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A genome-wide association study identifies variants in KCNIP4 associated with ACE inhibitor-induced cough

  • J D Mosley
  • , C M Shaffer
  • , S L Van Driest
  • , P E Weeke
  • , Q S Wells
  • , J H Karnes
  • , D R Velez Edwards
  • , W-Q Wei
  • , P L Teixeira
  • , L Bastarache
  • , D C Crawford
  • , R Li
  • , T A Manolio
  • , E P Bottinger
  • , C A McCarty
  • , J G Linneman
  • , M H Brilliant
  • , J A Pacheco
  • , W Thompson
  • , R L Chisholm
  • G P Jarvik, D R Crosslin, D S Carrell, E Baldwin, J Ralston, E B Larson, J Grafton, A Scrol, H Jouni, I J Kullo, G Tromp, K M Borthwick, H Kuivaniemi, D J Carey, M D Ritchie, Y Bradford, S S Verma, C G Chute, Abirami Veluchamy, Moneeza Siddiqui, C N A Palmer, A Doney, S H MahmoudPour, A H Maitland-van der Zee, A D Morris, J C Denny, D M Roden (Lead / Corresponding author)

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Abstract

The most common side effect of angiotensin-converting enzyme inhibitor (ACEi) drugs is cough. We conducted a genome-wide association study (GWAS) of ACEi-induced cough among 7080 subjects of diverse ancestries in the Electronic Medical Records and Genomics (eMERGE) network. Cases were subjects diagnosed with ACEi-induced cough. Controls were subjects with at least 6 months of ACEi use and no cough. A GWAS (1595 cases and 5485 controls) identified associations on chromosome 4 in an intron of KCNIP4. The strongest association was at rs145489027 (minor allele frequency=0.33, odds ratio (OR)=1.3 (95% confidence interval (CI): 1.2-1.4), P=1.0 × 10-8). Replication for six single-nucleotide polymorphisms (SNPs) in KCNIP4 was tested in a second eMERGE population (n=926) and in the Genetics of Diabetes Audit and Research in Tayside, Scotland (GoDARTS) cohort (n=4309). Replication was observed at rs7675300 (OR=1.32 (1.01-1.70), P=0.04) in eMERGE and at rs16870989 and rs1495509 (OR=1.15 (1.01-1.30), P=0.03 for both) in GoDARTS. The combined association at rs1495509 was significant (OR=1.23 (1.15-1.32), P=1.9 × 10-9). These results indicate that SNPs in KCNIP4 may modulate ACEi-induced cough risk.

Original languageEnglish
Pages (from-to)231-237
Number of pages7
JournalPharmacogenomics Journal
Volume16
Issue number3
Early online date14 Jul 2015
DOIs
Publication statusPublished - Jun 2016

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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