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Analysis of Brugada syndrome loci reveals that fine-mapping clustered GWAS hits enhances the annotation of disease-relevant variants

Authors: Mel·lina Pinsach-Abuin; Bernat del Olmo; Adrian Pérez-Agustin; Jesus Mates; Catarina Allegue; Anna Iglesias; Qi Ma; +11 Authors

Analysis of Brugada syndrome loci reveals that fine-mapping clustered GWAS hits enhances the annotation of disease-relevant variants

Abstract

Genome-wide association studies (GWASs) are instrumental in identifying loci harboring common single-nucleotide variants (SNVs) that affect human traits and diseases. GWAS hits emerge in clusters, but the focus is often on the most significant hit in each trait- or disease-associated locus. The remaining hits represent SNVs in linkage disequilibrium (LD) and are considered redundant and thus frequently marginally reported or exploited. Here, we interrogate the value of integrating the full set of GWAS hits in a locus repeatedly associated with cardiac conduction traits and arrhythmia, SCN5A-SCN10A. Our analysis reveals 5 common 7-SNV haplotypes (Hap1-5) with 2 combinations associated with life-threatening arrhythmia-Brugada syndrome (the risk Hap1/1 and protective Hap2/3 genotypes). Hap1 and Hap2 share 3 SNVs; thus, this analysis suggests that assuming redundancy among clustered GWAS hits can lead to confounding disease-risk associations and supports the need to deconstruct GWAS data in the context of haplotype composition.

Keywords

Adult, Medicine (General), Genotype, Quantitative Trait Loci, Arrítmia, Polymorphism, Single Nucleotide, Article, Linkage Disequilibrium, risk haplotype, common SNV, R5-920, Cor -- Malalties -- Aspectes genètics, GWAS, Humans, Brugada syndrome, Genetic Predisposition to Disease, Genetic Testing, Brugada Syndrome, Brugada, Síndrome de, Sudden death, Mort sobtada, Heart -- Diseases -- Genetic aspects, Middle Aged, haplotype block, non-coding SNV, Phenotype, Haplotypes, SNV redundancy, Arrhythmia, Genome-Wide Association Study

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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