Genome-wide association study for Chagas Cardiomyopathy identify a new risk locus on chromosome 18 associated with an immune-related protein and transcriptional signature

• Published in: PLOS Neglected Tropical Diseases
• Main Authors: Sabino, Ester Cerdeira, Franco, Lucas Augusto Moysés, Venturini, Gabriela, Velho Rodrigues, Mariliza, Marques, Emanuelle, de Oliveira-da Silva, Lea Campos, Martins, Larissa Natany Almeida, Ferreira, Ariela Mota, Almeida, Paulo Emílio Clementino, Silva, Felipe Dias Da, Leite, Sâmara Fernandes, Nunes, Maria do Carmo Pereira, Haikal, Desiree Sant’Ana, Oliveira, Claudia Di Lorenzo, Cardoso, Clareci Silva, Seidman, Jonathan G., Seidman, Christine E., Casas, Juan P., Ribeiro, Antonio Luiz Pinho, Krieger, Jose E., Pereira, Alexandre C.
• Format: Text
• Language: English
• Published: Public Library of Science 2022
• Subjects: Research Article; sami
• Online Access: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550069/; http://www.ncbi.nlm.nih.gov/pubmed/36215317; https://doi.org/10.1371/journal.pntd.0010725

BACKGROUND: Chronic Chagas Cardiomyopathy (CCC) usually develops between 10 and 20 years after the first parasitic infection and is one of the leading causes of end-stage heart failure in Latin America. Despite the great inter-individual variability in CCC susceptibility (only 30% of infected individuals ever present CCC), there are no known predictors for disease development in those chronically infected. METHODOLOGY/PRINCIPAL FINDINGS: We describe a new susceptibility locus for CCC through a GWAS analysis in the SaMi-Trop cohort, a population-based study conducted in a Chagas endemic region from Brazil. This locus was also associated with CCC in the REDS II Study. The newly identified locus (rs34238187, OR 0.73, p-value 2.03 x 10(−9)) spans a haplotype of approximately 30Kb on chromosome 18 (chr18: 5028302–5057621) and is also associated with 80 different traits, most of them blood protein traits significantly enriched for immune-related biological pathways. Hi-C data show that the newly associated locus is able to interact with chromatin sites as far as 10Mb on chromosome 18 in a number of different cell types and tissues. Finally, we were able to confirm, at the tissue transcriptional level, the immune-associated blood protein signature using a multi-tissue differential gene expression and enrichment analysis. CONCLUSIONS/SIGNIFICANCE: We suggest that the newly identified locus impacts CCC risk among T cruzi infected individuals through the modulation of a downstream transcriptional and protein signature associated with host-parasite immune response. Functional characterization of the novel risk locus is warranted.