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Erschienen in: Journal of the Association for Research in Otolaryngology 6/2023

30.11.2023 | Original Article

Genome-Wide Association Study of Chronic Dizziness in the Elderly Identifies Loci Implicating MLLT10, BPTF, LINC01224, and ROS1

verfasst von: Royce Clifford, Daniel Munro, Daniel Dochtermann, Poornima Devineni, Saiju Pyarajan, Francesca Telese, Abraham A. Palmer, Pejman Mohammadi, Rick Friedman, Million Veteran Program

Erschienen in: Journal of the Association for Research in Otolaryngology | Ausgabe 6/2023

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Abstract

Purpose

Chronic age-related imbalance is a common cause of falls and subsequent death in the elderly and can arise from dysfunction of the vestibular system, an elegant neuroanatomical group of pathways that mediates human perception of acceleration, gravity, and angular head motion. Studies indicate that 27–46% of the risk of age-related chronic imbalance is genetic; nevertheless, the underlying genes remain unknown.

Methods

The cohort consisted of 50,339 cases and 366,900 controls in the Million Veteran Program. The phenotype comprised cases with two ICD diagnoses of vertigo or dizziness at least 6 months apart, excluding acute or recurrent vertiginous syndromes and other non-vestibular disorders. Genome-wide association studies were performed as individual logistic regressions on European, African American, and Hispanic ancestries followed by trans-ancestry meta-analysis. Downstream analysis included case-case-GWAS, fine mapping, probabilistic colocalization of significant variants and genes with eQTLs, and functional analysis of significant hits.

Results

Two significant loci were identified in Europeans, another in the Hispanic population, and two additional in trans-ancestry meta-analysis, including three novel loci. Fine mapping revealed credible sets of intronic single nucleotide polymorphisms (SNPs) in MLLT10 - a histone methyl transferase cofactor, BPTF - a subunit of a nucleosome remodeling complex implicated in neurodevelopment, and LINC01224 - a proto-oncogene receptor tyrosine kinase.

Conclusion

Despite the difficulties of phenotyping the nature of chronic imbalance, we replicated two loci from previous vertigo GWAS studies and identified three novel loci. Findings suggest candidates for further study and ultimate treatment of this common elderly disorder.
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Metadaten
Titel
Genome-Wide Association Study of Chronic Dizziness in the Elderly Identifies Loci Implicating MLLT10, BPTF, LINC01224, and ROS1
verfasst von
Royce Clifford
Daniel Munro
Daniel Dochtermann
Poornima Devineni
Saiju Pyarajan
Francesca Telese
Abraham A. Palmer
Pejman Mohammadi
Rick Friedman
Million Veteran Program
Publikationsdatum
30.11.2023
Verlag
Springer US
Erschienen in
Journal of the Association for Research in Otolaryngology / Ausgabe 6/2023
Print ISSN: 1525-3961
Elektronische ISSN: 1438-7573
DOI
https://doi.org/10.1007/s10162-023-00917-y

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