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Genome-wide analysis of thyroid function in Australian adolescents highlights SERPINA7 and NCOA3


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Nolan, J, Campbell, PJ, Brown, SJ, Zhu, G, Gordon, S, Lim, EM, Joseph, J, Cross, S, Panicker, V, Medland, SE, Melton, P ORCID: 0000-0003-4026-2964, Beilin, LJ, Mori, TA, Mullin, B, Pennell, C, Wang, C, Dudbridge, F, Walsh, JP, Martin, NG and Wilson, SG 2021 , 'Genome-wide analysis of thyroid function in Australian adolescents highlights SERPINA7 and NCOA3' , European Journal of Endocrinology, vol. 185, no. 5 , 743–753 , doi: 10.1530/EJE-21-0614.

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ObjectiveGenetic factors underpin the narrow intraindividual variability of thyroid function, although precise contributions of environmental vs genetic factors remain uncertain. We sought to clarify the heritability of thyroid function traits and thyroid peroxidase antibody (TPOAb) positivity and identify single nucleotide polymorphisms (SNPs) contributing to the trait variance.MethodsHeritability of thyroid-stimulating hormone (TSH), free T4 (fT4), free T3 (fT3) and TPOAb in a cohort of 2854 euthyroid, dizygous and monozygous twins (age range 11.9–16.9 years) from the Brisbane Longitudinal Twin Study (BLTS) was assessed using structural equation modelling. A genome-wide analysis was conducted on 2832 of these individuals across 7 522 526 SNPs as well as gene-based association analyses. Replication analysis of the association results was performed in the Raine Study (n = 1115) followed by meta-analysis to maximise power for discovery.ResultsHeritability of thyroid function parameters in the BLTS was 70.8% (95% CI: 66.7–74.9%) for TSH, 67.5% (59.8–75.3%) for fT4, 59.7% (54.4–65.0%) for fT3 and 48.8% (40.6–56.9%) for TPOAb. The genome-wide association study (GWAS) in the discovery cohort identified a novel association between rs2026401 upstream of NCOA3 and TPOAb. GWAS meta-analysis found associations between TPOAb and rs445219, also near NCOA3, and fT3 and rs12687280 near SERPINA7. Gene-based association analysis highlighted SERPINA7 for fT3 and NPAS3 for fT4.ConclusionOur findings resolve former contention regarding heritability estimates of thyroid function traits and TPOAb positivity. GWAS and gene-based association analysis identified variants accounting for a component of this heritability.

Item Type: Article
Authors/Creators:Nolan, J and Campbell, PJ and Brown, SJ and Zhu, G and Gordon, S and Lim, EM and Joseph, J and Cross, S and Panicker, V and Medland, SE and Melton, P and Beilin, LJ and Mori, TA and Mullin, B and Pennell, C and Wang, C and Dudbridge, F and Walsh, JP and Martin, NG and Wilson, SG
Keywords: thyroid, adolescence, SERINA7, NCOA3, GWAS
Journal or Publication Title: European Journal of Endocrinology
Publisher: Bio Scientifica Ltd
ISSN: 0804-4643
DOI / ID Number: 10.1530/EJE-21-0614
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Copyright: © European Society of Endocrinology 2021The definitive version is now available at

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