GWAS of serum ALT and AST reveals an association of SLC30A10 Thr95Ile with hypermanganesemia symptoms
Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 lo...
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Published in | Nature communications Vol. 12; no. 1; pp. 4571 - 14 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
Nature Publishing Group UK
27.07.2021
Nature Publishing Group Nature Portfolio |
Subjects | |
Online Access | Get full text |
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Abstract | Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant
SLC30A10
Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia,
SLC30A10
Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in
SLC30A10
adversely affects more individuals than patients with diagnosed HMNDYT1.
Circulating liver enzymes, like alanine aminotransferase (ALT) and aspartate aminotransferase (AST), are highly heritable and predictive of disease. Here, the authors perform a genome-wide association study on ALT and AST, revealing a rare variant in SLC30A10 associated with elevated ALT and AST. |
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AbstractList | Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant SLC30A10 Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia, SLC30A10 Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in SLC30A10 adversely affects more individuals than patients with diagnosed HMNDYT1.Circulating liver enzymes, like alanine aminotransferase (ALT) and aspartate aminotransferase (AST), are highly heritable and predictive of disease. Here, the authors perform a genome-wide association study on ALT and AST, revealing a rare variant in SLC30A10 associated with elevated ALT and AST. Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant SLC30A10 Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia, SLC30A10 Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in SLC30A10 adversely affects more individuals than patients with diagnosed HMNDYT1. Circulating liver enzymes, like alanine aminotransferase (ALT) and aspartate aminotransferase (AST), are highly heritable and predictive of disease. Here, the authors perform a genome-wide association study on ALT and AST, revealing a rare variant in SLC30A10 associated with elevated ALT and AST. Circulating liver enzymes, like alanine aminotransferase (ALT) and aspartate aminotransferase (AST), are highly heritable and predictive of disease. Here, the authors perform a genome-wide association study on ALT and AST, revealing a rare variant in SLC30A10 associated with elevated ALT and AST. Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant SLC30A10 Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia, SLC30A10 Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in SLC30A10 adversely affects more individuals than patients with diagnosed HMNDYT1. Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant SLC30A10 Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia, SLC30A10 Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in SLC30A10 adversely affects more individuals than patients with diagnosed HMNDYT1.Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant SLC30A10 Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia, SLC30A10 Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in SLC30A10 adversely affects more individuals than patients with diagnosed HMNDYT1. Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) serum activities have proven useful for investigating liver biology. Here we report 100 loci associating with both enzymes, using GWAS across 411,048 subjects in the UK Biobank. The rare missense variant SLC30A10 Thr95Ile (rs188273166) associates with the largest elevation of both enzymes, and this association replicates in the DiscovEHR study. SLC30A10 excretes manganese from the liver to the bile duct, and rare homozygous loss of function causes the syndrome hypermanganesemia with dystonia-1 (HMNDYT1) which involves cirrhosis. Consistent with hematological symptoms of hypermanganesemia, SLC30A10 Thr95Ile carriers have increased hematocrit and risk of iron deficiency anemia. Carriers also have increased risk of extrahepatic bile duct cancer. These results suggest that genetic variation in SLC30A10 adversely affects more individuals than patients with diagnosed HMNDYT1. |
ArticleNumber | 4571 |
