Yngvadottir, Bryndis, Richman, Lucy, Andreou, Avgi, Woodley, Jessica, Luharia, Anita, Lim, Derek, Research Team, Genes & Health, Maher, Eamonn R and Marciniak, Stefan J (2025). Inherited predisposition to pneumothorax: estimating the frequency of Birt-Hogg-Dubé syndrome from genomics and population cohorts. Thorax ,
Abstract
Birt-Hogg-Dubé syndrome (BHDS) is the most common monogenic cause of pneumothorax. Most affected families have pathogenic variants in the gene. Using large genomic registries (UK Biobank (UKB), 100,000 Genomes Project and East London Genes & Health) including >550 000 individuals, we demonstrate that the frequency of clinically validated loss-of-function variants is 1 in 2710 to 4190. While the lifetime risk of pneumothorax in mutation carriers in the UKB and a BHDS clinical cohort was substantial (28.4% and 37.3%, respectively, to age 65 years), the lifetime risk of renal cancer was significantly lower in UKB than in BHDS patients (1% vs 32.1%). These findings highlight the importance of clinical context in managing individuals with mutations.
Publication DOI: | https://doi.org/10.1136/thorax-2024-221738 |
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Divisions: | College of Health & Life Sciences > Aston Medical School College of Health & Life Sciences Aston University (General) |
Funding Information: | This research was supported by the Myrovlytis Trust (MT21_1) and NIHR Cambridge Biomedical Research Centre (BRC-1215-20014 and NIHR203312). |
Additional Information: | Copyright © Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group. https://creativecommons.org/licenses/by-nc/4.0/ |
Uncontrolled Keywords: | Pleural Disease |
Publication ISSN: | 1468-3296 |
Data Access Statement: | 100kGP: Research on the de-identified patient data used in this publication can be carried out in the Genomics England Research Environment subject to a collaborative agreement that adheres to patient led governance. All interested readers will be able to access the data in the same manner that the authors accessed the data. For more information about accessing the data, interested readers may contact research-network@genomicsengland.co.uk or access the relevant information on the Genomics England website: https://www.genomicsengland.co.uk/research. UKB: Data from UK Biobank is available on application from https://www.ukbiobank.ac.uk/ All researchers who wish to access the research resource must register with UK Biobank by completing the registration form in the Access Management System (AMS). https://www.ukbiobank.ac.uk/ enable-your-research/register ELGH: The VCF data (accession number EGAD00001005469) is available from the EBI-EGA genotype phenotype archive (www.ebi.ac.uk/ega). Users need to complete the standard Wellcome Sanger Institute Data Access Agreement. |
Last Modified: | 02 May 2025 16:41 |
Date Deposited: | 25 Apr 2025 11:35 |
Full Text Link: | |
Related URLs: |
https://thorax. ... rax-2024-221738
(Publisher URL) http://www.scop ... tnerID=8YFLogxK (Scopus URL) |
PURE Output Type: | Article |
Published Date: | 2025-04-10 |
Published Online Date: | 2025-04-10 |
Accepted Date: | 2025-03-10 |
Authors: |
Yngvadottir, Bryndis
Richman, Lucy Andreou, Avgi Woodley, Jessica Luharia, Anita Lim, Derek Research Team, Genes & Health Maher, Eamonn R Marciniak, Stefan J |