Repository logo
 

A genome-wide association study of neutrophil count in individuals associated to an African continental ancestry group facilitates studies of malaria pathogenesis.

Published version
Peer-reviewed

Repository DOI


Change log

Authors

Constantinescu, Andrei-Emil 
Hughes, David A 
Bull, Caroline J 
Fleming, Kathryn 
Mitchell, Ruth E 

Abstract

BACKGROUND: 'Benign ethnic neutropenia' (BEN) is a heritable condition characterized by lower neutrophil counts, predominantly observed in individuals of African ancestry, and the genetic basis of BEN remains a subject of extensive research. In this study, we aimed to dissect the genetic architecture underlying neutrophil count variation through a linear-mixed model genome-wide association study (GWAS) in a population of African ancestry (N = 5976). Malaria caused by P. falciparum imposes a tremendous public health burden on people living in sub-Saharan Africa. Individuals living in malaria endemic regions often have a reduced circulating neutrophil count due to BEN, raising the possibility that reduced neutrophil counts modulate severity of malaria in susceptible populations. As a follow-up, we tested this hypothesis by conducting a Mendelian randomization (MR) analysis of neutrophil counts on severe malaria (MalariaGEN, N = 17,056). RESULTS: We carried out a GWAS of neutrophil count in individuals associated to an African continental ancestry group within UK Biobank, identifying 73 loci (r2 = 0.1) and 10 index SNPs (GCTA-COJO loci) associated with neutrophil count, including previously unknown rare loci regulating neutrophil count in a non-European population. BOLT-LMM was reliable when conducted in a non-European population, and additional covariates added to the model did not largely alter the results of the top loci or index SNPs. The two-sample bi-directional MR analysis between neutrophil count and severe malaria showed the greatest evidence for an effect between neutrophil count and severe anaemia, although the confidence intervals crossed the null. CONCLUSION: Our GWAS of neutrophil count revealed unique loci present in individuals of African ancestry. We note that a small sample-size reduced our power to identify variants with low allele frequencies and/or low effect sizes in our GWAS. Our work highlights the need for conducting large-scale biobank studies in Africa and for further exploring the link between neutrophils and severe malaria.

Description

Acknowledgements: We are grateful to the UK Biobank study and its participants. This research has been conducted using the UK Biobank resource under Application 15825. We thank the Malaria GEN Network for their study and their participants.


Funder: Health Data Research UK; doi: http://dx.doi.org/10.13039/501100023699


Funder: GW4-CAT PhD Programme for Health Professionals


Funder: Thousand Young Talents Program of China; doi: http://dx.doi.org/10.13039/501100018635


Funder: National Health Commission of the People's Republic of China; doi: http://dx.doi.org/10.13039/501100018684

Keywords

African ancestry, GWAS, Malaria, Mendelian randomization, Neutrophil count, Humans, Genome-Wide Association Study, Neutrophils, Black People, Malaria, Gene Frequency, Polymorphism, Single Nucleotide, Genetic Predisposition to Disease

Journal Title

Hum Genomics

Conference Name

Journal ISSN

1473-9542
1479-7364

Volume Title

18

Publisher

Springer Science and Business Media LLC
Sponsorship
Medical Research Council (MR/N0137941/1, MC_UU_00011/1, MC_UU_00011/1, MR/R02149x/1)
Wellcome Trust (202802/Z/16/Z, 202802/Z/16/Z)
Cancer Research UK (C18281/A29019, C18281/A29019, C18281/A29019)
Diabetes UK (17/0005587, 17/0005587)
World Cancer Research Fund International (IIG_2019_2009, IIG_2019_2009)
UK Research and Innovation (MR/T043202/1)
NIHR Bristol Biomedical Research Centre (BRC-1215-2001)