TY - JOUR
T1 - Exploring the Genetic Risk of Childhood Daytime Urinary Incontinence
T2 - A Genome-wide Association Study
AU - Breinbjerg, Anders
AU - Jørgensen, Cecilie Siggaard
AU - Walters, Guðmundur Bragi
AU - Grove, Jakob
AU - Als, Thomas D.
AU - Kamperis, Konstantinos
AU - Stefánsdóttir, Lilja
AU - Thirstrup, Janne P.
AU - Borg, Britt
AU - Albiñana, Clara
AU - Vilhjálmsson, Bjarni J.
AU - Eðvarðsson, Viðar Örn
AU - Stefánsson, Hreinn
AU - Mortensen, Preben B.
AU - Agerbo, Esben
AU - Werge, Thomas
AU - Børglum, Anders
AU - Demontis, Ditte
AU - Stefánsson, Kári
AU - Rittig, Søren
AU - Christensen, Jane Hvarregaard
N1 - Publisher Copyright:
Copyright © 2024 American Urological Association Education and Research, Inc.
PY - 2024/12/1
Y1 - 2024/12/1
N2 - Purpose: Childhood incontinence is stigmatized and underprioritized, and a basic understanding of its pathogenesis is missing. Our goal was to identify risk-conferring genetic variants in daytime urinary incontinence (DUI). Materials and Methods: We conducted a genome-wide association study in the Danish iPSYCH2015 cohort. Cases (3,024) were identified through DUI diagnosis codes and redeemed prescriptions for DUI medication in children aged 5 to 20. Controls (30,240), selected from the same sample, were matched to cases on sex and psychiatric diagnoses, if any, and down-sampled to a 1:10 case:control ratio. Replication was performed in the Icelandic deCODE cohort (5,475 cases/287,773 controls). Single-nucleotide polymorphism heritability was calculated using the genome-based restricted maximum likelihood method. Cross-trait genetic correlation was estimated using linkage disequilibrium score regression. Polygenic risk scores generated with LDpred2-auto and BOLT-LMM were assessed for association. Results: Variants on chromosome 6 (rs12210989, OR=1.24 [95% CI: 1.17-1.32], P=3.21x10-12) and 20 (rs4809801, OR=1.18 [95% CI: 1.11-1.25], P=3.66x10-8) reached genome-wide significance and implicated the PRDM13 and RIPOR3 genes. Chromosome 6 findings were replicated (P=0.024, OR=1.09 [95% CI: 1.01-1.16]). Liability scale heritability ranged from 10.20% (95% CI: 6.40%-14.00%) to 15.30% (95% CI: 9.66%-20.94%). DUI and nocturnal enuresis showed positive genetic correlation (rg=1.28±0.38, P=0.0007). DUI was associated with attention-deficit/hyperactivity disorder (OR=1.098 [95% CI: 1.046-1.152], P<0.0001) and body mass index (OR=1.129 [95% CI: 1.081-1.178], P<0.0001) polygenic risk. Conclusions: Common genetic variants contribute to the risk of childhood DUI and genes important in neuronal development and detrusor smooth muscle activity were implicated. These findings may help guide identification of new treatment targets.
AB - Purpose: Childhood incontinence is stigmatized and underprioritized, and a basic understanding of its pathogenesis is missing. Our goal was to identify risk-conferring genetic variants in daytime urinary incontinence (DUI). Materials and Methods: We conducted a genome-wide association study in the Danish iPSYCH2015 cohort. Cases (3,024) were identified through DUI diagnosis codes and redeemed prescriptions for DUI medication in children aged 5 to 20. Controls (30,240), selected from the same sample, were matched to cases on sex and psychiatric diagnoses, if any, and down-sampled to a 1:10 case:control ratio. Replication was performed in the Icelandic deCODE cohort (5,475 cases/287,773 controls). Single-nucleotide polymorphism heritability was calculated using the genome-based restricted maximum likelihood method. Cross-trait genetic correlation was estimated using linkage disequilibrium score regression. Polygenic risk scores generated with LDpred2-auto and BOLT-LMM were assessed for association. Results: Variants on chromosome 6 (rs12210989, OR=1.24 [95% CI: 1.17-1.32], P=3.21x10-12) and 20 (rs4809801, OR=1.18 [95% CI: 1.11-1.25], P=3.66x10-8) reached genome-wide significance and implicated the PRDM13 and RIPOR3 genes. Chromosome 6 findings were replicated (P=0.024, OR=1.09 [95% CI: 1.01-1.16]). Liability scale heritability ranged from 10.20% (95% CI: 6.40%-14.00%) to 15.30% (95% CI: 9.66%-20.94%). DUI and nocturnal enuresis showed positive genetic correlation (rg=1.28±0.38, P=0.0007). DUI was associated with attention-deficit/hyperactivity disorder (OR=1.098 [95% CI: 1.046-1.152], P<0.0001) and body mass index (OR=1.129 [95% CI: 1.081-1.178], P<0.0001) polygenic risk. Conclusions: Common genetic variants contribute to the risk of childhood DUI and genes important in neuronal development and detrusor smooth muscle activity were implicated. These findings may help guide identification of new treatment targets.
KW - Child
KW - Diurnal Enuresis
KW - Genetic Loci
KW - Genome-Wide Association Study
KW - Urinary Incontinence
UR - http://www.scopus.com/inward/record.url?scp=85201188910&partnerID=8YFLogxK
U2 - 10.1097/ju.0000000000004187
DO - 10.1097/ju.0000000000004187
M3 - Article
C2 - 39093873
AN - SCOPUS:85201188910
SN - 0022-5347
VL - 212
SP - 851
EP - 861
JO - Journal of Urology
JF - Journal of Urology
IS - 6
M1 - 10.1097/JU.0000000000004187
ER -