Gastroesophageal reflux GWAS identifies risk loci that also associate with subsequent severe esophageal diseases

Author:

An Jiyuan, ,Gharahkhani PuyaORCID,Law Matthew H.ORCID,Ong Jue-ShengORCID,Han XikunORCID,Olsen Catherine M.ORCID,Neale Rachel E.,Lai John,Vaughan Tom L.,Gockel Ines,Thieme René,Böhmer Anne C.ORCID,Jankowski Janusz,Fitzgerald Rebecca C.ORCID,Schumacher Johannes,Palles Claire,Whiteman David C.,MacGregor StuartORCID,

Abstract

Abstract Gastroesophageal reflux disease (GERD) is caused by gastric acid entering the esophagus. GERD has high prevalence and is the major risk factor for Barrett’s esophagus (BE) and esophageal adenocarcinoma (EA). We conduct a large GERD GWAS meta-analysis (80,265 cases, 305,011 controls), identifying 25 independent genome-wide significant loci for GERD. Several of the implicated genes are existing or putative drug targets. Loci discovery is greatest with a broad GERD definition (including cases defined by self-report or medication data). Further, 91% of the GERD risk-increasing alleles also increase BE and/or EA risk, greatly expanding gene discovery for these traits. Our results map genes for GERD and related traits and uncover potential new drug targets for these conditions.

Publisher

Springer Science and Business Media LLC

Subject

General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry

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