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Published in: Current Sexual Health Reports 4/2019

01-12-2019 | Erectile Dysfunction | Female Sexual Dysfunction and Disorders (A Pastuszak and N Thirumavalavan, Section Editors)

A Review of Genome Wide Association Studies for Erectile Dysfunction

Authors: Darshan P. Patel, Alexander W. Pastuszak, James M. Hotaling

Published in: Current Sexual Health Reports | Issue 4/2019

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Abstract

Purpose of Review

To review large cohort genome wide association studies for erectile dysfunction.

Recent Findings

Two recent genome wide association studies using the Genetic Epidemiology Research in Adult Health and Aging cohort, UK Biobank, and the Partners HealthCare Biobank have identified an association between unique single nucleotide polymorphisms involved in the regulatory activity of single-minded homolog 1 (SIM1) and risk of erectile dysfunction. SIM1 is involved in the leptin-melanocortin pathway and may contribute to centrally mediated erectile dysfunction.

Summary

Identification of novel loci associated with erectile function from genome wide association studies will help expand the understanding of the breadth of pathways that contribute to erectile dysfunction. This will help accelerate studies of novel therapies for the treatment of erectile dysfunction.
Literature
1.
go back to reference Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB. Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med. 2003;139(3):161–8.CrossRef Bacon CG, Mittleman MA, Kawachi I, Giovannucci E, Glasser DB, Rimm EB. Sexual function in men older than 50 years of age: results from the health professionals follow-up study. Ann Intern Med. 2003;139(3):161–8.CrossRef
2.
go back to reference Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281(6):537–44.CrossRef Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281(6):537–44.CrossRef
3.
go back to reference McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, et al. Risk factors for sexual dysfunction among women and men: a consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med. 2016;13(2):153–67.CrossRef McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, et al. Risk factors for sexual dysfunction among women and men: a consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med. 2016;13(2):153–67.CrossRef
4.
go back to reference Fischer ME, Vitek ME, Hedeker D, Henderson WG, Jacobsen SJ, Goldberg J. A twin study of erectile dysfunction. Arch Intern Med. 2004;164(2):165–8.CrossRef Fischer ME, Vitek ME, Hedeker D, Henderson WG, Jacobsen SJ, Goldberg J. A twin study of erectile dysfunction. Arch Intern Med. 2004;164(2):165–8.CrossRef
5.
go back to reference Lopushnyan NA, Chitaley K. Genetics of erectile dysfunction. J Urol. 2012;188(5):1676–83.CrossRef Lopushnyan NA, Chitaley K. Genetics of erectile dysfunction. J Urol. 2012;188(5):1676–83.CrossRef
6.
go back to reference •• Yao HX, Ma FZ, Tan YY, Liu LY. Endothelial nitric oxide synthase gene polymorphisms and risk of erectile dysfunction: an updated meta-analysis of genetic association studies. Int J Surg. 2018;54(Pt A):141–8. This is a comprehensive meta-analysis of endothelial nitric oxide synthase gene polymorphisms and risk of erectile dysfunction.CrossRef •• Yao HX, Ma FZ, Tan YY, Liu LY. Endothelial nitric oxide synthase gene polymorphisms and risk of erectile dysfunction: an updated meta-analysis of genetic association studies. Int J Surg. 2018;54(Pt A):141–8. This is a comprehensive meta-analysis of endothelial nitric oxide synthase gene polymorphisms and risk of erectile dysfunction.CrossRef
7.
