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X chromosome associations with chronic obstructive pulmonary disease and related phenotypes: an X chromosome-wide association study

Hayden, Lystra P; Hobbs, Brian D; Busch, Robert; Cho, Michael H; Liu, Ming; Lopes-Ramos, Camila M; Lomas, David A; ... DeMeo, Dawn L; + view all (2023) X chromosome associations with chronic obstructive pulmonary disease and related phenotypes: an X chromosome-wide association study. Respiratory Research , 24 (1) , Article 38. 10.1186/s12931-023-02337-1. Green open access

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Abstract

BACKGROUND: The association between genetic variants on the X chromosome to risk of COPD has not been fully explored. We hypothesize that the X chromosome harbors variants important in determining risk of COPD related phenotypes and may drive sex differences in COPD manifestations. METHODS: Using X chromosome data from three COPD-enriched cohorts of adult smokers, we performed X chromosome specific quality control, imputation, and testing for association with COPD case-control status, lung function, and quantitative emphysema. Analyses were performed among all subjects, then stratified by sex, and subsequently combined in meta-analyses. RESULTS: Among 10,193 subjects of non-Hispanic white or European ancestry, a variant near TMSB4X, rs5979771, reached genome-wide significance for association with lung function measured by FEV1/FVC ([Formula: see text] 0.020, SE 0.004, p 4.97 × 10-08), with suggestive evidence of association with FEV1 ([Formula: see text] 0.092, SE 0.018, p 3.40 × 10-07). Sex-stratified analyses revealed X chromosome variants that were differentially trending in one sex, with significantly different effect sizes or directions. CONCLUSIONS: This investigation identified loci influencing lung function, COPD, and emphysema in a comprehensive genetic association meta-analysis of X chromosome genetic markers from multiple COPD-related datasets. Sex differences play an important role in the pathobiology of complex lung disease, including X chromosome variants that demonstrate differential effects by sex and variants that may be relevant through escape from X chromosome inactivation. Comprehensive interrogation of the X chromosome to better understand genetic control of COPD and lung function is important to further understanding of disease pathology. Trial registration Genetic Epidemiology of COPD Study (COPDGene) is registered at ClinicalTrials.gov, NCT00608764 (Active since January 28, 2008). Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints Study (ECLIPSE), GlaxoSmithKline study code SCO104960, is registered at ClinicalTrials.gov, NCT00292552 (Active since February 16, 2006). Genetics of COPD in Norway Study (GenKOLS) holds GlaxoSmithKline study code RES11080, Genetics of Chronic Obstructive Lung Disease.

Type: Article
Title: X chromosome associations with chronic obstructive pulmonary disease and related phenotypes: an X chromosome-wide association study
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/s12931-023-02337-1
Publisher version: https://doi.org/10.1186/s12931-023-02337-1
Language: English
Additional information: © 2023 BioMed Central Ltd. This article is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
Keywords: COPD, Lung function, Emphysema, X chromosome-wide association study, Sex diferences, X chromosome inactivation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > VP: Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10164662
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