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Genetic variants associated with angiotensin-converting enzyme inhibitor-induced cough: a genome-wide association study in a Swedish population

    Pär Hallberg

    Department of Medical Sciences, Clinical Pharmacology & Science for Life Laboratory, Uppsala University, Uppsala, Sweden

    ,
    Matilda Persson

    Department of Medical Sciences, Clinical Pharmacology & Science for Life Laboratory, Uppsala University, Uppsala, Sweden

    ,
    Tomas Axelsson

    Department of Medical Sciences, Molecular Medicine & Science for Life Laboratory, Uppsala University, Uppsala, Sweden

    ,
    Marco Cavalli

    Department of Immunology, Genetics & Pathology & Science for Life Laboratory, Uppsala University, Sweden

    ,
    Pia Norling

    Sickla Health Centre, Nacka, Sweden

    ,
    Hans-Erik Johansson

    Department of Public Health & Caring Sciences/Geriatrics, Uppsala University, Uppsala, Sweden

    ,
    Qun-Ying Yue

    Medical Products Agency, Uppsala, Sweden

    ,
    Patrik KE Magnusson

    Swedish Twin Registry, Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm

    ,
    Claes Wadelius

    Department of Immunology, Genetics & Pathology & Science for Life Laboratory, Uppsala University, Sweden

    ,
    Niclas Eriksson

    Uppsala Clinical Research Center & Department of Medical Sciences, Uppsala University, Uppsala, Sweden

    &
    Mia Wadelius

    *Author for correspondence:

    E-mail Address: mia.wadelius@medsci.uu.se

    Department of Medical Sciences, Clinical Pharmacology & Science for Life Laboratory, Uppsala University, Uppsala, Sweden

    Published Online:https://doi.org/10.2217/pgs-2016-0184

    Aim: We conducted a genome-wide association study on angiotensin-converting enzyme inhibitor-induced cough and used our dataset to replicate candidate genes identified in previous studies. Patients & methods: A total of 124 patients and 1345 treated controls were genotyped using Illumina arrays. The genome-wide significance level was set to p < 5 × 10-8. Results: We identified nearly genome-wide significant associations in CLASP1, PDE11A, KCNMB2, TGFA, SLC38A6 and MMP16. The strongest association was with rs62151109 in CLASP1 (odds ratio: 3.97; p = 9.44 × 10-8). All top hits except two were located in intronic or noncoding DNA regions. None of the candidate genes were significantly associated in our study. Conclusion: Angiotensin-converting enzyme inhibitor-induced cough is potentially associated with genes that are independent of bradykinin pathways.

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