go back to reference Zhang T, Li WL, He XF, Wu ZY, Liu LH, He SH, et al. The insertion/deletion (I/D) polymorphism in the angiotensin-converting enzyme gene and erectile dysfunction risk: a meta-analysis. Andrology. 2013;1(2):274–80.CrossRef Zhang T, Li WL, He XF, Wu ZY, Liu LH, He SH, et al. The insertion/deletion (I/D) polymorphism in the angiotensin-converting enzyme gene and erectile dysfunction risk: a meta-analysis. Andrology. 2013;1(2):274–80.CrossRef
8.
go back to reference Visscher PM, Wray NR, Zhang Q, Sklar P, McCarthy MI, Brown MA, et al. 10 Years of GWAS discovery: biology, function, and translation. Am J Hum Genet. 2017;101(1):5–22.CrossRef Visscher PM, Wray NR, Zhang Q, Sklar P, McCarthy MI, Brown MA, et al. 10 Years of GWAS discovery: biology, function, and translation. Am J Hum Genet. 2017;101(1):5–22.CrossRef
10.
go back to reference Buniello A, MacArthur JAL, Cerezo M, Harris LW, Hayhurst J, Malangone C, et al. The NHGRI-EBI GWAS catalog of published genome-wide association studies, targeted arrays and summary statistics 2019. Nucleic Acids Res. 2019;47(D1):D1005–d12.CrossRef Buniello A, MacArthur JAL, Cerezo M, Harris LW, Hayhurst J, Malangone C, et al. The NHGRI-EBI GWAS catalog of published genome-wide association studies, targeted arrays and summary statistics 2019. Nucleic Acids Res. 2019;47(D1):D1005–d12.CrossRef
11.
go back to reference Evans DM, Brion MJ, Paternoster L, Kemp JP, McMahon G, Munafo M, et al. Mining the human phenome using allelic scores that index biological intermediates. PLoS Genet. 2013;9(10):e1003919.CrossRef Evans DM, Brion MJ, Paternoster L, Kemp JP, McMahon G, Munafo M, et al. Mining the human phenome using allelic scores that index biological intermediates. PLoS Genet. 2013;9(10):e1003919.CrossRef
12.
go back to reference Evans DM, Visscher PM, Wray NR. Harnessing the information contained within genome-wide association studies to improve individual prediction of complex disease risk. Hum Mol Genet. 2009;18(18):3525–31.CrossRef Evans DM, Visscher PM, Wray NR. Harnessing the information contained within genome-wide association studies to improve individual prediction of complex disease risk. Hum Mol Genet. 2009;18(18):3525–31.CrossRef
13.
go back to reference Slatkin M. Linkage disequilibrium--understanding the evolutionary past and mapping the medical future. Nat Rev Genet. 2008;9(6):477–85.CrossRef Slatkin M. Linkage disequilibrium--understanding the evolutionary past and mapping the medical future. Nat Rev Genet. 2008;9(6):477–85.CrossRef
14.
go back to reference Altshuler D, Daly MJ, Lander ES. Genetic mapping in human disease. Science. 2008;322(5903):881–8.CrossRef Altshuler D, Daly MJ, Lander ES. Genetic mapping in human disease. Science. 2008;322(5903):881–8.CrossRef
15.
go back to reference Flannick J, Thorleifsson G, Beer NL, Jacobs SB, Grarup N, Burtt NP, et al. Loss-of-function mutations in SLC30A8 protect against type 2 diabetes. Nat Genet. 2014;46(4):357–63.CrossRef Flannick J, Thorleifsson G, Beer NL, Jacobs SB, Grarup N, Burtt NP, et al. Loss-of-function mutations in SLC30A8 protect against type 2 diabetes. Nat Genet. 2014;46(4):357–63.CrossRef
16.
go back to reference Wessells H, Joyce GF, Wise M, Wilt TJ. Erectile dysfunction. J Urol. 2007;177(5):1675–81.CrossRef Wessells H, Joyce GF, Wise M, Wilt TJ. Erectile dysfunction. J Urol. 2007;177(5):1675–81.CrossRef
17.
go back to reference Nelson MR, Tipney H, Painter JL, Shen J, Nicoletti P, Shen Y, et al. The support of human genetic evidence for approved drug indications. Nat Genet. 2015;47(8):856–60.CrossRef Nelson MR, Tipney H, Painter JL, Shen J, Nicoletti P, Shen Y, et al. The support of human genetic evidence for approved drug indications. Nat Genet. 2015;47(8):856–60.CrossRef
