Review Article

Genetic Variants Associated with Chronic Obstructive Pulmonary Disease Risk: Cumulative Epidemiological Evidence from Meta-Analyses and Genome-Wide Association Studies

Table 1

Statistically significant variants from meta-analyses, false-positive report probabilities (FPRP), and cumulative epidemiological evidence.

GeneVariantsYearComparisonEthnicityOR (95% CI)Adjustment for smokingPublication bias/heterogeneityI2 (%)No. of studiesCases/controlMaf (%)Number of test alleles or genotypesVenice criteriaPower OR of 1.5FPRP values at prior probability of 0.01Cumulative epidemiological evidenceReference

PIPIMZ2004PIMZ vs PIMMDiverse2.31 (1.60–3.35)No0.15/0.00258.6163653/123404.43822BCC0.0110.081Weak[30]
PIMZ vs PIMMDiverse1.61 (0.92–2.81)YesNo/0.15NA51600/7645[30]
PIPISZ2005PISZ vs PIMMDiverse3.26 (1.24–8.57)No0.98/0.2327.262404/89990.1242NBC
0.0580.966Weak[31]
PIPIMS2005PIMS vs PIMMDiverse1.19 (1.02–1.38)No1.0/0.540.0173630/130307.261169AAA0.9990.679Moderate[31]
PIMS vs PIMMDiverse1.02 (0.81–1.28)YesNA/NANA51526/7859[31]
GSTM1Null/present2018Null vs presentDiverse1.52 (1.31–1.77)NoNo/<0.0000164.0374669/491446.995018ACA0.4320.000Moderate[32]
Null vs presentAsian1.59 (1.29–1.96)NoNo/<0.000164.0232374/263044.792531ACA0.2930.005Moderate[32]
Null vs presentCaucasian1.27 (1.11–1.44)NoNo/0.0349.0111881/193849.852045ABA0.9950.019Strong[32]
GSTT1Null/present2018Null vs presentDiverse1.28 (1.09–1.50)NoNo/0.00151.0293273/357832.362338ACA0.9750.188Weak[32]
Null vs presentAsian1.30 (1.05–1.61)NoNo/0.00257.0182025/225339.611697ACA0.9050.639Weak[32]
TGF-b1rs18004702011C vs TDiverse0.82 (0.70–0.96)No0.326/0.0157.6101507/254243.143533ACA0.9950.575Weak[33]
C vs TCaucasian0.77 (0.60–0.98)NoNo/0.0265.95840/178841.112061ACA0.8790.791Weak[33]
TGF-β1rs1982073※2017C vs TCaucasian0.79 (0.64–0.99)NoNo/0.00675.741656/256440.723348ACA0.9300.812Weak[34]
IL1RNrs22346632019L vs 2Diverse0.56 (0.39–0.80)No0.02/0.2530.35322/36510.11171BBC0.1690.458Weak[35]
IL-6rs18007962019CC + GC vs GGDiverse2.23 (1.46–3.40)No0.05/0.3819.33574/86226.33511BAC0.0330.370Weak[35]
IL-13rs18009252017C vs TDiverse1.57 (1.21–2.04)NoNo/0.01557.991477/89116.27963BCA0.3660.166Weak[36]
C vs TAsian1.88 (1.23–2.87)No0.268/0.01667.15555/54414.71425BCA0.1480.698Weak[36]
C vs TCaucasian1.30 (1.01–1.67)No0.644/0.31415.64922/34718.73538BAA0.8690.820Weak[36]
IL-27rs1531092016G vs AAsian0.51 (0.34–0.74)NoNA/NANA1120/10045.50NAXXX0.0790.329NA[37]
MMP-9rs39182422017T vs CDiverse1.32 (1.02–1.71)No0.12/<0.00177.0132295/253911.171408ACA0.8330.808Weak[38]
CT + TT vs CCAsian1.80 (1.04–3.11)NoNo/<0.00185.081101/114714.34645BCA0.2570.931Weak[38]
MMP-12rs6524382014G vs ADiverse1.62 (1.08–2.42)No>0.05/0.07057.54710/165210.57328BCA0.3540.838Weak[39]
