Surfactant protein D is a causal risk factor for COPD: results of Mendelian randomisation

Surfactant protein D (SP-D) is produced primarily in the lung and is involved in regulating pulmonary surfactants, lipid homeostasis and innate immunity. Circulating SP-D levels in blood are associated with chronic obstructive pulmonary disease (COPD), although causality remains elusive.In 4061 subj...

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Veröffentlicht in:The European respiratory journal 2017-11, Vol.50 (5), p.1700657-1700657
Hauptverfasser: Obeidat, Ma'en, Li, Xuan, Burgess, Stephen, Zhou, Guohai, Fishbane, Nick, Hansel, Nadia N, Bossé, Yohan, Joubert, Philippe, Hao, Ke, Nickle, David C, van den Berge, Maarten, Timens, Wim, Cho, Michael H, Hobbs, Brian D, de Jong, Kim, Boezen, Marike, Hung, Rayjean J, Rafaels, Nicholas, Mathias, Rasika, Ruczinski, Ingo, Beaty, Terri H, Barnes, Kathleen C, Paré, Peter D, Sin, Don D
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container_issue 5
container_start_page 1700657
container_title The European respiratory journal
container_volume 50
creator Obeidat, Ma'en
Li, Xuan
Burgess, Stephen
Zhou, Guohai
Fishbane, Nick
Hansel, Nadia N
Bossé, Yohan
Joubert, Philippe
Hao, Ke
Nickle, David C
van den Berge, Maarten
Timens, Wim
Cho, Michael H
Hobbs, Brian D
de Jong, Kim
Boezen, Marike
Hung, Rayjean J
Rafaels, Nicholas
Mathias, Rasika
Ruczinski, Ingo
Beaty, Terri H
Barnes, Kathleen C
Paré, Peter D
Sin, Don D
description Surfactant protein D (SP-D) is produced primarily in the lung and is involved in regulating pulmonary surfactants, lipid homeostasis and innate immunity. Circulating SP-D levels in blood are associated with chronic obstructive pulmonary disease (COPD), although causality remains elusive.In 4061 subjects with COPD, we identified genetic variants associated with serum SP-D levels. We then determined whether these variants affected lung tissue gene expression in 1037 individuals. A Mendelian randomisation framework was then applied, whereby serum SP-D-associated variants were tested for association with COPD risk in 11 157 cases and 36 699 controls and with 11 years decline of lung function in the 4061 individuals.Three regions on chromosomes 6 (human leukocyte antigen region), 10 ( gene) and 16 ( gene) were associated with serum SP-D levels at genome-wide significance. In Mendelian randomisation analyses, variants associated with increased serum SP-D levels decreased the risk of COPD (estimate -0.19, p=6.46×10 ) and slowed the lung function decline (estimate=0.0038, p=7.68×10 ).Leveraging genetic variation effect on protein, lung gene expression and disease phenotypes provided novel insights into SP-D biology and established a causal link between increased SP-D levels and protection against COPD risk and progression. SP-D represents a very promising biomarker and therapeutic target for COPD.
doi_str_mv 10.1183/13993003.00657-2017
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Circulating SP-D levels in blood are associated with chronic obstructive pulmonary disease (COPD), although causality remains elusive.In 4061 subjects with COPD, we identified genetic variants associated with serum SP-D levels. We then determined whether these variants affected lung tissue gene expression in 1037 individuals. A Mendelian randomisation framework was then applied, whereby serum SP-D-associated variants were tested for association with COPD risk in 11 157 cases and 36 699 controls and with 11 years decline of lung function in the 4061 individuals.Three regions on chromosomes 6 (human leukocyte antigen region), 10 ( gene) and 16 ( gene) were associated with serum SP-D levels at genome-wide significance. In Mendelian randomisation analyses, variants associated with increased serum SP-D levels decreased the risk of COPD (estimate -0.19, p=6.46×10 ) and slowed the lung function decline (estimate=0.0038, p=7.68×10 ).Leveraging genetic variation effect on protein, lung gene expression and disease phenotypes provided novel insights into SP-D biology and established a causal link between increased SP-D levels and protection against COPD risk and progression. 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Circulating SP-D levels in blood are associated with chronic obstructive pulmonary disease (COPD), although causality remains elusive.In 4061 subjects with COPD, we identified genetic variants associated with serum SP-D levels. We then determined whether these variants affected lung tissue gene expression in 1037 individuals. A Mendelian randomisation framework was then applied, whereby serum SP-D-associated variants were tested for association with COPD risk in 11 157 cases and 36 699 controls and with 11 years decline of lung function in the 4061 individuals.Three regions on chromosomes 6 (human leukocyte antigen region), 10 ( gene) and 16 ( gene) were associated with serum SP-D levels at genome-wide significance. 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subjects Adult
Biomarkers - blood
Case-Control Studies
Chronic obstructive pulmonary disease
Disease Progression
Female
Gene expression
Genetic diversity
Genomes
Histocompatibility antigen HLA
Homeostasis
Humans
Innate immunity
Linear Models
Lung - physiopathology
Lung diseases
Male
Mendelian Randomization Analysis
Middle Aged
Obstructive lung disease
Phenotype
Polymorphism, Single Nucleotide
Protein D
Proteins
Pulmonary Disease, Chronic Obstructive - blood
Pulmonary Disease, Chronic Obstructive - genetics
Pulmonary Surfactant-Associated Protein D - blood
Respiratory function
Risk Factors
Surfactant protein D
Surfactants
title Surfactant protein D is a causal risk factor for COPD: results of Mendelian randomisation
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