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Identification of low-frequency variants associated with gout and serum uric acid levels
Authors:Sulem Patrick  Gudbjartsson Daniel F  Walters G Bragi  Helgadottir Hafdis T  Helgason Agnar  Gudjonsson Sigurjon A  Zanon Carlo  Besenbacher Soren  Bjornsdottir Gyda  Magnusson Olafur T  Magnusson Gisli  Hjartarson Eirikur  Saemundsdottir Jona  Gylfason Arnaldur  Jonasdottir Adalbjorg  Holm Hilma  Karason Ari  Rafnar Thorunn  Stefansson Hreinn  Andreassen Ole A  Pedersen Jesper H  Pack Allan I  de Visser Marieke C H  Kiemeney Lambertus A  Geirsson Arni J  Eyjolfsson Gudmundur I  Olafsson Isleifur  Kong Augustine  Masson Gisli  Jonsson Helgi  Thorsteinsdottir Unnur  Jonsdottir Ingileif  Stefansson Kari
Institution:deCODE genetics, Reykjavik, Iceland. patrick.sulem@decode.is
Abstract:We tested 16 million SNPs, identified through whole-genome sequencing of 457 Icelanders, for association with gout and serum uric acid levels. Genotypes were imputed into 41,675 chip-genotyped Icelanders and their relatives, for effective sample sizes of 968 individuals with gout and 15,506 individuals for whom serum uric acid measurements were available. We identified a low-frequency missense variant (c.1580C>G) in ALDH16A1 associated with gout (OR = 3.12, P = 1.5 × 10(-16), at-risk allele frequency = 0.019) and serum uric acid levels (effect = 0.36 s.d., P = 4.5 × 10(-21)). We confirmed the association with gout by performing Sanger sequencing on 6,017 Icelanders. The association with gout was stronger in males relative to females. We also found a second variant on chromosome 1 associated with gout (OR = 1.92, P = 0.046, at-risk allele frequency = 0.986) and serum uric acid levels (effect = 0.48 s.d., P = 4.5 × 10(-16)). This variant is close to a common variant previously associated with serum uric acid levels. This work illustrates how whole-genome sequencing data allow the detection of associations between low-frequency variants and complex traits.
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