18.
go back to reference Hotaling JM, Waggott DR, Goldberg J, Jarvik G, Paterson AD, Cleary PA, et al. Pilot genome-wide association search identifies potential loci for risk of erectile dysfunction in type 1 diabetes using the DCCT/EDIC study cohort. J Urol. 2012;188(2):514–20.CrossRef Hotaling JM, Waggott DR, Goldberg J, Jarvik G, Paterson AD, Cleary PA, et al. Pilot genome-wide association search identifies potential loci for risk of erectile dysfunction in type 1 diabetes using the DCCT/EDIC study cohort. J Urol. 2012;188(2):514–20.CrossRef
19.
go back to reference •• Jorgenson E, Matharu N, Palmer MR, Yin J, Shan J, Hoffmann TJ, et al. Genetic variation in the SIM1 locus is associated with erectile dysfunction. Proc Natl Acad Sci USA. 2018;115(43):11018–23. Recent large genome wide association study that identified a single locus near theSIM1gene, involved in the leptin-melanocortin pathway, that was associated with risk of erectile dysfunction independent of known risk factors.CrossRef •• Jorgenson E, Matharu N, Palmer MR, Yin J, Shan J, Hoffmann TJ, et al. Genetic variation in the SIM1 locus is associated with erectile dysfunction. Proc Natl Acad Sci USA. 2018;115(43):11018–23. Recent large genome wide association study that identified a single locus near theSIM1gene, involved in the leptin-melanocortin pathway, that was associated with risk of erectile dysfunction independent of known risk factors.CrossRef
20.
go back to reference Wikberg JE, Mutulis F. Targeting melanocortin receptors: an approach to treat weight disorders and sexual dysfunction. Nat Rev Drug Discov. 2008;7(4):307–23.CrossRef Wikberg JE, Mutulis F. Targeting melanocortin receptors: an approach to treat weight disorders and sexual dysfunction. Nat Rev Drug Discov. 2008;7(4):307–23.CrossRef
21.
go back to reference Wessells H, Levine N, Hadley ME, Dorr R, Hruby V. Melanocortin receptor agonists, penile erection, and sexual motivation: human studies with Melanotan II. Int J Impot Res. 2000;12(Suppl 4):S74–9.CrossRef Wessells H, Levine N, Hadley ME, Dorr R, Hruby V. Melanocortin receptor agonists, penile erection, and sexual motivation: human studies with Melanotan II. Int J Impot Res. 2000;12(Suppl 4):S74–9.CrossRef
22.
go back to reference Semple E, Hill JW. Sim1 neurons are sufficient for MC4R-mediated sexual function in male mice. Endocrinology. 2018;159(1):439–49.CrossRef Semple E, Hill JW. Sim1 neurons are sufficient for MC4R-mediated sexual function in male mice. Endocrinology. 2018;159(1):439–49.CrossRef
23.
go back to reference •• Bovijn J, Jackson L, Censin J, Chen CY, Laisk T, Laber S, et al. GWAS identifies risk locus for erectile dysfunction and implicates hypothalamic neurobiology and diabetes in etiology. Am J Hum Genet. 2019;104(1):157–63. Recent large genome wide association study identifying additional locus near theSIM1gene associated with erectile dysfunction risk. •• Bovijn J, Jackson L, Censin J, Chen CY, Laisk T, Laber S, et al. GWAS identifies risk locus for erectile dysfunction and implicates hypothalamic neurobiology and diabetes in etiology. Am J Hum Genet. 2019;104(1):157–63. Recent large genome wide association study identifying additional locus near theSIM1gene associated with erectile dysfunction risk.
24.
go back to reference Maeder ML, Gersbach CA. Genome-editing technologies for gene and cell therapy. Mol Ther. 2016;24(3):430–46.CrossRef Maeder ML, Gersbach CA. Genome-editing technologies for gene and cell therapy. Mol Ther. 2016;24(3):430–46.CrossRef
25.
go back to reference Patel DP, Pastuszak AW, Hotaling JM. Emerging treatments for erectile dysfunction: a review of novel, non-surgical options. Curr Urol Rep. 2019;20(8):44.CrossRef Patel DP, Pastuszak AW, Hotaling JM. Emerging treatments for erectile dysfunction: a review of novel, non-surgical options. Curr Urol Rep. 2019;20(8):44.CrossRef
