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  • 1
    In: Nature, Springer Science and Business Media LLC, Vol. 607, No. 7917 ( 2022-07-07), p. 97-103
    Abstract: Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care 1 or hospitalization 2–4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling ( IL10RB and PLSCR1 ), leucocyte differentiation ( BCL11A ) and blood-type antigen secretor status ( FUT2 ). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase ( ATP11A ), and increased expression of a mucin ( MUC1 )—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules ( SELE , ICAM5 and CD209 ) and the coagulation factor F8 , all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease.
    Type of Medium: Online Resource
    ISSN: 0028-0836 , 1476-4687
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
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  • 2
    In: Nature, Springer Science and Business Media LLC, Vol. 600, No. 7889 ( 2021-12-16), p. 472-477
    Abstract: The genetic make-up of an individual contributes to the susceptibility and response to viral infection. Although environmental, clinical and social factors have a role in the chance of exposure to SARS-CoV-2 and the severity of COVID-19 1,2 , host genetics may also be important. Identifying host-specific genetic factors may reveal biological mechanisms of therapeutic relevance and clarify causal relationships of modifiable environmental risk factors for SARS-CoV-2 infection and outcomes. We formed a global network of researchers to investigate the role of human genetics in SARS-CoV-2 infection and COVID-19 severity. Here we describe the results of three genome-wide association meta-analyses that consist of up to 49,562 patients with COVID-19 from 46 studies across 19 countries. We report 13 genome-wide significant loci that are associated with SARS-CoV-2 infection or severe manifestations of COVID-19. Several of these loci correspond to previously documented associations to lung or autoimmune and inflammatory diseases 3–7 . They also represent potentially actionable mechanisms in response to infection. Mendelian randomization analyses support a causal role for smoking and body-mass index for severe COVID-19 although not for type II diabetes. The identification of novel host genetic factors associated with COVID-19 was made possible by the community of human genetics researchers coming together to prioritize the sharing of data, results, resources and analytical frameworks. This working model of international collaboration underscores what is possible for future genetic discoveries in emerging pandemics, or indeed for any complex human disease.
    Type of Medium: Online Resource
    ISSN: 0028-0836 , 1476-4687
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
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  • 3
    In: Nature, Springer Science and Business Media LLC, Vol. 621, No. 7977 ( 2023-09-07), p. E7-E26
    Type of Medium: Online Resource
    ISSN: 0028-0836 , 1476-4687
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 120714-3
    detail.hit.zdb_id: 1413423-8
    SSG: 11
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  • 4
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 77, No. 13_Supplement ( 2017-07-01), p. LB-162-LB-162
    Abstract: Introduction: Around 63 common risk variants have been associated with colorectal cancer (CRC) through genome-wide association studies (GWAS) in European and Asian populations; these variants, together with the high penetrance genes responsible for 5% of the cases, do not completely explain the CRC heritability estimated at ~ 35%. Objective: To discover new common variants associated with the risk of colorectal tumors, taking advantage of the high level of admixture in Latino populations. Materials and methods: We performed a candidate gene association (CG) and GWAS analyses, in a multicenter case-control study that included 313 cases of CRC, 200 cases of adenomatous polyps (AP) and 506 controls from six Colombian cities. The role of these common variants was assessed by basic SNP association analyses (X2) and logistic regressions adjusted for age, sex and ancestry proportions. Selected SNPs were genotyped by TaqMan in additional samples. Results: European ancestry was associated with the risk of AP while African ancestry was associated with the risk of both, AP and CCR, (P ≤ 0.01). In the adjusted logistic regression analyses of the CG study, we found that the minor allele (A) of the SNP 14q11.2:rs1760898 (C & gt;A) was associated with the risk of CRC (OR 0.48; 95% CI 0.33-0.69; UNADJ P = 6.8 x 10-5; 100,000 Pperm = 0.03). This association persisted in the adjusted logistic regressions analyses with additional samples genotyped by TaqMan (P = 0.03). In the basic SNP association analyses (X2) of the GWAS study, we found that the minor allele (A) of the SNP 17q25.3:rs1065768 (G & gt;A) was associated with the risk of AP (OR 0.35; 95% CI 0.24 -0.51; UNADJ P = 3.4 x 10-8; Bonferroni corrected P = 0.02). This association persisted after including additional samples genotyped by TaqMan, both, in the basic SNP analysis (P = 1.7 x 10-7) and in the adjusted logistic regressions analysis (P = 9.7 x 10-5). Moreover, the association remained when other variables were also included in the model, such as the first 10 major principal components of genetic