Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.

Abdominal hernias are common and characterised by the abnormal protrusion of a viscus through the wall of the abdominal cavity. The global incidence is 18.5 million annually and there are limited non-surgical treatments. To improve understanding of common hernia aetiopathology, we performed a six-st...

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Main Authors: Waheed Ul-Rahman Ahmed, Manal I A Patel, Michael Ng, James McVeigh, Krina Zondervan, Akira Wiberg, Dominic Furniss
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0272261&type=printable
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author Waheed Ul-Rahman Ahmed
Manal I A Patel
Michael Ng
James McVeigh
Krina Zondervan
Akira Wiberg
Dominic Furniss
author_facet Waheed Ul-Rahman Ahmed
Manal I A Patel
Michael Ng
James McVeigh
Krina Zondervan
Akira Wiberg
Dominic Furniss
author_sort Waheed Ul-Rahman Ahmed
collection DOAJ
description Abdominal hernias are common and characterised by the abnormal protrusion of a viscus through the wall of the abdominal cavity. The global incidence is 18.5 million annually and there are limited non-surgical treatments. To improve understanding of common hernia aetiopathology, we performed a six-stage genome-wide association study (GWAS) of 62,637 UK Biobank participants with either single or multiple hernia phenotypes including inguinal, femoral, umbilical and hiatus hernia. Additionally, we performed multivariable meta-analysis with metaUSAT, to allow integration of summary data across traits to generate combined effect estimates. On individual hernia analysis, we identified 3404 variants across 38 genome-wide significant (p < 5×10-8) loci of which 11 are previously unreported. Robust evidence for five shared susceptibility loci was discovered: ZC3H11B, EFEMP1, MHC region, WT1 and CALD1. Combined hernia phenotype analyses with additional multivariable meta-analysis of summary statistics in metaUSAT revealed 28 independent (seven previously unreported) shared susceptibility loci. These clustered in functional categories related to connective tissue and elastic fibre homeostasis. Weighted genetic risk scores also correlated with disease severity suggesting a phenotypic-genotypic severity correlation, an important finding to inform future personalised therapeutic approaches to hernia.
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spelling doaj-art-14b6e6d77a3f4a50b1b9519048ccc7b92025-08-20T02:33:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027226110.1371/journal.pone.0272261Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.Waheed Ul-Rahman AhmedManal I A PatelMichael NgJames McVeighKrina ZondervanAkira WibergDominic FurnissAbdominal hernias are common and characterised by the abnormal protrusion of a viscus through the wall of the abdominal cavity. The global incidence is 18.5 million annually and there are limited non-surgical treatments. To improve understanding of common hernia aetiopathology, we performed a six-stage genome-wide association study (GWAS) of 62,637 UK Biobank participants with either single or multiple hernia phenotypes including inguinal, femoral, umbilical and hiatus hernia. Additionally, we performed multivariable meta-analysis with metaUSAT, to allow integration of summary data across traits to generate combined effect estimates. On individual hernia analysis, we identified 3404 variants across 38 genome-wide significant (p < 5×10-8) loci of which 11 are previously unreported. Robust evidence for five shared susceptibility loci was discovered: ZC3H11B, EFEMP1, MHC region, WT1 and CALD1. Combined hernia phenotype analyses with additional multivariable meta-analysis of summary statistics in metaUSAT revealed 28 independent (seven previously unreported) shared susceptibility loci. These clustered in functional categories related to connective tissue and elastic fibre homeostasis. Weighted genetic risk scores also correlated with disease severity suggesting a phenotypic-genotypic severity correlation, an important finding to inform future personalised therapeutic approaches to hernia.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0272261&type=printable
spellingShingle Waheed Ul-Rahman Ahmed
Manal I A Patel
Michael Ng
James McVeigh
Krina Zondervan
Akira Wiberg
Dominic Furniss
Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.
PLoS ONE
title Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.
title_full Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.
title_fullStr Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.
title_full_unstemmed Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.
title_short Shared genetic architecture of hernias: A genome-wide association study with multivariable meta-analysis of multiple hernia phenotypes.
title_sort shared genetic architecture of hernias a genome wide association study with multivariable meta analysis of multiple hernia phenotypes
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0272261&type=printable
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