PMID- 24311777 OWN - NLM STAT- MEDLINE DCOM- 20141016 LR - 20140203 IS - 1399-3003 (Electronic) IS - 0903-1936 (Linking) VI - 43 IP - 2 DP - 2014 Feb TI - Genetic heterogeneity of asthma phenotypes identified by a clustering approach. PG - 439-52 LID - 10.1183/09031936.00032713 [doi] AB - The aim of the study was to identify genetic variants associated with refined asthma phenotypes enabling multiple features of the disease to be taken into account. Latent class analysis (LCA) was applied in 3001 adults ever having asthma recruited in the frame of three epidemiological surveys (the European Community Respiratory Health Survey (ECRHS), the Swiss Study on Air Pollution and Lung Disease in Adults (SAPALDIA) and the Epidemiological Study on the Genetics and Environment of Asthma (EGEA)). 14 personal and phenotypic characteristics, gathered from questionnaires and clinical examination, were used. A genome-wide association study was conducted for each LCA-derived asthma phenotype, compared to subjects without asthma (n=3474). The LCA identified four adult asthma phenotypes, mainly characterised by disease activity, age of asthma onset and atopic status. Associations of genome-wide significance (p<1.25 x 10(-7)) were observed between "active adult-onset nonallergic asthma" and rs9851461 flanking CD200 (3q13.2) and between "inactive/mild nonallergic asthma" and rs2579931 flanking GRIK2 (6q16.3). Borderline significant results (2.5 x 10(-7) < p <8.2 x 10(-7)) were observed between three single nucleotide polymorphisms (SNPs) in the ALCAM region (3q13.11) and "active adult-onset nonallergic asthma". These results were consistent across studies. 15 SNPs identified in previous genome-wide association studies of asthma have been replicated with at least one asthma phenotype, most of them with the "active allergic asthma" phenotype. Our results provide evidence that a better understanding of asthma phenotypic heterogeneity helps to disentangle the genetic heterogeneity of asthma. FAU - Siroux, Valerie AU - Siroux V AD - Inserm, U823, Grenoble. FAU - Gonzalez, Juan R AU - Gonzalez JR FAU - Bouzigon, Emmanuelle AU - Bouzigon E FAU - Curjuric, Ivan AU - Curjuric I FAU - Boudier, Anne AU - Boudier A FAU - Imboden, Medea AU - Imboden M FAU - Anto, Josep Maria AU - Anto JM FAU - Gut, Ivo AU - Gut I FAU - Jarvis, Deborah AU - Jarvis D FAU - Lathrop, Mark AU - Lathrop M FAU - Omenaas, Ernst Reidar AU - Omenaas ER FAU - Pin, Isabelle AU - Pin I FAU - Wjst, Mathias AU - Wjst M FAU - Demenais, Florence AU - Demenais F FAU - Probst-Hensch, Nicole AU - Probst-Hensch N FAU - Kogevinas, Manolis AU - Kogevinas M FAU - Kauffmann, Francine AU - Kauffmann F LA - eng GR - R01HL62633-01/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20131205 PL - England TA - Eur Respir J JT - The European respiratory journal JID - 8803460 SB - IM MH - Adult MH - Asthma/*diagnosis/*genetics MH - Cluster Analysis MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - France MH - *Genetic Heterogeneity MH - Genetic Variation MH - Genome-Wide Association Study MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Phenotype MH - Polymorphism, Single Nucleotide MH - Reproducibility of Results MH - Switzerland EDAT- 2013/12/07 06:00 MHDA- 2014/10/17 06:00 CRDT- 2013/12/07 06:00 PHST- 2013/12/07 06:00 [entrez] PHST- 2013/12/07 06:00 [pubmed] PHST- 2014/10/17 06:00 [medline] AID - 09031936.00032713 [pii] AID - 10.1183/09031936.00032713 [doi] PST - ppublish SO - Eur Respir J. 2014 Feb;43(2):439-52. doi: 10.1183/09031936.00032713. Epub 2013 Dec 5.