Genome-Wide Association Study for Alcohol-Related Cirrhosis Identifies Risk Loci in MARC1 and HNRNPUL1

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Hamish Innes - , Glasgow Caledonian University, University of Nottingham, Public Health Scotland (Author)
  • Stephan Buch - , Department of Internal Medicine I (Author)
  • Sharon Hutchinson - , Glasgow Caledonian University, Public Health Scotland (Author)
  • Indra Neil Guha - , Nottingham University Hospitals NHS Trust (Author)
  • Joanne R. Morling - , University of Nottingham, Nottingham University Hospitals NHS Trust (Author)
  • Eleanor Barnes - , University of Oxford (Author)
  • Will Irving - , Nottingham University Hospitals NHS Trust (Author)
  • Ewan Forrest - , NHS Greater Glasgow and Clyde (Author)
  • Vincent Pedergnana - , UM) (Author)
  • David Goldberg - , Glasgow Caledonian University, Public Health Scotland (Author)
  • Esther Aspinall - , Glasgow Caledonian University, Public Health Scotland (Author)
  • Stephan Barclay - , NHS Greater Glasgow and Clyde (Author)
  • Peter C. Hayes - , University of Edinburgh (Author)
  • John Dillon - , University of Dundee (Author)
  • Hans Dieter Nischalke - , University of Bonn (Author)
  • Philipp Lutz - , University of Bonn (Author)
  • Ulrich Spengler - , University of Bonn (Author)
  • Janett Fischer - , Leipzig University (Author)
  • Thomas Berg - , Leipzig University (Author)
  • Mario Brosch - , Department of Internal Medicine I (Author)
  • Florian Eyer - , Technical University of Munich (Author)
  • Christian Datz - , Paracelsus Private Medical University (Author)
  • Sebastian Mueller - , Salem Hospital (Author)
  • Teresa Peccerella - , Salem Hospital (Author)
  • Pierre Deltenre - , University of Lausanne (Author)
  • Astrid Marot - , University of Lausanne (Author)
  • Michael Soyka - , Ludwig Maximilian University of Munich (Author)
  • Andrew McQuillin - , University College London (Author)
  • Marsha Y. Morgan - , University College London (Author)
  • Jochen Hampe - , Department of Internal Medicine I (Author)
  • Felix Stickel - , University of Zurich (Author)

Abstract

Background and Aims: Little is known about genetic factors that affect development of alcohol-related cirrhosis. We performed a genome-wide association study (GWAS) of samples from the United Kingdom Biobank (UKB) to identify polymorphisms associated with risk of alcohol-related liver disease. Methods: We performed a GWAS of 35,839 participants in the UKB with high intake of alcohol against markers of hepatic fibrosis (FIB-4, APRI, and Forns index scores) and hepatocellular injury (levels of aminotransferases). Loci identified in the discovery analysis were tested for their association with alcohol-related cirrhosis in 3 separate European cohorts (phase 1 validation cohort; n=2545). Variants associated with alcohol-related cirrhosis in the validation at a false discovery rate of less than 20% were then directly genotyped in 2 additional European validation cohorts (phase 2 validation, n=2068). Results: In the GWAS of the discovery cohort, we identified 50 independent risk loci with genome-wide significance (P < 5 × 10−8). Nine of these loci were significantly associated with alcohol-related cirrhosis in the phase 1 validation cohort; 6 of these 9 loci were significantly associated with alcohol-related cirrhosis in phase 2 validation cohort, at a false discovery rate below 5%. The loci included variants in the mitochondrial amidoxime reducing component 1 gene (MARC1) and the heterogeneous nuclear ribonucleoprotein U like 1 gene (HNRNPUL1). After we adjusted for age, sex, body mass index, and type-2 diabetes in the phase 2 validation cohort, the minor A allele of MARC1:rs2642438 was associated with reduced risk of alcohol-related cirrhosis (adjusted odds ratio, 0.76; P=.0027); conversely, the minor C allele of HNRNPUL1:rs15052 was associated with an increased risk of alcohol-related cirrhosis (adjusted odds ratio, 1.30; P=.020). Conclusions: In a GWAS of samples from the UKB, we identified and validated (in 5 European cohorts) single-nucleotide polymorphisms that affect risk of alcohol-related cirrhosis in opposite directions: the minor A allele in MARC1:rs2642438 decreases risk, whereas the minor C allele in HNRNPUL1:rs15052 increases risk.

Details

Original languageEnglish
Pages (from-to)1276-1289.e7
JournalGastroenterology
Volume159
Issue number4
Publication statusPublished - Oct 2020
Peer-reviewedYes

External IDs

PubMed 32561361
ORCID /0000-0003-2928-015X/work/146166318

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • Biomarker, Hepatic Fibrogenesis, Prognostic Factor, SNP