variability, ancestry proportions along chromosome 17 and locus-specific ancestry (P = 1.7 x 10-4). Conclusions: The SNP rs1760898 (TEP1, Telomerase Associated Protein 1 gene) confers a change of Asparagine (Asn) to Lysine (Lys) within the RNA binding domain, TROVE. This change could affect the activity of telomerase enzyme that has an important role in cancer development. The SNP rs1065768 (3'UTR TK1, Thymidine kinase 1 gene) could affect mRNA stability and protein production of TK1, which is essential in DNA synthesis. Although, functional analyses are required to confirm their potential role in colorectal tumorogenesis, our findings help increase our understanding about the biological basis for the development of colorectal tumors, as well as will contribute to the overall knowledge on the heritability of CRC. Citation Format: María Carolina Sanabria-Salas, Konrad Rawlik, Albert Tenesa, Adriana Umaña-Pérez, Martha Lucía Serrano-López, Myriam Sánchez de Gómez, Jovanny Zabaleta, Gustavo Hernández-Suárez. Common genetic variants within TEP1 gene (14q11.2 locus) and TK1 gene (17q25.3 locus) are associated with the risk of colorectal tumors in Latinos [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr LB-162. doi:10.1158/1538-7445.AM2017-LB-162
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2017
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  • 5
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2018
    In:  Cancer Epidemiology, Biomarkers & Prevention Vol. 27, No. 7_Supplement ( 2018-07-01), p. A37-A37
    In: Cancer Epidemiology, Biomarkers & Prevention, American Association for Cancer Research (AACR), Vol. 27, No. 7_Supplement ( 2018-07-01), p. A37-A37
    Abstract: Introduction: Colorectal cancer (CRC) is one of the most common cancers worldwide, with higher incidence among more developed countries. However, mortality rates are higher and increasing in less-developed regions, including Colombia. Incidence and mortality rates of CRC vary across the country, with the lowest rates among populations with increased concentration of Native Americans. Our group previously reported that increased European and African ancestry was associated with higher adenomatous polyps (AP) and CRC risk in Colombians. Based on this observation we hypothesize that genetic contribution to the observed regional variation on CRC development in Colombia might be partly explained by the influence of genetic variants with different frequency distribution in the European, Amerindian, and African ancestral components. Objective: To test our hypothesis we performed a genome-wide association study (GWAS) of colorectal tumors in Colombian CRC and AP cases and controls. Materials and Methods: We conducted a GWAS of Colombians from different regions of the country that included 162 CRC cases, 122 AP cases, and 131 controls. Only SNPs with MAF ≥ 0.05 were included. The role of these common variants was assessed by logistic regression models adjusted for age, sex, and the first 10 principal components (PCs) of the genetic variation. Analyses were performed for a total of 606410 SNPs. The P value threshold for genome-wide significant SNPs was set at the traditional value of ≤ 5 × 10−8. Results: We replicated some of the previously reported associations (8 out of 44 SNPs, P ≤ 0.05) of which 7 had directionally concordant ORs. Regarding the remaining 36 published risk variants, 25 had directionally concordant ORs, even though neither of them was significant at nominal P ≤ 0.05. None of the SNPs analyzed passed the threshold for genome-wide significance. However, we found multiple suggestive associations. One novel SNP within the region 2q11.2-q12 near the gene MAP4K4 was associated with the risk of AP (rs4280476-G; OR 0.36; 95% CI 0.23-0.56; P = 8.7 x 10-6). We also found four novel SNPs across three regions with suggestive CRC risk associations: rs10514122-A located in the locus 5q14 near the TBCA gene (OR 0.30; 95% CI 0.18-0.49; P = 3.6 x 10-6), rs10746883-G (OR 0.37; 95% CI 0.25-0.56; P = 3.2 x 10-6) and the rs10781032-A (OR 0.35; 95% CI 0.22-0.53; P = 1.7 x 10-6), in high LD with each other (R2 = 0.81), located in the locus 9q21.1-q21.2 near the genes TRPM3 and TMEM2 and the SNP rs2800641-G located in the region 6q25.2 near the MYCT1 gene (OR 2.96; 95% CI 1.83-4.77; P = 8.9 x 10-6). The inflation factors (λ), when comparing AP or CRC cases vs controls, were 1.05 and 1.04, respectively, indicating appropriate control for population stratification. Finally, it is of note that the MAF reported for the 5 novel SNPs identified in our study shows important differences between European, Asian, and African reference populations from the public database 1,000 genomes. Conclusions: In this GWAS of AP and CRC in individuals from Colombia, we replicated some of the previously reported associations and identified suggestive signals for 5 novel risk alleles located at four loci (2q11.2-q12, 5q14, 9q21.1-q21.2, and 6q25.2). Further work is needed to replicate our findings in other Latin American populations. Citation Format: Maria Carolina Sanabria-Salas, Laura Fejerman, Konrad Rawlik, Albert Tenesa, Martha L. Serrano-Lopez, Jovanny Zabaleta, Gustavo A. Hernandez-Suarez. Genome-wide association study of colorectal tumors in Latin American individuals from Colombia [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr A37.
