- Gui, Hongsheng;
- Levin, Albert M;
- Hu, Donglei;
- Sleiman, Patrick;
- Xiao, Shujie;
- Mak, Angel CY;
- Yang, Mao;
- Barczak, Andrea J;
- Huntsman, Scott;
- Eng, Celeste;
- Hochstadt, Samantha;
- Zhang, Ellen;
- Whitehouse, Kyle;
- Simons, Samantha;
- Cabral, Whitney;
- Takriti, Sami;
- Abecasis, Gonçalo;
- Blackwell, Thomas W;
- Kang, Hyun Min;
- Nickerson, Deborah A;
- Germer, Soren;
- Lanfear, David E;
- Gilliland, Frank;
- Gauderman, W James;
- Kumar, Rajesh;
- Erle, David J;
- Martinez, Fernando D;
- Hakonarson, Hakon;
- Burchard, Esteban G;
- Williams, L Keoki
Rationale: The 17q12-21.1 locus is one of the most highly replicated genetic associations with asthma. Individuals of African descent have lower linkage disequilibrium in this region, which could facilitate identifying causal variants.Objectives: To identify functional variants at 17q12-21.1 associated with early-onset asthma among African American individuals.Methods: We evaluated African American participants from SAPPHIRE (Study of Asthma Phenotypes and Pharmacogenomic Interactions by Race-Ethnicity) (n = 1,940), SAGE II (Study of African Americans, Asthma, Genes and Environment) (n = 885), and GCPD-A (Study of the Genetic Causes of Complex Pediatric Disorders-Asthma) (n = 2,805). Associations with asthma onset at ages under 5 years were meta-analyzed across cohorts. The lead signal was reevaluated considering haplotypes informed by genetic ancestry (i.e., African vs. European). Both an expression-quantitative trait locus analysis and a phenome-wide association study were performed on the lead variant.Measurements and Main Results: The meta-analyzed results from SAPPHIRE, SAGE II, and the GCPD-A identified rs11078928 as the top association for early-onset asthma. A haplotype analysis suggested that the asthma association partitioned most closely with the rs11078928 genotype. Genetic ancestry did not appear to influence the effect of this variant. In the expression-quantitative trait locus analysis, rs11078928 was related to alternative splicing of GSDMB (gasdermin-B) transcripts. The phenome-wide association study of rs11078928 suggested that this variant was predominantly associated with asthma and asthma-associated symptoms.Conclusions: A splice-acceptor polymorphism appears to be a causal variant for asthma at the 17q12-21.1 locus. This variant appears to have the same magnitude of effect in individuals of African and European descent.