Background Although studies have identified hundreds of genetic variants associated with asthma risk, a large fraction of heritability remains unexplained, especially in Chinese individuals. Methods To identify genetic risk factors for asthma in a Han Chinese population, 211 asthma-related genes were first selected based on database searches. The genes were then sequenced for subjects in a Discovery Cohort (284 asthma patients and 205 older healthy controls) using targeted next-generation sequencing. Bioinformatics analysis and statistical association analyses were performed to reveal the associations between rare/common variants and asthma, respectively. The identified common risk variants underwent a validation analysis using a Replication Cohort (664 patients and 650 controls). Results First, we identified 18 potentially functional rare loss-of-function (LOF) variants in 21/284 (7.4%) of the asthma cases. Second, using burden tests, we found that the asthma group had nominally significant (p < 0.05) burdens of rare nonsynonymous variants in 10 genes. Third, 23 common single-nucleotide polymorphisms were associated with the risk of asthma, 7/23 (30.4%) and 9/23 (39.1%) of which were modestly significant (p < 9.1 x 10(-4)) in the Replication Cohort and Combined Cohort, respectively. According to our cumulative risk model involving the modestly associated alleles, middle- and high-risk subjects had a 2.0-fold (95% CI: 1.621-2.423, p = 2.624 x 10(-11)) and 6.0-fold (95% CI: 3.623-10.156, p = 7.086 x 10(-12)) increased risk of asthma, respectively, compared with low-risk subjects. Conclusion This study revealed novel rare and common genetic risk factors for asthma, and provided a cumulative risk model for asthma risk prediction and stratification in Han Chinese individuals.
基金:
Wuhan Young and Middle-aged Medical Key Talents Training Project; Integrated Innovative Team for Major Human Diseases Program of Tongji Medical College, Huazhong University of Sciences and Technology; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81570024, 81700413, 91742111]; Clinical Research Physician Program of Tongji Medical College, Huazhong University of Sciences and Technology
第一作者单位:[1]Huazhong Univ Sci & Technol, Wuhan Clin Med Res Ctr Chron Airway Dis,Tongji Ho, Key Cite Natl Clin Res Ctr Resp Dis,Tongji Med Co, Dept Resp & Crit Care Med,Key Lab Pulm Dis,Hlth M, Wuhan, Peoples R China
通讯作者:
通讯机构:[2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Cardiol,Dept Internal Med, Wuhan, Peoples R China[3]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Genet Diag Ctr, Wuhan, Peoples R China
推荐引用方式(GB/T 7714):
Liu Juan,Deng Yanhan,Yu Bo,et al.Targeted resequencing showing novel common and rare genetic variants increases the risk of asthma in the Chinese Han population[J].JOURNAL OF CLINICAL LABORATORY ANALYSIS.2021,35(6):doi:10.1002/jcla.23813.
APA:
Liu, Juan,Deng, Yanhan,Yu, Bo,Mo, Biwen,Luo, Liman...&Li, Zongzhe.(2021).Targeted resequencing showing novel common and rare genetic variants increases the risk of asthma in the Chinese Han population.JOURNAL OF CLINICAL LABORATORY ANALYSIS,35,(6)
MLA:
Liu, Juan,et al."Targeted resequencing showing novel common and rare genetic variants increases the risk of asthma in the Chinese Han population".JOURNAL OF CLINICAL LABORATORY ANALYSIS 35..6(2021)