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Lovemore Kunorozva, PhD

He/Him/His

Job Title

Postdoc

Academic Rank

Fellow or Postdoc

Department

Medicine

Authors

Lovemore Kunorozva, Michael Weedon, Andrew Wood, Matthew Maher, Richa Saxena, Samuel Jones, Hanna M Ollila, Jacqueline M Lane

Principal Investigator

Lovemore Kunorozva

Categories

Tags

Common variants reveal novel insight into sleep-related phenotypes.

Scientific Abstract

Background: Sleep is a ubiquitous, complex neurological and psychological state that is essential for well-being, performance, and health and any perturbation to sleep may lead to sleep/circadian disorders. While genetic research has been conducted on sleep/circadian traits, a comprehensive interrogation of the genetic associations with both clinically diagnosed disorders and medication treatment has not been performed.

Aim: This study aims to identify common variants associated with sleep/circadian related ICD10-codes and medications used to treat sleep-related disorders.

Methods: We pooled data from GWAS conducted in the UK Biobank, MassGeneralBrigham and FinnGen cohorts. We performed a meta-analysis on 765,831 controls and 127,622 cases with various sleep/circadian disorders and medications used to treat sleep/circadian disorders. Genome-wide significant hits in each META-analysis (p < 5×10-8) were identified.

Results: The association of FTO (chr16: 53,769,311) with sleep apnea, MEIS1 (chr2: 66,523,432) with restless-leg syndrome, and HLA (chr6: 33,392,686) with narcolepsy confirms previously reported loci. Genetic variants in MEIS1 (chr2: 66,523,432), BTN2A2 (chr6: 26,392,287) and ZNF197 (chr3: 44,610,795) were associated with zopiclone, oxazepam and zolpidem, respectively.

Conclusion and Discussion: Identification of common variants may increase our ability to assess risk for sleep/circadian disorders before symptom onset, allowing us to shift focus from treatment to prevention.

Lay Abstract

Background: Sleep is a ubiquitous, complex neurological and psychological state that is essential for well-being, performance, and health and any perturbation to sleep may lead to sleep/circadian disorders. While genetic research has been conducted on sleep/circadian traits, a comprehensive interrogation of the genetic associations with both clinically diagnosed disorders and medication treatment has not been performed.
Aim: This study aims to identify common variants associated with sleep/circadian related ICD10-codes and medications used to treat sleep-related disorders.
Methods: We pooled data from GWAS conducted in the UK Biobank, MassGeneralBrigham and FinnGen cohorts. We performed a meta-analysis on 765,831 controls and 127,622 cases with various sleep/circadian disorders and medications used to treat sleep/circadian disorders. Genome-wide significant hits in each META-analysis (p < 5×10-8) were identified. Results: One hundred and twenty-two significant genome-wide loci were identified in six sleep related disorders, including sleep apnea (n=60), restless leg syndrome (n=12) and narcolepsy (n=5). Likewise, one hundred and seventy-five significant genome-wide loci were identified for ten insomnia medications. Conclusion and Discussion: Identification of common variants may increase our ability to assess risk for sleep/circadian disorders before symptom onset, allowing us to shift focus from treatment to prevention.

Clinical Implications

Identification of these genetic variants may increase our ability to assess risk for sleep and circadian disorders before symptom onset, allowing us to shift focus from treatment to prevention of sleep disorders.