A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth

Abstract Background Preterm birth (PTB), defined as delivery before 37 gestational weeks, imposes significant public health burdens. A recent maternal genome-wide association study of spontaneous PTB identified a noncoding locus near the angiotensin II receptor type 2 (AGTR2) gene. Genotype-Tissue E...

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Main Authors: Li Wang, Robert M. Rossi, Xiaoting Chen, Jing Chen, Jilian Runyon, Mehak Chawla, Daniel Miller, Carmy Forney, Arthur Lynch, Xuzhe Zhang, Fansheng Kong, Bo Jacobsson, Leah C. Kottyan, Matthew T. Weirauch, Ge Zhang, Louis J. Muglia
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12916-023-02973-w
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author Li Wang
Robert M. Rossi
Xiaoting Chen
Jing Chen
Jilian Runyon
Mehak Chawla
Daniel Miller
Carmy Forney
Arthur Lynch
Xuzhe Zhang
Fansheng Kong
Bo Jacobsson
Leah C. Kottyan
Matthew T. Weirauch
Ge Zhang
Louis J. Muglia
author_facet Li Wang
Robert M. Rossi
Xiaoting Chen
Jing Chen
Jilian Runyon
Mehak Chawla
Daniel Miller
Carmy Forney
Arthur Lynch
Xuzhe Zhang
Fansheng Kong
Bo Jacobsson
Leah C. Kottyan
Matthew T. Weirauch
Ge Zhang
Louis J. Muglia
author_sort Li Wang
collection DOAJ
description Abstract Background Preterm birth (PTB), defined as delivery before 37 gestational weeks, imposes significant public health burdens. A recent maternal genome-wide association study of spontaneous PTB identified a noncoding locus near the angiotensin II receptor type 2 (AGTR2) gene. Genotype-Tissue Expression data revealed that alleles associated with decreased AGTR2 expression in the uterus were linked to an increased risk of PTB and shortened gestational duration. We hypothesized that a causative variant in this locus modifies AGTR2 expression by altering transcription factor (TF) binding. Methods To investigate this hypothesis, we performed bioinformatics analyses and functional characterizations at the implicated locus. Potential causal single nucleotide polymorphisms (SNPs) were prioritized, and allele-dependent binding of TFs was predicted. Reporter assays were employed to assess the enhancer activity of the top PTB-associated non-coding variant, rs7889204, and its impact on TF binding. Results Our analyses revealed that rs7889204, a top PTB-associated non-coding genetic variant is one of the strongest eQTLs for the AGTR2 gene in uterine tissue samples. We observed differential binding of CEBPB (CCAAT enhancer binding protein beta) and HOXA10 (homeobox A10) to the alleles of rs7889204. Reporter assays demonstrated decreased enhancer activity for the rs7889204 risk “C” allele. Conclusion Collectively, these results demonstrate that decreased AGTR2 expression caused by reduced transcription factor binding increases the risk for PTB and suggest that enhancing AGTR2 activity may be a preventative measure in reducing PTB risk.
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spelling doaj.art-be5cdb1ceca847a8807404f5cbf105e92023-07-23T11:16:45ZengBMCBMC Medicine1741-70152023-07-0121111210.1186/s12916-023-02973-wA functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birthLi Wang0Robert M. Rossi1Xiaoting Chen2Jing Chen3Jilian Runyon4Mehak Chawla5Daniel Miller6Carmy Forney7Arthur Lynch8Xuzhe Zhang9Fansheng Kong10Bo Jacobsson11Leah C. Kottyan12Matthew T. Weirauch13Ge Zhang14Louis J. Muglia15Center for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children’s Hospital Medical CenterCenter for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children’s Hospital Medical CenterMarch of Dimes Prematurity Research Center Ohio CollaborativeDepartment of Pediatrics, University of Cincinnati College of MedicineDivision of Human Genetics, Cincinnati Children’s Hospital Medical CenterCenter for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical CenterCenter for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical CenterCenter for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical CenterCenter for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical CenterCenter for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children’s Hospital Medical CenterCenter for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children’s Hospital Medical CenterDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of GothenburgCenter for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical CenterCenter for Autoimmune Genomics and Etiology, Cincinnati Children’s Hospital Medical CenterDivision of Human Genetics, Cincinnati Children’s Hospital Medical CenterCenter for Prevention of Preterm Birth, Perinatal Institute, Cincinnati Children’s Hospital Medical CenterAbstract Background Preterm birth (PTB), defined as delivery before 37 gestational weeks, imposes significant public health burdens. A recent maternal genome-wide association study of spontaneous PTB identified a noncoding locus near the angiotensin II receptor type 2 (AGTR2) gene. Genotype-Tissue Expression data revealed that alleles associated with decreased AGTR2 expression in the uterus were linked to an increased risk of PTB and shortened gestational duration. We hypothesized that a causative variant in this locus modifies AGTR2 expression by altering transcription factor (TF) binding. Methods To investigate this hypothesis, we performed bioinformatics analyses and functional characterizations at the implicated locus. Potential causal single nucleotide polymorphisms (SNPs) were prioritized, and allele-dependent binding of TFs was predicted. Reporter assays were employed to assess the enhancer activity of the top PTB-associated non-coding variant, rs7889204, and its impact on TF binding. Results Our analyses revealed that rs7889204, a top PTB-associated non-coding genetic variant is one of the strongest eQTLs for the AGTR2 gene in uterine tissue samples. We observed differential binding of CEBPB (CCAAT enhancer binding protein beta) and HOXA10 (homeobox A10) to the alleles of rs7889204. Reporter assays demonstrated decreased enhancer activity for the rs7889204 risk “C” allele. Conclusion Collectively, these results demonstrate that decreased AGTR2 expression caused by reduced transcription factor binding increases the risk for PTB and suggest that enhancing AGTR2 activity may be a preventative measure in reducing PTB risk.https://doi.org/10.1186/s12916-023-02973-wFunctional studiesPreterm birthNon-coding variantAGTR2
spellingShingle Li Wang
Robert M. Rossi
Xiaoting Chen
Jing Chen
Jilian Runyon
Mehak Chawla
Daniel Miller
Carmy Forney
Arthur Lynch
Xuzhe Zhang
Fansheng Kong
Bo Jacobsson
Leah C. Kottyan
Matthew T. Weirauch
Ge Zhang
Louis J. Muglia
A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth
BMC Medicine
Functional studies
Preterm birth
Non-coding variant
AGTR2
title A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth
title_full A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth
title_fullStr A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth
title_full_unstemmed A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth
title_short A functional mechanism for a non-coding variant near AGTR2 associated with risk for preterm birth
title_sort functional mechanism for a non coding variant near agtr2 associated with risk for preterm birth
topic Functional studies
Preterm birth
Non-coding variant
AGTR2
url https://doi.org/10.1186/s12916-023-02973-w
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