Long-range genomic regulators of THBS1 and LTBP4 modify disease severity in duchenne muscular dystrophy

© 2018 American Neurological Association..

OBJECTIVE: Duchenne muscular dystrophy (DMD) is a severe X-linked recessive disease caused by loss-of-function dystrophin (DMD) mutations in boys, who typically suffer loss of ambulation by age 12. Previously, we reported that coding variants in latent transforming growth factor beta (TGFβ)-binding protein 4 (LTBP4) were associated with reduced TGFβ signaling and prolonged ambulation (p = 1.0 × 10-3 ) in DMD patients; this result was subsequently replicated by other groups. In this study, we evaluated whether additional DMD modifier genes are observed using whole-genome association in the original cohort.

METHODS: We performed a genome-wide association study (GWAS) for single-nucleotide polymorphisms (SNPs) influencing loss of ambulation (LOA) in the same cohort of 253 DMD patients used to detect the candidate association with LTBP4 coding variants. Gene expression and chromatin interaction databases were used to fine-map association signals above the threshold for genome-wide significance.

RESULTS: Despite the small sample size, two loci associated with prolonged ambulation met genome-wide significance and were tagged by rs2725797 (chr15, p = 6.6 × 10-9 ) and rs710160 (chr19, p = 4.7 × 10-8 ). Gene expression and chromatin interaction data indicated that the latter SNP tags regulatory variants of LTBP4, whereas the former SNP tags regulatory variants of thrombospondin-1 (THBS1): an activator of TGFβ signaling by direct binding to LTBP4 and an inhibitor of proangiogenic nitric oxide signaling.

INTERPRETATION: Together with previous evidence implicating LTBP4, the THBS1 modifier locus emphasizes the role that common regulatory variants in gene interaction networks can play in mitigating disease progression in muscular dystrophy. Ann Neurol 2018;84:234-245.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:84

Enthalten in:

Annals of neurology - 84(2018), 2 vom: 03. Aug., Seite 234-245

Sprache:

Englisch

Beteiligte Personen:

Weiss, Robert B [VerfasserIn]
Vieland, Veronica J [VerfasserIn]
Dunn, Diane M [VerfasserIn]
Kaminoh, Yuuki [VerfasserIn]
Flanigan, Kevin M [VerfasserIn]
United Dystrophinopathy Project [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
LTBP4 protein, human
Latent TGF-beta Binding Proteins
Research Support, N.I.H., Extramural
Thrombospondin 1
Thrombospondin-1, human

Anmerkungen:

Date Completed 20.08.2019

Date Revised 06.03.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/ana.25283

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM286554739