Four SNPs in the CHRNA3-5 Alpha-Neuronal Nicotinic Acetylcholine Receptor Subunit Locus Are Associated with COPD Risk Based on Meta-AnalysesReport as inadecuate

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Several single nucleotide polymorphisms SNPs in an α-neuronal nicotinic acetylcholine receptor subunit CHRNA3-5 were identified to be associated with chronic obstructive pulmonary disease COPD in a study based on a Norwegian population. However, results from subsequent studies have been controversial, particularly in studies recruiting Asians. In the present study, we conducted a comprehensive search and meta-analyses to identify susceptibility SNPs for COPD in the CHRNA3-5 locus.


A comprehensive literature search was conducted to find studies that have reported an association between SNPs in the CHRNA3-5 locus and COPD risk. Pooled odds ratios ORs with 95% confidence intervals CIs for each SNP were calculated with the major allele or genotype as the reference group. The influence of individual studies on pooled measures was assessed, in addition to publication bias.


A total of 12 articles with 14 eligible studies were included in this analysis. Association between 4 SNPs in the CHRNA3-5 locus and COPD was evaluated and included rs1051730, rs8034191, rs6495309, and rs16969968. Significant associations between the 4 SNPs and COPD were identified under allele rs1051730: OR = 1.14, 95%CI = 1.10–1.18; rs8034191: OR = 1.29, 95%CI = 1.18–1.41; rs6495309: OR = 1.26, 95%CI = 1.09–1.45; rs16969968: OR = 1.27, 95%CI = 1.17–1.39 and genotype models. Subgroup analysis conducted for rs1051730 showed a significant association between this SNP and COPD risk in non-Asians OR = 1.14, 95%CI = 1.10–1.18, but not Asians OR = 1.23, 95%CI = 0.91–1.67. Rs1051730 and rs6495309 were also significantly associated with COPD after adjusting for multiple variables, including age and smoking status.


Our results indicate that 4 SNPs in the CHRNA3-5 locus are associated with COPD risk. Rs1051730 was particularly associated with COPD in non-Asians, but its role in Asians still needs to be verified. Additional studies will be necessary to assess the effect of rs6495309 on COPD. Although rs1051730 and rs6495309 were shown to be independent risk factors for COPD, validation studies should be performed.

Author: Kai Cui, Xiaoyan Ge, Honglin Ma



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