New genetic signals for lung function highlight pathways and chronic obstructive pulmonary disease associations across multiple ancestries.

Shrine, NickORCID logo; Guyatt, Anna LORCID logo; Erzurumluoglu, A Mesut; Jackson, Victoria E; Hobbs, Brian DORCID logo; Melbourne, Carl A; Batini, Chiara; Fawcett, Katherine A; Song, Kijoung; Sakornsakolpat, PhuwanatORCID logo; +100 more...Li, Xingnan; Boxall, Ruth; Reeve, Nicola F; Obeidat, Ma'enORCID logo; Zhao, Jing Hua; Wielscher, Matthias; Weiss, StefanORCID logo; Kentistou, Katherine AORCID logo; Cook, James P; Sun, Benjamin BORCID logo; Zhou, Jian; Hui, Jennie; Karrasch, Stefan; Imboden, Medea; Harris, Sarah E; Marten, Jonathan; Enroth, StefanORCID logo; Kerr, Shona M; Surakka, Ida; Vitart, VeroniqueORCID logo; Lehtimäki, Terho; Allen, Richard JORCID logo; Bakke, Per S; Beaty, Terri HORCID logo; Bleecker, Eugene R; Bossé, YohanORCID logo; Brandsma, Corry-Anke; Chen, Zhengming; Crapo, James D; Danesh, John; DeMeo, Dawn L; Dudbridge, FrankORCID logo; Ewert, Ralf; Gieger, Christian; Gulsvik, Amund; Hansell, Anna L; Hao, Ke; Hoffman, Joshua D; Hokanson, John E; Homuth, Georg; Joshi, Peter KORCID logo; Joubert, Philippe; Langenberg, Claudia; Li, Xuan; Li, Liming; Lin, Kuang; Lind, Lars; Locantore, Nicholas; Luan, Jian'an; Mahajan, AnubhaORCID logo; Maranville, Joseph C; Murray, AlisonORCID logo; Nickle, David C; Packer, Richard; Parker, Margaret M; Paynton, Megan L; Porteous, David JORCID logo; Prokopenko, Dmitry; Qiao, Dandi; Rawal, Rajesh; Runz, Heiko; Sayers, IanORCID logo; Sin, Don D; Smith, Blair HORCID logo; Soler Artigas, María; Sparrow, David; Tal-Singer, RuthORCID logo; Timmers, Paul RHJORCID logo; Van den Berge, Maarten; Whittaker, John C; Woodruff, Prescott G; Yerges-Armstrong, Laura M; Troyanskaya, Olga GORCID logo; Raitakari, Olli T; Kähönen, Mika; Polašek, Ozren; Gyllensten, Ulf; Rudan, IgorORCID logo; Deary, Ian J; Probst-Hensch, Nicole M; Schulz, Holger; James, Alan L; Wilson, James FORCID logo; Stubbe, Beate; Zeggini, EleftheriaORCID logo; Jarvelin, Marjo-Riitta; Wareham, Nick; Silverman, Edwin K; Hayward, CarolineORCID logo; Morris, Andrew PORCID logo; Butterworth, Adam SORCID logo; Scott, Robert A; Walters, Robin GORCID logo; Meyers, Deborah A; Cho, Michael HORCID logo; Strachan, David PORCID logo; Hall, Ian P; Tobin, Martin DORCID logo; Wain, Louise VORCID logo; and Understanding Society Scientific Group (2019) New genetic signals for lung function highlight pathways and chronic obstructive pulmonary disease associations across multiple ancestries. NATURE GENETICS, 51 (3). pp. 481-493. ISSN 1061-4036 DOI: 10.1038/s41588-018-0321-7
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Reduced lung function predicts mortality and is key to the diagnosis of chronic obstructive pulmonary disease (COPD). In a genome-wide association study in 400,102 individuals of European ancestry, we define 279 lung function signals, 139 of which are new. In combination, these variants strongly predict COPD in independent populations. Furthermore, the combined effect of these variants showed generalizability across smokers and never smokers, and across ancestral groups. We highlight biological pathways, known and potential drug targets for COPD and, in phenome-wide association studies, autoimmune-related and other pleiotropic effects of lung function-associated variants. This new genetic evidence has potential to improve future preventive and therapeutic strategies for COPD.


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