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Disease Risk Factors Identified through Shared Genetic Architecture and Electronic Medical Records

机译:通过共享的遗传结构和电子病历确定的疾病风险因素

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摘要

Genome-Wide Association Studies (GWAS) have identified genetic variants for thousands of diseases and traits. In this study, we evaluated the relationships between specific risk factors (for example, blood cholesterol level) and diseases on the basis of their shared genetic architecture in a comprehensive human disease-SNP association database (VARIMED), analyzing the findings from 8,962 published association studies. Similarity between traits and diseases was statistically evaluated based on their association with shared gene variants. We identified 120 disease-trait pairs that were statistically similar, and of these we tested and validated five previously unknown disease-trait associations by searching electronic medical records (EMR) from 3 independent medical centers for evidence of the trait appearing in patients within one year of first diagnosis of the disease. We validated that mean corpuscular volume is elevated before diagnosis of acute lymphoblastic leukemia; both have associated variants in the gene IKZF1. Platelet count is decreased before diagnosis of alcohol dependence; both are associated with variants in the gene C12orf51. Alkaline phosphatase level is elevated in patients with venous thromboembolism; both share variants in ABO. Similarly, we found prostate specific antigen and serum magnesium levels were altered before the diagnosis of lung cancer and gastric cancer, respectively. Disease-trait associations identifies traits that can potentially serve a prognostic function clinically; validating disease-trait associations through EMR can whether these candidates are risk factors for complex diseases.
机译:全基因组关联研究(GWAS)已确定了数千种疾病和特征的遗传变异。在这项研究中,我们基于人类疾病-SNP关联数据库(VARIMED)中共享的遗传结构,评估了特定危险因素(例如,血胆固醇水平)与疾病之间的关系,并分析了8,962篇已发表的协会的发现学习。根据性状和疾病与共享基因变异的关联,对性状和疾病之间的相似性进行统计评估。我们确定了120个统计学上相似的疾病特征对,并通过搜索来自3个独立医学中心的电子病历(EMR)来测试并验证了五个以前未知的疾病特征关联,以证明该特征在一年内出现在患者中该疾病的首次诊断。我们证实,在诊断为急性淋巴细胞白血病之前,平均红细胞体积会增加。两者在基因IKZF1中都有相关的变体。诊断为酒精依赖之前,血小板计数会减少;两者均与基因C12orf51中的变体相关。静脉血栓栓塞患者的碱性磷酸酶水平升高;两者都在ABO中共享变体。同样,我们发现在诊断肺癌和胃癌之前,前列腺特异性抗原和血清镁水平分别发生了改变。疾病特征关联确定了可以在临床上预后的潜在特征;通过EMR验证疾病特征关联可以确定这些候选者是否是复杂疾病的危险因素。

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