CHRNArs169699682014C vs TDiverse1.27 (1.17–1.39)NoNo/0.6550.031996/646329.424979AAA1.0000.000Strong[40]
CHRNArs10517302014T vs CDiverse1.14 (1.10–1.18)NoNo/0.31814.0910466/3905430.8030264AAA§1.0000.000Strong[40]
T vs CNon-Asian1.14 (1.10–1.18)NoNo/0.12442.268620/3709932.3230088ABA§1.0000.000Strong[40]
CHRNArs80341912014C vs TDiverse1.29 (1.18–1.41)NoNo/0.6440.052652/256524.092933AAA1.0000.000Strong[40]
CHRNArs64953092014C vs TDiverse1.26 (1.09–1.45)NoPre/0.10950.441977/213148.123756ACC0.9930.112Weak[40]
ADAM33rs39183962014GG + AG vs AADiverse1.42 (1.12–1.79)No0.168/0.890.061422/303425.613806AAA0.6790.304Moderate[41]
GG + AG vs AAAsian1.45 (1.14–1.85)NoNA/0.6650.03642/63067.38645BAX0.6070.313NA[41]
GG + AG vs AADiverse1.45 (1.14–1.84)YesNo/0.910.03836/84854.071052AAA0.6100.266Moderate[41]
ADAM33rs5979802014A vs GCaucasian1.25 (1.05–1.48)NoNA/0.15849.92296/229440.872148ABX0.9830.492NA[42]
ADAM33rs22800912014GG vs AA + AGDiverse1.76 (1.27–2.43)No0.483/0.34810.582112/395213.18197BAA0.1660.262Weak[42]
G vs AAsian2.03 (1.40–2.94)No0.857/0.00676.041130/113513.04798BCA0.0550.245Weak[42]
ADAM33rs5118982019A vs GDiverse1.16 (1.04–1.30)No0.726/0.04844.5122454/448133.174763ABA1.0000.514Weak[51]
ADAM33rs6127092014A vs GDiverse0.60 (0.52–0.68)No0.070/0.10744.761341/335967.615345ABA0.0500.000Strong[42]
A vs GAsian0.61 (0.42–0.89)No0.256/0.02174.13767/76326.54664BCA0.3220.760Weak[42]
A vs GCaucasian0.64 (0.53–0.77)No0.324/0.7980.03574/259679.684681AAA0.3330.001Strong[42]
ADAM33rs2280090※2014A vs GAsian0.46 (0.33–0.66)No0.581/0.02174.13767/76332.31763BCA0.0220.101Weak[42]
CYP1A1rs46469032015CC vs TTDiverse1.73 (1.18–2.55)NoNo/0.3411.05532/59123.43141BAA0.2360.703Weak[43]
CC vs TTAsian1.84 (1.11–3.06)NoNA/0.650.02158/15435.2788CAX0.2160.896NA[43]
CYP1A1rs10489432015GG vs AADiverse3.23 (1.50–6.93)NoNo/0.1645.03510/5539.0141CBA0.0240.914Weak[43]
SP-ACommon polymorphisms2013W vs MDiverse1.53 (1.14–2.05)No>0.05/0.04356.53383/36923.83828BCA0.4470.493Weak[44]
SP-Drs7219172019T vs CDiverse1.39 (1.18–1.65)No0.375/0.9010.05561/55045.361106AAA0.8080.020Strong[45]
T vs CAsian1.44 (1.20–1.73)No0.457/0.9780.04499/43543.56917BAA0.6690.014Strong[45]
SP-A/B/DCommon polymorphisms2013W vs MAsian1.43 (1.15–1.78)No>0.05/0.00171.34485/48827.281080ACA0.6660.169Weak[44]
TNF-αrs18006292016A vs GDiverse1.56 (1.29–1.89)NoNo/0.00070.8383951/511010.962326ACA0.3440.002Moderate[46]
A vs GAsian2.40 (1.98–2.90)NoNo/0.09329.8222067/21677.631011ABA0.0000.000Strong[46]
A vs GDiverse1.13 (0.95–1.35)YesNo/0.08934.9151500/1239[46]
A vs GAsian1.26 (0.69–2.30)YesNo/0.06352.26570/616[46]
TNF-αrs18006302013A vs CDiverse0.76 (0.60–0.97)NoNo/0.15842.34606/62216.64155BBA0.8540.761Weak[47]
A vs CAsian0.56 (0.37–0.85)NoNA/0.6400.02202/20316.5040CAX0.2060.756NA[47]
