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Gene-based association study of rare variants in children of diverse ancestries implicates TNFRSF21 in the development of allergic asthma - 08/03/24

Doi : 10.1016/j.jaci.2023.10.023 
Selene Clay, PhD a, , Jehan Alladina, MD b, c, Neal P. Smith, MS c, d, e, Cynthia M. Visness, PhD f, Robert A. Wood, MD g, George T. O’Connor, MD, MS h, Robyn T. Cohen, MD h, Gurjit K. Khurana Hershey, MD, PhD i, Carolyn M. Kercsmar, MD j, Rebecca S. Gruchalla, MD, PhD k, Michelle A. Gill, MD l, Andrew H. Liu, MD m, Haejin Kim, MD n, Meyer Kattan, MD o, Leonard B. Bacharier, MD p, Deepa Rastogi, MD q, Katherine Rivera-Spoljaric, MD r, Rachel G. Robison, MD p, s, Peter J. Gergen, MD t, William W. Busse, MD u, Alexandra-Chloe Villani, PhD c, d, e, Josalyn L. Cho, MD v, Benjamin D. Medoff, MD b, c, James E. Gern, MD w, Daniel J. Jackson, MD w, Carole Ober, PhD a, Matthew Dapas, PhD a
a Department of Human Genetics, University of Chicago, Chicago, Ill 
b Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Mass 
c Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Mass 
d Broad Institute of Massachusetts Institute of Technology and Harvard, Cambridge, Mass 
e Massachusetts General Hospital Cancer Center, Boston, Mass 
f Rho, Inc, Durham, NC 
g Pediatric Allergy and Immunology Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md 
h Department of Pediatrics, Boston University School of Medicine, Boston, Mass 
i Division of Asthma Research, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio 
j Division of Pulmonary Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio 
k Internal Medicine and Pediatrics, University of Texas Southwestern Medical Center, Dallas, Tex 
l Pediatric Infectious Diseases, St. Louis Children’s Hospital, St Louis, Mo 
m Breathing Institute, Children’s Hospital Colorado, Aurora, Colo 
n Allergy and Immunology, Henry Ford Health, Detroit, Mich 
o Department of Pediatrics, Columbia University Medical Center, New York, NY 
p Department of Pediatrics, Monroe Carell Jr Children’s Hospital at Vanderbilt University Medical Center, Nashville, Tenn 
q Division of Pulmonology and Sleep Medicine, Children’s National Hospital, Washington, DC 
r Department of Pediatric Allergy, Immunology, and Pulmonary Medicine, Washington University School of Medicine, St Louis, Mo 
s Ann & Robert H. Lurie Children’s Hospital, Chicago, Ill 
t National Institute of Allergy and Infectious Diseases, Rockville, Md 
u Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wis 
v Division of Pulmonary, Critical Care and Occupational Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 
w Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wis 

Corresponding author: Selene Clay, PhD, The University of Chicago, Human Genetics, 928 E. 58th St, Chicago, IL 60637.The University of ChicagoHuman Genetics928 E. 58th StChicagoIL60637

Abstract

Background

Most genetic studies of asthma and allergy have focused on common variation in individuals primarily of European ancestry. Studying the role of rare variation in quantitative phenotypes and in asthma phenotypes in populations of diverse ancestries can provide additional, important insights into the development of these traits.

Objective

We sought to examine the contribution of rare variants to different asthma- or allergy-associated quantitative traits in children with diverse ancestries and explore their role in asthma phenotypes.

Methods

We examined whole-genome sequencing data from children participants in longitudinal studies of asthma (n = 1035; parent-identified as 67% Black and 25% Hispanic) to identify rare variants (minor allele frequency < 0.01). We assigned variants to genes and tested for associations using an omnibus variant-set test between each of 24,902 genes and 8 asthma-associated quantitative traits. On combining our results with external data on predicted gene expression in humans and mouse knockout studies, we identified 3 candidate genes. A burden of rare variants in each gene and in a combined 3-gene score was tested for its associations with clinical phenotypes of asthma. Finally, published single-cell gene expression data in lower airway mucosal cells after allergen challenge were used to assess transcriptional responses to allergen.

Results

Rare variants in USF1 were significantly associated with blood neutrophil count (P = 2.18 × 10−7); rare variants in TNFRSF21 with total IgE (P = 6.47 × 10−6) and PIK3R6 with eosinophil count (P = 4.10 × 10−5) reached suggestive significance. These 3 findings were supported by independent data from human and mouse studies. A burden of rare variants in TNFRSF21 and in a 3-gene score was associated with allergy-related phenotypes in cohorts of children with mild and severe asthma. Furthermore, TNFRSF21 was significantly upregulated in bronchial basal epithelial cells from adults with allergic asthma but not in adults with allergies (but not asthma) after allergen challenge.

Conclusions

We report novel associations between rare variants in genes and allergic and inflammatory phenotypes in children with diverse ancestries, highlighting TNFRSF21 as contributing to the development of allergic asthma.

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Key words : Whole-genome sequencing, total IgE, neutrophils, eosinophils

Abbreviations used : AA, AC, APIC, GWAS, LW-HA, MAF, PIK3R6, ppb, STAAR, TNFRSF21, TSS, URECA, USF1, VAMP3


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Vol 153 - N° 3

P. 809-820 - mars 2024 Retour au numéro
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