    Type of Medium: Online Resource
    ISSN: 1055-9965 , 1538-7755
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2018
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  • 6
    In: Genome Medicine, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2021-12)
    Abstract: The apolipoprotein E ( APOE ) ε4 allele is the strongest genetic risk factor for late onset Alzheimer’s disease, whilst the ε2 allele confers protection. Previous studies report differential DNA methylation of APOE between ε4 and ε2 carriers, but associations with epigenome-wide methylation have not previously been characterised. Methods Using the EPIC array, we investigated epigenome-wide differences in whole blood DNA methylation patterns between Alzheimer’s disease-free APOE ε4 ( n  = 2469) and ε2 ( n  = 1118) carriers from the two largest single-cohort DNA methylation samples profiled to date. Using a discovery, replication and meta-analysis study design, methylation differences were identified using epigenome-wide association analysis and differentially methylated region (DMR) approaches. Results were explored using pathway and methylation quantitative trait loci (meQTL) analyses. Results We obtained replicated evidence for DNA methylation differences in a ~ 169 kb region, which encompasses part of APOE and several upstream genes. Meta-analytic approaches identified DNA methylation differences outside of APOE : differentially methylated positions were identified in DHCR24 , LDLR and ABCG1 (2.59 × 10 −100  ≤  P  ≤ 2.44 × 10 −8 ) and DMRs were identified in SREBF2 and LDLR (1.63 × 10 −4  ≤  P  ≤ 3.01 × 10 −2 ). Pathway and meQTL analyses implicated lipid-related processes and high-density lipoprotein cholesterol was identified as a partial mediator of the methylation differences in ABCG1 and DHCR24 . Conclusions APOE ε4 vs. ε2 carrier status is associated with epigenome-wide methylation differences in the blood. The loci identified are located in trans as well as cis to APOE and implicate genes involved in lipid homeostasis.
    Type of Medium: Online Resource
    ISSN: 1756-994X
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
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  • 7
    In: Revista Colombiana de Cancerología, Instituto Nacional de Cancerologia, Vol. 21, No. 1 ( 2017-01), p. 70-
    Type of Medium: Online Resource
    ISSN: 0123-9015
    Language: Spanish
    Publisher: Instituto Nacional de Cancerologia
    Publication Date: 2017
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  • 8
    In: Nature Genetics, Springer Science and Business Media LLC, Vol. 54, No. 9 ( 2022-09), p. 1438-1447
    Type of Medium: Online Resource
    ISSN: 1061-4036 , 1546-1718
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 1494946-5
    SSG: 12
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  • 9
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2018
    In:  Nature Genetics Vol. 50, No. 11 ( 2018-11), p. 1593-1599
    In: Nature Genetics, Springer Science and Business Media LLC, Vol. 50, No. 11 ( 2018-11), p. 1593-1599
    Type of Medium: Online Resource
    ISSN: 1061-4036 , 1546-1718
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 1494946-5
    SSG: 12
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  • 10
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  Nature Genetics Vol. 55, No. 1 ( 2023-01), p. 17-18
    In: Nature Genetics, Springer Science and Business Media LLC, Vol. 55, No. 1 ( 2023-01), p. 17-18
    Type of Medium: Online Resource
    ISSN: 1061-4036 , 1546-1718
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1494946-5
    SSG: 12
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