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Targeted resequencing showing novel common and rare genetic variants increases the risk of asthma in the Chinese Han population

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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 [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 [4]Guilin Med Univ, Affiliated Hosp, Dept Resp Med, Guilin, Peoples R China [5]306 Hosp Peoples Liberat Army, Dept Pediat, Beijing, Peoples R China [6]Inner Mongolia Med Univ, Affiliated Hosp 3, Dept Resp & Crit Care Med, Baotou, Peoples R China [7]Zhengzhou Univ, Henan Prov Peoples Hosp, Dept Resp Med, Zhengzhou, Peoples R China [8]Zhengzhou Univ, Peoples Hosp, Zhengzhou, Peoples R China [9]Three Gorges Univ, Renmin Hosp, Dept Resp & Crit Care Med, Yichang, Peoples R China [10]Hubei Univ Nationalities, Univ Hosp, Dept Resp Med, Enshi, Peoples R China [11]Wuhan Univ, Zhongnan Hosp, Dept Resp Med, Wuhan, Peoples R China [12]Qianjiang Cent Hosp, Dept Resp Med, Qianjiang, Peoples R China [13]Wuhan 1 Hosp, Dept Resp Med, Wuhan, Peoples R China [14]Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 10, Sch Med, Dept Resp Med, Shanghai, Peoples R China
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关键词: asthma common variant next‐ generation sequencing rare variant risk stratification

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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.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学实验技术
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 医学实验技术
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出版当年[2019]版:
Q3 MEDICAL LABORATORY TECHNOLOGY
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Q2 MEDICAL LABORATORY TECHNOLOGY

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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
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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
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