Author:
Ferar Kathleen,Hall Taryn O.,Crawford Dana C.,Rowley Robb,Satterfield Benjamin A.,Li Rongling,Gragert Loren,Karlson Elizabeth W.,de Andrade Mariza,Kullo Iftikhar J.,McCarty Catherine A.,Kho Abel,Hayes M. Geoffrey,Ritchie Marylyn D.,Crane Paul K.,Mirel Daniel B.,Carlson Christopher,Connolly John J.,Hakonarson Hakon,Crenshaw Andrew T.,Carrell David,Luo Yuan,Dikilitas Ozan,Denny Joshua C.,Jarvik Gail P.,Crosslin David R.
Abstract
AbstractClostridioides difficile (C. diff.) infection (CDI) is a leading cause of hospital acquired diarrhea in North America and Europe and a major cause of morbidity and mortality. Known risk factors do not fully explain CDI susceptibility, and genetic susceptibility is suggested by the fact that some patients with colons that are colonized with C. diff. do not develop any infection while others develop severe or recurrent infections. To identify common genetic variants associated with CDI, we performed a genome-wide association analysis in 19,861 participants (1349 cases; 18,512 controls) from the Electronic Medical Records and Genomics (eMERGE) Network. Using logistic regression, we found strong evidence for genetic variation in the DRB locus of the MHC (HLA) II region that predisposes individuals to CDI (P > 1.0 × 10–14; OR 1.56). Altered transcriptional regulation in the HLA region may play a role in conferring susceptibility to this opportunistic enteric pathogen.
Funder
National Human Genome Research Institute
Publisher
Springer Science and Business Media LLC