in
Genomics, Personalized Medicine and Biotechnology; Pulmonary Fibrosis Foundation, Coalition
for Pulmonary Fibrosis grants, and 1RO1HL130796-01A1 (Imre Noth, MD); Core Subsidy Mini Awards of the Institute of Translational Medicine and Clinical and Translational Science Award
(UL1 RR024999) (Shwu-Fan Ma, PhD); and a fellowship from Agencia Canaria de Investigación,
Innovación y Sociedad de la Información (TESIS2015010057) co-funded by European Social
Fund (Bea Gillen-Guio). The research was partially supported by the NIHR Nottingham
Biomedical Research Centre; the views expressed are those of the author(s) and not necessarily
those of the NHS, the NIHR or the Department of Health. Louise V. Wain, PhD, holds a
GSK/British Lung Foundation Chair in Respiratory Research. R. Gisli Jenkins, MD, is an NIHR
Research Professor (RP-2017-08-014). The replication study has been conducted using the UK
Biobank Resource under application 8389.
History
Citation
ERJ Open Research, 2019, 5 (2)
Author affiliation
/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health Sciences
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