Author | Haslett, Patrick A. J. Ferreira, Manuel A. R. Parker, Margaret M. Hinkle, Gregory Verweij, Niek Deaton, Aimee M. Quenneville, Chelsea B. Flynn-Carroll, Alexander O. Baras, Aris Lotta, Luca A. Nioi, Paul Tu, Ho-Chou Tsour, Shira Ward, Lucas D. |
Author_xml | – sequence: 1 givenname: Lucas D. orcidid: 0000-0002-8017-809X surname: Ward fullname: Ward, Lucas D. email: lward@alnylam.com organization: Alnylam Pharmaceuticals – sequence: 2 givenname: Ho-Chou surname: Tu fullname: Tu, Ho-Chou organization: Alnylam Pharmaceuticals – sequence: 3 givenname: Chelsea B. orcidid: 0000-0002-5488-058X surname: Quenneville fullname: Quenneville, Chelsea B. organization: Alnylam Pharmaceuticals – sequence: 4 givenname: Shira orcidid: 0000-0003-1382-4044 surname: Tsour fullname: Tsour, Shira organization: Alnylam Pharmaceuticals – sequence: 5 givenname: Alexander O. surname: Flynn-Carroll fullname: Flynn-Carroll, Alexander O. organization: Alnylam Pharmaceuticals – sequence: 6 givenname: Margaret M. surname: Parker fullname: Parker, Margaret M. organization: Alnylam Pharmaceuticals – sequence: 7 givenname: Aimee M. orcidid: 0000-0003-0365-3077 surname: Deaton fullname: Deaton, Aimee M. organization: Alnylam Pharmaceuticals – sequence: 8 givenname: Patrick A. J. surname: Haslett fullname: Haslett, Patrick A. J. organization: Alnylam Pharmaceuticals – sequence: 9 givenname: Luca A. surname: Lotta fullname: Lotta, Luca A. organization: Regeneron Genetics Center – sequence: 10 givenname: Niek surname: Verweij fullname: Verweij, Niek organization: Regeneron Genetics Center – sequence: 11 givenname: Manuel A. R. surname: Ferreira fullname: Ferreira, Manuel A. R. organization: Regeneron Genetics Center – sequence: 14 givenname: Aris orcidid: 0000-0002-6830-3396 surname: Baras fullname: Baras, Aris organization: Regeneron Genetics Center – sequence: 15 givenname: Gregory surname: Hinkle fullname: Hinkle, Gregory organization: Alnylam Pharmaceuticals – sequence: 16 givenname: Paul surname: Nioi fullname: Nioi, Paul organization: Alnylam Pharmaceuticals |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34315874$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Contributor | Khalid, Shareef Staples, Jeffrey C Bodian, Dale Boris, Derek Kury, Fabricio Colonie, Ryan D O'Keeffe, Sean Shuldiner, Alan Nielsen, Jonas Davis, F Daniel Mitnaul, Lyndon J Lattari, Michael Manoochehri, Kia Widom, Louis Salerno, William Martin, Christa L Lopez, Alexander Hawes, Alicia Blumenfeld, Andrew Sharma, Deepika Carey, David J Beechert, Christina Meyer, Michelle Padilla, Maria Sotiropoulos Krasheninina, Olga Baras, Aris Kelly, Melissa Ledbetter, David H Habegger, Lukas Wagner, Jen Hartzel, Dustin N Reid, Jeffrey G Mighty, Jason Nafde, Mrunali Metpally, Raghu P Oetjens, Matthew Polanco, Tommy Person, Thomas Nate Buchanan, Adam Mirshahi, Tooraj Gu, Zhenhua Pradhan, Manasi Abecasis, Goncalo Deubler, Andrew Blank, Jackie Coppola, Giovanni Forsythe, Caitlin Schleicher, Thomas D Cantor, Michael Bai, Xiaodong Li, Dadong Adams, Lance J Kirchner, H Lester Balasubramanian, Suganthi Karalis, Katia Panea, Razvan Rasool, Ayesha Williams, Marc Manus, J Neil Ulloa, Ricardo H Lanche, Rouel Maxwell, Evan K Economides, Aris Boutkov, Boris Eom, Gisu De, Tanima Ma |
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Copyright | The Author(s) 2021 2021. The Author(s). The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
Copyright_xml | – notice: The Author(s) 2021 – notice: 2021. The Author(s). – notice: The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
CorporateAuthor | Regeneron Genetics Center RGC Management and Leadership Team Clinical Informatics Translational Genetics Geisinger-Regeneron DiscovEHR Collaboration Research Program Management Sequencing and Lab Operations Genome Informatics |
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DOI | 10.1038/s41467-021-24563-1 |
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Snippet | Understanding mechanisms of hepatocellular damage may lead to new treatments for liver disease, and genome-wide association studies (GWAS) of alanine... Circulating liver enzymes, like alanine aminotransferase (ALT) and aspartate aminotransferase (AST), are highly heritable and predictive of disease. Here, the... |
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Title | GWAS of serum ALT and AST reveals an association of SLC30A10 Thr95Ile with hypermanganesemia symptoms |
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