26.
go back to reference Yu B, Wu C, Li T, Qin F, Yuan J. Advances in gene therapy for erectile dysfunction: promises and challenges. Curr Gene Ther. 2018;18(6):351–65.CrossRef Yu B, Wu C, Li T, Qin F, Yuan J. Advances in gene therapy for erectile dysfunction: promises and challenges. Curr Gene Ther. 2018;18(6):351–65.CrossRef
27.
go back to reference Melman A, Bar-Chama N, McCullough A, Davies K, Christ G. hMaxi-K gene transfer in males with erectile dysfunction: results of the first human trial. Hum Gene Ther. 2006;17(12):1165–76.CrossRef Melman A, Bar-Chama N, McCullough A, Davies K, Christ G. hMaxi-K gene transfer in males with erectile dysfunction: results of the first human trial. Hum Gene Ther. 2006;17(12):1165–76.CrossRef
28.
go back to reference Reed-Maldonado AB, Lue TF. The current status of stem-cell therapy in erectile dysfunction: a review. World J Mens Health. 2016;34(3):155–64.CrossRef Reed-Maldonado AB, Lue TF. The current status of stem-cell therapy in erectile dysfunction: a review. World J Mens Health. 2016;34(3):155–64.CrossRef
29.
go back to reference Soebadi MA, Moris L, Castiglione F, Weyne E, Albersen M. Advances in stem cell research for the treatment of male sexual dysfunctions. Curr Opin Urol. 2016;26(2):129–39.CrossRef Soebadi MA, Moris L, Castiglione F, Weyne E, Albersen M. Advances in stem cell research for the treatment of male sexual dysfunctions. Curr Opin Urol. 2016;26(2):129–39.CrossRef
30.
go back to reference Bivalacqua TJ, Champion HC, Abdel-Mageed AB, Kadowitz PJ, Hellstrom WJ. Gene transfer of prepro-calcitonin gene-related peptide restores erectile function in the aged rat. Biol Reprod. 2001;65(5):1371–7.CrossRef Bivalacqua TJ, Champion HC, Abdel-Mageed AB, Kadowitz PJ, Hellstrom WJ. Gene transfer of prepro-calcitonin gene-related peptide restores erectile function in the aged rat. Biol Reprod. 2001;65(5):1371–7.CrossRef
31.
go back to reference Lu J, Xin Z, Zhang Q, Cui D, Xiao Y, Zhuo J, et al. Beneficial effect of PEDF-transfected ADSCs on erectile dysfunction in a streptozotocin-diabetic rat model. Cell Tissue Res. 2016;366(3):623–37.CrossRef Lu J, Xin Z, Zhang Q, Cui D, Xiao Y, Zhuo J, et al. Beneficial effect of PEDF-transfected ADSCs on erectile dysfunction in a streptozotocin-diabetic rat model. Cell Tissue Res. 2016;366(3):623–37.CrossRef
32.
go back to reference Ryu JK, Cho CH, Shin HY, Song SU, Oh SM, Lee M, et al. Combined angiopoietin-1 and vascular endothelial growth factor gene transfer restores cavernous angiogenesis and erectile function in a rat model of hypercholesterolemia. Mol Ther. 2006;13(4):705–15.CrossRef Ryu JK, Cho CH, Shin HY, Song SU, Oh SM, Lee M, et al. Combined angiopoietin-1 and vascular endothelial growth factor gene transfer restores cavernous angiogenesis and erectile function in a rat model of hypercholesterolemia. Mol Ther. 2006;13(4):705–15.CrossRef
35.
go back to reference Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, et al. Erectile Dysfunction: AUA Guideline. J Urol. 2018;200(3):633–41.CrossRef Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, et al. Erectile Dysfunction: AUA Guideline. J Urol. 2018;200(3):633–41.CrossRef
Metadata
Title
A Review of Genome Wide Association Studies for Erectile Dysfunction
Authors
Darshan P. Patel
Alexander W. Pastuszak
James M. Hotaling
Publication date
01-12-2019
Publisher
Springer US
Published in
Current Sexual Health Reports / Issue 4/2019
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-019-00231-w

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