Key result
GWAS identifies 81 genetic loci linked to multiple hernias, highlighting shared genetic mechanisms.
Observational (n=804,289)
Yes
p-value: p=<5x10^-8
This large-scale genome-wide association study identifies over 80 genetic loci associated with different forms of hernia, highlighting the essential role of connective tissue morphology.
No immediate clinical implications; extends the genetic map of hernias and leaves open functional validation of shared loci.
Hernias are characterized by protrusion of an organ or tissue through its surrounding cavity and often require surgical repair. In this study we identify 65,492 cases for five hernia types in the UK Biobank and perform genome-wide association study scans for these five types and two combined groups. Our results show associated variants in all scans. Inguinal hernia has the most associations and we conduct a follow-up study with 23,803 additional cases from four study groups giving 84 independently associated variants. Identified variants from all scans are collapsed into 81 independent loci. Further testing shows that 26 loci are associated with more than one hernia type, suggesting substantial overlap between the underlying genetic mechanisms. Pathway analyses identify several genes with a strong link to collagen and/or elastin (ADAMTS6, ADAMTS16, ADAMTSL3, LOX, ELN) in the vicinity of associated loci for inguinal hernia, which substantiates an essential role of connective tissue morphology.
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Fadista et al. (2022) conducted an observational in Hernia (inguinal, femoral, umbilical, diaphragmatic, ventral) (n=804,289). Genetic variants (SNPs) vs. Individuals without any documented hernia was evaluated on Genome-wide significant association with hernia types (p=<5x10^-8). A comprehensive genome-wide association study of five hernia types identified 81 independent genetic loci, including 26 loci associated with more than one hernia type, highlighting shared genetic mechanisms.
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