Common and Rare Genetic Variants That Could Contribute to Severe Otitis Media in an Australian Aboriginal Population.

NR3C1 glucocorticoid receptor NREP neuronal regeneration related protein cilium assembly genetic susceptibility otitis media stereociliary bundles

Journal

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
ISSN: 1537-6591
Titre abrégé: Clin Infect Dis
Pays: United States
ID NLM: 9203213

Informations de publication

Date de publication:
16 11 2021
Historique:
received: 11 11 2020
accepted: 09 03 2021
pubmed: 12 3 2021
medline: 23 11 2021
entrez: 11 3 2021
Statut: ppublish

Résumé

Our goal was to identify genetic risk factors for severe otitis media (OM) in Aboriginal Australians. Illumina® Omni2.5 BeadChip and imputed data were compared between 21 children with severe OM (multiple episodes chronic suppurative OM and/or perforations or tympanic sclerosis) and 370 individuals without this phenotype, followed by FUnctional Mapping and Annotation (FUMA). Exome data filtered for common (EXaC_all ≥ 0.1) putative deleterious variants influencing protein coding (CADD-scaled scores ≥15] were used to compare 15 severe OM cases with 9 mild cases (single episode of acute OM recorded over ≥3 consecutive years). Rare (ExAC_all ≤ 0.01) such variants were filtered for those present only in severe OM. Enrichr was used to determine enrichment of genes contributing to pathways/processes relevant to OM. FUMA analysis identified 2 plausible genetic risk loci for severe OM: NR3C1 (Pimputed_1000G = 3.62 × 10-6) encoding the glucocorticoid receptor, and NREP (Pimputed_1000G = 3.67 × 10-6) encoding neuronal regeneration-related protein. Exome analysis showed: (i) association of severe OM with variants influencing protein coding (CADD-scaled ≥ 15) in a gene-set (GRXCR1, CDH23, LRP2, FAT4, ARSA, EYA4) enriched for Mammalian Phenotype Level 4 abnormal hair cell stereociliary bundle morphology and related phenotypes; (ii) rare variants influencing protein coding only seen in severe OM provided gene-sets enriched for "abnormal ear" (LMNA, CDH23, LRP2, MYO7A, FGFR1), integrin interactions, transforming growth factor signaling, and cell projection phenotypes including hair cell stereociliary bundles and cilium assembly. This study highlights interacting genes and pathways related to cilium structure and function that may contribute to extreme susceptibility to OM in Aboriginal Australian children.

Sections du résumé

BACKGROUND
Our goal was to identify genetic risk factors for severe otitis media (OM) in Aboriginal Australians.
METHODS
Illumina® Omni2.5 BeadChip and imputed data were compared between 21 children with severe OM (multiple episodes chronic suppurative OM and/or perforations or tympanic sclerosis) and 370 individuals without this phenotype, followed by FUnctional Mapping and Annotation (FUMA). Exome data filtered for common (EXaC_all ≥ 0.1) putative deleterious variants influencing protein coding (CADD-scaled scores ≥15] were used to compare 15 severe OM cases with 9 mild cases (single episode of acute OM recorded over ≥3 consecutive years). Rare (ExAC_all ≤ 0.01) such variants were filtered for those present only in severe OM. Enrichr was used to determine enrichment of genes contributing to pathways/processes relevant to OM.
RESULTS
FUMA analysis identified 2 plausible genetic risk loci for severe OM: NR3C1 (Pimputed_1000G = 3.62 × 10-6) encoding the glucocorticoid receptor, and NREP (Pimputed_1000G = 3.67 × 10-6) encoding neuronal regeneration-related protein. Exome analysis showed: (i) association of severe OM with variants influencing protein coding (CADD-scaled ≥ 15) in a gene-set (GRXCR1, CDH23, LRP2, FAT4, ARSA, EYA4) enriched for Mammalian Phenotype Level 4 abnormal hair cell stereociliary bundle morphology and related phenotypes; (ii) rare variants influencing protein coding only seen in severe OM provided gene-sets enriched for "abnormal ear" (LMNA, CDH23, LRP2, MYO7A, FGFR1), integrin interactions, transforming growth factor signaling, and cell projection phenotypes including hair cell stereociliary bundles and cilium assembly.
CONCLUSIONS
This study highlights interacting genes and pathways related to cilium structure and function that may contribute to extreme susceptibility to OM in Aboriginal Australian children.

Identifiants

pubmed: 33693626
pii: 6164939
doi: 10.1093/cid/ciab216
pmc: PMC8599203
doi:

Substances chimiques

EYA4 protein, human 0
Trans-Activators 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1860-1870

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 102858/Z/13/Z
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 087436/Z/08/Z
Pays : United Kingdom
Organisme : Australian National Health and Medical Research Council
ID : APP634301

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America.

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Auteurs

Sarra E Jamieson (SE)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Michaela Fakiola (M)

FIRC Institute of Molecular Oncology (IFOM), Milan, Italy.

Dave Tang (D)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Elizabeth Scaman (E)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Genevieve Syn (G)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Richard W Francis (RW)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Harvey L Coates (HL)

Faculty of Health and Medical Sciences, The University of Western Australia, Perth, Western Australia.

Denise Anderson (D)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Timo Lassmann (T)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

Heather J Cordell (HJ)

Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

Jenefer M Blackwell (JM)

Telethon Kids Institute, The University of Western Australia, Perth, Western Australia.

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Classifications MeSH