PMID- 30254217 OWN - NLM STAT- MEDLINE DCOM- 20190411 LR - 20200309 IS - 1476-5438 (Electronic) IS - 1018-4813 (Print) IS - 1018-4813 (Linking) VI - 27 IP - 1 DP - 2019 Jan TI - Novel insight into the genetic basis of high-altitude pulmonary hypertension in Kyrgyz highlanders. PG - 150-159 LID - 10.1038/s41431-018-0270-8 [doi] AB - The Central Asian Kyrgyz highland population provides a unique opportunity to address genetic diversity and understand the genetic mechanisms underlying high-altitude pulmonary hypertension (HAPH). Although a significant fraction of the population is unaffected, there are susceptible individuals who display HAPH in the absence of any lung, cardiac or hematologic disease. We report herein the analysis of the whole-genome sequencing of healthy individuals compared with HAPH patients and other controls (total n = 33). Genome scans reveal selection signals in various regions, encompassing multiple genes from the first whole-genome sequences focusing on HAPH. We show here evidence of three candidate genes MTMR4, TMOD3 and VCAM1 that are functionally associated with well-known molecular and pathophysiological processes and which likely lead to HAPH in this population. These processes are (a) dysfunctional BMP signaling, (b) disrupted tissue repair processes and (c) abnormal endothelial cell function. Whole-genome sequence of well-characterized patients and controls and using multiple statistical tools uncovered novel candidate genes that belong to pathways central to the pathogenesis of HAPH. These studies on high-altitude human populations are pertinent to the understanding of sea level diseases involving hypoxia as a main element of their pathophysiology. FAU - Iranmehr, Arya AU - Iranmehr A AD - Department of Electrical & Computer Engineering, University of California, San Diego, La Jolla, CA, 92093, USA. FAU - Stobdan, Tsering AU - Stobdan T AD - Division of Respiratory Medicine, Department of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA. FAU - Zhou, Dan AU - Zhou D AD - Division of Respiratory Medicine, Department of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA. FAU - Poulsen, Orit AU - Poulsen O AD - Division of Respiratory Medicine, Department of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA. FAU - Strohl, Kingman P AU - Strohl KP AD - Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. FAU - Aldashev, Almaz AU - Aldashev A AD - National Academy of Sciences, Bishkek, 720071, Kyrgyz Republic. FAU - Telenti, Amalio AU - Telenti A AD - Department of Integrative Structural and Computational Biology, Scripps Research Institute, La Jolla, CA, 92037, USA. FAU - Wong, Emily H M AU - Wong EHM AD - Human Longevity Inc., San Diego, CA, 92121, USA. FAU - Kirkness, Ewen F AU - Kirkness EF AD - Human Longevity Inc., San Diego, CA, 92121, USA. FAU - Venter, J Craig AU - Venter JC AD - Human Longevity Inc., San Diego, CA, 92121, USA. AD - J. Craig Venter Institute, La Jolla, CA, 92037, USA. FAU - Bafna, Vineet AU - Bafna V AD - Department of Computer Science & Engineering, University of California, San Diego, La Jolla, CA, 92093, USA. FAU - Haddad, Gabriel G AU - Haddad GG AD - Division of Respiratory Medicine, Department of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA. ghaddad@ucsd.edu. AD - Department of Pediatrics, Department of Neurosciences, University of California, San Diego, La Jolla, CA, 92093, USA. ghaddad@ucsd.edu. AD - Rady Children's Hospital, San Diego, CA, 92123, USA. ghaddad@ucsd.edu. LA - eng GR - R01 GM114362/GM/NIGMS NIH HHS/United States GR - R01GM114362/GM/NIGMS NIH HHS/United States GR - R01 HL127403-02/HL/NHLBI NIH HHS/United States GR - R21 NS101652/NS/NINDS NIH HHS/United States GR - R01 HL127403/HL/NHLBI NIH HHS/United States GR - R21NS101652-01/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20180925 PL - England TA - Eur J Hum Genet JT - European journal of human genetics : EJHG JID - 9302235 RN - 0 (TMOD3 protein, human) RN - 0 (Tropomodulin) RN - 0 (Vascular Cell Adhesion Molecule-1) RN - EC 3.1.3.48 (MTMR4 protein, human) RN - EC 3.1.3.48 (Protein Tyrosine Phosphatases, Non-Receptor) SB - IM CIN - J Lung Health Dis. 2019;3(2):29-30. PMID: 31304480 MH - Altitude MH - Genome-Wide Association Study MH - Humans MH - Hypertension, Pulmonary/*genetics MH - Kyrgyzstan MH - *Polymorphism, Genetic MH - Protein Tyrosine Phosphatases, Non-Receptor/genetics MH - Tropomodulin/genetics MH - Vascular Cell Adhesion Molecule-1/genetics PMC - PMC6303266 COIS- VB is a co-founder, has an equity interest and receives income from Digital Proteomics, LLC and Pretzel Genomics Ltd. The terms of this arrangement have been reviewed and approved by the University of California, San Diego in accordance with its conflict of interest policies. Digital Proteomics, LLC was not involved in the research presented here. EHMW, EFK and JCV are employees of Human Longevity Inc. EDAT- 2018/09/27 06:00 MHDA- 2019/04/12 06:00 PMCR- 2020/01/01 CRDT- 2018/09/27 06:00 PHST- 2018/04/05 00:00 [received] PHST- 2018/08/30 00:00 [accepted] PHST- 2018/08/09 00:00 [revised] PHST- 2018/09/27 06:00 [pubmed] PHST- 2019/04/12 06:00 [medline] PHST- 2018/09/27 06:00 [entrez] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.1038/s41431-018-0270-8 [pii] AID - 270 [pii] AID - 10.1038/s41431-018-0270-8 [doi] PST - ppublish SO - Eur J Hum Genet. 2019 Jan;27(1):150-159. doi: 10.1038/s41431-018-0270-8. Epub 2018 Sep 25.