Objective
To identify single nucleotide polymorphisms (SNPs) and pathways
associated with bronchopulmonary dysplasia (BPD) because O2
requirement at 36 weeks’ post-menstrual age risk is strongly
influenced by heritable factors.
Study design
A genome-wide scan was conducted on 1.2 million genotyped SNPs, and
an additional 7 million imputed SNPs, using a DNA repository of extremely
low birth weight infants. Genome-wide association and gene set analysis was
performed for BPD or death, severe BPD or death, and severe BPD in
survivors. Specific targets were validated using gene expression in BPD lung
tissue and in mouse models.
Results
Of 751 infants analyzed, 428 developed BPD or died. No SNPs achieved
genome-wide significance (p<10−8) although
multiple SNPs in adenosine deaminase (ADARB2), CD44, and other genes were
just below p<10−6. Of approximately 8000
pathways, 75 were significant at False Discovery Rate (FDR) <0.1 and
p<0.001 for BPD/death, 95 for severe BPD/death, and 90 for severe
BPD in survivors. The pathway with lowest FDR was miR-219 targets
(p=1.41E-08, FDR 9.5E-05) for BPD/death and Phosphorous Oxygen Lyase
Activity (includes adenylate and guanylate cyclases) for both severe
BPD/death (p=5.68E-08, FDR 0.00019) and severe BPD in survivors (p=3.91E-08,
FDR 0.00013). Gene expression analysis confirmed significantly increased
miR-219 and CD44 in BPD.
Conclusions
Pathway analyses confirmed involvement of known pathways of lung
development and repair (CD44, Phosphorus Oxygen Lyase Activity) and
indicated novel molecules and pathways (ADARB2, Targets of miR-219) involved
in genetic predisposition to BPD.