RT Journal Article T1 Trans-ethnic meta-analysis of genome-wide association studies for Hirschsprung disease. A1 Tang, Clara Sze-Man A1 Gui, Hongsheng A1 Kapoor, Ashish A1 Kim, Jeong-Hyun A1 Luzón-Toro, Berta A1 Pelet, Anna A1 Burzynski, Grzegorz A1 Lantieri, Francesca A1 So, Man-Ting A1 Berrios, Courtney A1 Shin, Hyoung Doo A1 Fernández, Raquel M A1 Le, Thuy-Linh A1 Verheij, Joke B G M A1 Matera, Ivana A1 Cherny, Stacey S A1 Nandakumar, Priyanka A1 Cheong, Hyun Sub A1 Antiñolo, Guillermo A1 Amiel, Jeanne A1 Seo, Jeong-Meen A1 Kim, Dae-Yeon A1 Oh, Jung-Tak A1 Lyonnet, Stanislas A1 Borrego, Salud A1 Ceccherini, Isabella A1 Hofstra, Robert M W A1 Chakravarti, Aravinda A1 Kim, Hyun-Young A1 Sham, Pak Chung A1 Tam, Paul K H A1 Garcia-Barceló, Maria-Mercè AB Hirschsprung disease (HSCR) is the most common cause of neonatal intestinal obstruction. It is characterized by the absence of ganglia in the nerve plexuses of the lower gastrointestinal tract. So far, three common disease-susceptibility variants at the RET, SEMA3 and NRG1 loci have been detected through genome-wide association studies (GWAS) in Europeans and Asians to understand its genetic etiologies. Here we present a trans-ethnic meta-analysis of 507 HSCR cases and 1191 controls, combining all published GWAS results on HSCR to fine-map these loci and narrow down the putatively causal variants to 99% credible sets. We also demonstrate that the effects of RET and NRG1 are universal across European and Asian ancestries. In contrast, we detected a European-specific association of a low-frequency variant, rs80227144, in SEMA3 [odds ratio (OR) = 5.2, P = 4.7 × 10-10]. Conditional analyses on the lead SNPs revealed a secondary association signal, corresponding to an Asian-specific, low-frequency missense variant encoding RET p.Asp489Asn (rs9282834, conditional OR = 20.3, conditional P = 4.1 × 10-14). When in trans with the RET intron 1 enhancer risk allele, rs9282834 increases the risk of HSCR from 1.1 to 26.7. Overall, our study provides further insights into the genetic architecture of HSCR and has profound implications for future study designs. YR 2016 FD 2016 LK http://hdl.handle.net/10668/10504 UL http://hdl.handle.net/10668/10504 LA en DS RISalud RD Apr 3, 2025