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Identification of IL6R and chromosome 11q13.5 as risk loci for asthma.


ABSTRACT:

Background

We aimed to identify novel genetic variants affecting asthma risk, since these might provide novel insights into molecular mechanisms underlying the disease.

Methods

We did a genome-wide association study (GWAS) in 2669 physician-diagnosed asthmatics and 4528 controls from Australia. Seven loci were prioritised for replication after combining our results with those from the GABRIEL consortium (n=26,475), and these were tested in an additional 25,358 independent samples from four in-silico cohorts. Quantitative multi-marker scores of genetic load were constructed on the basis of results from the GABRIEL study and tested for association with asthma in our Australian GWAS dataset.

Findings

Two loci were confirmed to associate with asthma risk in the replication cohorts and reached genome-wide significance in the combined analysis of all available studies (n=57,800): rs4129267 (OR 1·09, combined p=2·4×10(-8)) in the interleukin-6 receptor (IL6R) gene and rs7130588 (OR 1·09, p=1·8×10(-8)) on chromosome 11q13.5 near the leucine-rich repeat containing 32 gene (LRRC32, also known as GARP). The 11q13.5 locus was significantly associated with atopic status among asthmatics (OR 1·33, p=7×10(-4)), suggesting that it is a risk factor for allergic but not non-allergic asthma. Multi-marker association results are consistent with a highly polygenic contribution to asthma risk, including loci with weak effects that might be shared with other immune-related diseases, such as NDFIP1, HLA-B, LPP, and BACH2.

Interpretation

The IL6R association further supports the hypothesis that cytokine signalling dysregulation affects asthma risk, and raises the possibility that an IL6R antagonist (tocilizumab) may be effective to treat the disease, perhaps in a genotype-dependent manner. Results for the 11q13.5 locus suggest that it directly increases the risk of allergic sensitisation which, in turn, increases the risk of subsequent development of asthma. Larger or more functionally focused studies are needed to characterise the many loci with modest effects that remain to be identified for asthma.

Funding

National Health and Medical Research Council of Australia. A full list of funding sources is provided in the webappendix.

SUBMITTER: Ferreira MA 

PROVIDER: S-EPMC3517659 | biostudies-literature | 2011 Sep

REPOSITORIES: biostudies-literature

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Publications

Identification of IL6R and chromosome 11q13.5 as risk loci for asthma.

Ferreira Manuel A R MA   Matheson Melanie C MC   Duffy David L DL   Marks Guy B GB   Hui Jennie J   Le Souëf Peter P   Danoy Patrick P   Baltic Svetlana S   Nyholt Dale R DR   Jenkins Mark M   Hayden Catherine C   Willemsen Gonneke G   Ang Wei W   Kuokkanen Mikko M   Beilby John J   Cheah Faang F   de Geus Eco J C EJ   Ramasamy Adaikalavan A   Vedantam Sailaja S   Salomaa Veikko V   Madden Pamela A PA   Heath Andrew C AC   Hopper John L JL   Visscher Peter M PM   Musk Bill B   Leeder Stephen R SR   Jarvelin Marjo-Riitta MR   Pennell Craig C   Boomsma Dorret I DI   Hirschhorn Joel N JN   Walters Haydn H   Martin Nicholas G NG   James Alan A   Jones Graham G   Abramson Michael J MJ   Robertson Colin F CF   Dharmage Shyamali C SC   Brown Matthew A MA   Montgomery Grant W GW   Thompson Philip J PJ  

Lancet (London, England) 20110901 9795


<h4>Background</h4>We aimed to identify novel genetic variants affecting asthma risk, since these might provide novel insights into molecular mechanisms underlying the disease.<h4>Methods</h4>We did a genome-wide association study (GWAS) in 2669 physician-diagnosed asthmatics and 4528 controls from Australia. Seven loci were prioritised for replication after combining our results with those from the GABRIEL consortium (n=26,475), and these were tested in an additional 25,358 independent samples  ...[more]

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