Population-Based Genome-wide Association Studies Reveal Six Loci Influencing Plasma Levels of Liver Enzymes
AMERICAN JOURNAL OF HUMAN GENETICS
Authors: Yuan, Xin; Waterworth, Dawn; Perry, John R. B.; Lim, Noha; Song, Kijoung; Chambers, John C.; Zhang, Weihua; Vollenweider, Peter; Stirnadel, Heide; Johnson, Toby; Bergmann, Sven; Beckmann, Noam D.; Li, Yun; Ferrucci, Luigi; Melzer, David; Hernandez, Dena; Singleton, Andrew; Scott, James; Elliott, Paul; Waeber, Gerard; Cardon, Lon; Frayling, Timothy M.; Kooner, Jaspal S.; Mooser, Vincent
Abstract
Plasma liver-enzyme tests are widely used in the clinic for the diagnosis of liver diseases and for monitoring the response to drug treatment. There is considerable evidence that human genetic variation influences plasma levels of liver enzymes. However, such genetic variation has not been systematically assessed. In the present Study, we performed a genome-wide association study of plasma liver-enzyme levels in three populations (total n = 7715) with replication in three additional cohorts (total n 4704). We identified two loci influencing plasma levels of alanine-aminotransferase (ALT) (CPN1-ERLIN1-CHUK on chromosome 10 and PNPLA3-SAMM50 on chromosome 22), one locus influencing gamma-glutamyl transferase (GGT) levels (HNF1A on chromosome 12), and three loci for alkaline phosphatase (ALP) levels (ALPL on chromosome 1, GPLD1 on chromosome 6, and JMJD1C-REEP3 on chromosome 10). In addition, we confirmed the associations between the GGTI locus and GGT levels and between the ABO locus and ALP levels. None of the ALP-associated SNPs were associated with other liver tests, suggesting intestine and/or bone specificity. The mechanisms underlying the associations may involve cis- or trans-transcriptional effects (some of the identified variants were associated with mRNA transcription in human liver or lymphoblastoid cells), dysfunction of the encoded proteins (caused by missense variations at the functional domains), or other unknown pathways. These findings may help in the interpretation of liver-enzyme tests and provide candidate genes for liver diseases of viral, metabolic, autoimmune, or toxic origin. The specific associations with ALP levels may point to genes for bone or intestinal diseases.
Expanding the Genetic and Phenotypic Spectrum of Popliteal Pterygium Disorders
AMERICAN JOURNAL OF MEDICAL GENETICS PART A
Authors: Leslie, Elizabeth J.; O'Sullivan, James; Cunningham, Michael L.; Singh, Ankur; Goudy, Steven L.; Ababneh, Faroug; Alsubaie, Lamia; Ch'ng, Gaik-Siew; van der Laar, Ingrid M. B. H.; Hoogeboom, A. Jeannette M.; Dunnwald, Martine; Kapoor, Seema; Jiramongkolchai, Pawina; Standley, Jennifer; Manak, J. Robert; Murray, Jeffrey C.; Dixon, Michael J.
Abstract
The popliteal pterygia syndromes are a distinct subset of the hundreds of Mendelian orofacial clefting syndromes. Popliteal pterygia syndromes have considerable variability in severity and in the associated phenotypic features but are all characterized by cutaneous webbing across one or more major joints, cleft lip and/or palate, syndactyly, and genital malformations. Heterozygous mutations in IRF6 cause popliteal pterygium syndrome (PPS) while homozygous mutations in RIPK4 or CHUK (IKKA) cause the more severe Bartsocas-Papas syndrome (BPS) and Cocoon syndrome, respectively. In this study, we report mutations in six pedigrees with children affected with PPS or BPS. Using a combination of Sanger and exome sequencing, we report the first case of an autosomal recessive popliteal pterygium syndrome caused by homozygous mutation of IRF6 and the first case of uniparental disomy of chromosome 21 leading to a recessive disorder. We also demonstrate that mutations in RIPK4 can cause features with a range of severity along the PPS-BPS spectrum and that mutations in IKKA can cause a range of features along the BPS-Cocoon spectrum. Our findings have clinical implications for genetic counseling of families with pterygia syndromes and further implicate IRF6, RIPK4, and CHUK (IKKA) in potentially interconnected pathways governing epidermal and craniofacial development. (c) 2015 Wiley Periodicals, Inc.