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dc.contributor.authorZhao, Yajie
dc.contributor.authorGardner, Eugene J
dc.contributor.authorTuke, Marcus A
dc.contributor.authorZhang, Huairen
dc.contributor.authorPietzner, Maik
dc.contributor.authorKoprulu, Mine
dc.contributor.authorJia, Raina Y
dc.contributor.authorRuth, Katherine S
dc.contributor.authorWood, Andrew R
dc.contributor.authorBeaumont, Robin N
dc.contributor.authorTyrrell, Jessica
dc.contributor.authorJones, Samuel E
dc.contributor.authorLango Allen, Hana
dc.contributor.authorDay, Felix R
dc.contributor.authorLangenberg, Claudia
dc.contributor.authorFrayling, Timothy M
dc.contributor.authorWeedon, Michael N
dc.contributor.authorPerry, John RB
dc.contributor.authorOng, Ken K
dc.contributor.authorMurray, Anna
dc.date.accessioned2022-07-01T23:30:12Z
dc.date.available2022-07-01T23:30:12Z
dc.date.issued2022-09
dc.identifier.issn1098-3600
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/338670
dc.description.abstractPURPOSE: The study aimed to systematically ascertain male sex chromosome abnormalities, 47,XXY (Klinefelter syndrome [KS]) and 47,XYY, and characterize their risks of adverse health outcomes. METHODS: We analyzed genotyping array or exome sequence data in 207,067 men of European ancestry aged 40 to 70 years from the UK Biobank and related these to extensive routine health record data. RESULTS: Only 49 of 213 (23%) of men whom we identified with KS and only 1 of 143 (0.7%) with 47,XYY had a diagnosis of abnormal karyotype on their medical records or self-report. We observed expected associations for KS with reproductive dysfunction (late puberty: risk ratio [RR] = 2.7; childlessness: RR = 4.2; testosterone concentration: RR = -3.8 nmol/L, all P < 2 × 10-8), whereas XYY men appeared to have normal reproductive function. Despite this difference, we identified several higher disease risks shared across both KS and 47,XYY, including type 2 diabetes (RR = 3.0 and 2.6, respectively), venous thrombosis (RR = 6.4 and 7.4, respectively), pulmonary embolism (RR = 3.3 and 3.7, respectively), and chronic obstructive pulmonary disease (RR = 4.4 and 4.6, respectively) (all P < 7 × 10-6). CONCLUSION: KS and 47,XYY were mostly unrecognized but conferred substantially higher risks for metabolic, vascular, and respiratory diseases, which were only partially explained by higher levels of body mass index, deprivation, and smoking.
dc.description.sponsorshipY.Z., E.J.G., M.P., M.K., R.Y.J., H.L.A., F.R.D., C.L., J.R.B.P. and K.K.O. are supported by the Medical Research Council (Unit programs: MC_UU_00006/1 and MC_UU_00006/2). M.K. is supported by a Gates Fellowship. A.R.W. and J.T. hold Academy of Medical Sciences (AMS) Springboard awards [SBF004\1079 and SBF006\1134], which are supported by the AMS, the Wellcome Trust, the Government Department of Business, Energy and Industrial strategy, the British Heart Foundation and Diabetes UK. R.N.B. and A.M. are supported by the Medical Research Council (MR/T00200X/1). K.S.R. is supported by Cancer Research UK [C18281/A29019]. The authors acknowledge the use of the University of Exeter High-Performance Computing (HPC) facility in carrying out this work. The funders had no role in the design, analysis, and interpretation of data, writing of the report, or the decision to submit the article for publication.
dc.publisherElsevier BV
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titleDetection and characterization of male sex chromosome abnormalities in the UK Biobank study.
dc.typeArticle
dc.publisher.departmentMRC Epidemiology Unit
dc.date.updated2022-05-18T11:13:45Z
prism.publicationNameGenet Med
dc.identifier.doi10.17863/CAM.86083
dcterms.dateAccepted2022-05-16
rioxxterms.versionofrecord10.1016/j.gim.2022.05.011
rioxxterms.versionVoR
dc.contributor.orcidZhao, Yajie [0000-0002-2747-0219]
dc.contributor.orcidLango Allen, Hana [0000-0002-7803-8688]
dc.contributor.orcidLangenberg, Claudia [0000-0002-5017-7344]
dc.contributor.orcidOng, Kenneth [0000-0003-4689-7530]
dc.identifier.eissn1530-0366
rioxxterms.typeJournal Article/Review
pubs.funder-project-idMRC (MC_UU_00006/1)
pubs.funder-project-idMRC (MC_UU_00006/2)
cam.issuedOnline2022-06-09
cam.depositDate2022-05-18
pubs.licence-identifierapollo-deposit-licence-2-1
pubs.licence-display-nameApollo Repository Deposit Licence Agreement


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Except where otherwise noted, this item's licence is described as Attribution 4.0 International