EPHX1rs10517402012CC vs TTDiverse1.33 (1.06–1.69)No0.158/<0.000173.0254808/2488852.595186ACA0.8370.699Weak[48]
CC vs TTCaucasian1.61 (1.12–2.31)NoNo/<0.000181.0123930/2390749.914343ACA0.3500.733Weak[48]
EPHX1rs22349222012Extremely slow vs normalDiverse1.77 (1.23–2.55)NoNo/<0.000176.0153146/21391NA4180ACA0.1870.535Weak[48]
Slow vs normalDiverse1.44 (1.13–1.85)NoNo/<0.0000174.0154248/28597NA12488ACA0.6250.407Weak[48]
Extremely slow vs normalCaucasian2.64 (1.30–5.38)NoNo/<0.000185.082685/20884NA3813ACA0.0600.926Weak[48]
Slow vs normalCaucasian1.31 (1.01–1.71)NoNo/0.0162.083563/27956NA11763ACA0.8400.847Weak[48]
VDBP1F20151F vs 1SDiverse1.47 (1.22–1.77)NoNo/0.4470.08809/140720.471125AAA0.5840.008Strong[49]
1F vs 1SAsian1.53 (1.22–1.92)No0.133/0.9350.05510/46030.84319BAA0.4320.052Moderate[49]
VDBP1S20151S vs non 1SDiverse0.86 (0.77–0.96)NoNo/0.1235.0111410/159546.142578ABA1.0000.416Weak[50]
1S vs non 1SAsian0.76 (0.64–0.89)NoNo/0.2326.07785/71931.71869BBA0.9480.064Moderate[50]
HHIPrs131189282019G vs ADiverse1.14 (1.08–1.20)NoNo/0.9300.075157/976836.3910250AAA§1.0000.000Strong[57]
COX2rs204172014C vs GDiverse1.33 (1.06–1.67)No>0.05/0.20930.26930/71917.04597BBA0.8500.621Weak[39]
IREB2rs25684942016AA vs GG + AGDiverse1.38 (1.09–1.76)NoNo/0.17140.142001/216722.70322BBA0.7490.555Weak[52]
HMOX1L allele2017L vs S + MDiverse2.02 (1.31–3.11)No0.79/0.0852.05601/5478.78287BCB0.0880.612Weak[53]
L vs S + MAsian2.23 (1.68–2.95)NoNo/0.460.04471/4529.29262BAB0.0030.001Strong[53]
ACEI/D※2018D vs IAsian1.63 (1.17–2.27)NoNo/0.06554.75380/20639.86685BCA0.3110.549Weak[54]
ADRB2rs1042714※2018G vs CAsian1.29 (1.02–1.65)No0.970/0.3410.04613/58711.46314BAA0.8850.826Weak[55]
FAM13Ars76711672017CC + CT vs TTDiverse0.76 (0.62–0.94)NoNo/0.00271.073571/434453.965892ACA0.8870.560Weak[56]
CC + CT vs TTCaucasian0.63 (0.43–0.93)NoNA/0.1259.02607/100952.731216ACX0.3880.837NA[56]

NA: not available; No: significant publication bias was not found; present: significant publication bias was found; W vs M: wild allele vs mutant allele. Frequency of minor allele in controls. The grade of C is assigned to protection from bias because the sensitivity analysis indicated that the significant summary OR can be substantially changed. §The grade of A is assigned to protection from bias though the OR is less than 1.15, and the association is replicated by GWAS. Frequency less than 1%, the amount of evidence is not applied considering an A grade is unlikely to obtain. Reported nonsignificantly in the diverse populations, but significant results were reported in the stratified analysis by ethnicity. value or I2 was calculated according to the original data provided in the article with Stata 12.0 since the article did not present these values. value of Egger’s test/test for between-study heterogeneity.