Disorders of plasma-protein metabolism, not elsewhere classified

E4_PLASMAPROT

obsolete_alpha-1-antitrypsin deficiency: ['A lung disease that is characterized as a genetic disorder caused by defective production of alpha 1-antitrypsin (A1AT), leading to decreased A1AT activity in the blood and lungs, and deposition of excessive abnormal A1AT protein in liver cells. Alpha-1 antitrypsin works to protect the lungs from a naturally occuring destructive enzyme that is produced by the lungs in response to infections and toxins (such as cigarette smoke). Without enough A1AT, these enzymes slowly destroy the lung tissue causing emphysema. The symptoms include shortness of breath, wheezing, rhonchi, and rales.']

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

473681

1. Apply sex-specific rule

None

473681

2. Check conditions

None

473681

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E88.0#
  • Hospital discharge: ICD-9 273[8-9]
  • Cause of death: ICD-10 E88.0#
  • Cause of death: ICD-9 273[8-9]

2 out of 7 registries used, show all original rules.

222

4. Check minimum number of events

None

222

5. Include endpoints

None

222

6. Filter based on genotype QC (FinnGen only)

215

Control definitions (FinnGen only)

Control exclude E4_METABOLIA

Extra metadata

Level in the ICD hierarchy 4
First used in FinnGen datafreeze DF2
Parent code in ICD-10 E88
Name in latin Perturbationes metabolismi proteinorum plasmaticorum non alibi classificatae

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 1574 706 856
Only index persons 1269 601 668
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.02
Only index persons 0.02 0.02 0.03
Median age at first event (years)
Whole population 46.52 47.95 45.18
Only index persons 46.35 47.73 45.10

-FinnGen-

Key figures

All Female Male
Number of individuals 215 112 103
Unadjusted period prevalence (%) 0.05 0.04 0.05
Median age at first event (years) 53.55 52.91 54.23

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

Mortality – FinRegistry

Association

Association between endpoint E4_PLASMAPROT and mortality.

Females

Parameter HR [95% CI] p-value
E4_PLASMAPROT 2.638 [1.89, 3.68] < 0.001
Birth year 0.993 [0.98, 1.0] 0.116

During the follow-up period (1.1.1998 — 31.12.2019), 87 out of 555 females with E4_PLASMAPROT died.

Males

Parameter HR [95% CI] p-value
E4_PLASMAPROT 3.193 [2.5, 4.09] < 0.001
Birth year 0.985 [0.98, 0.99] 0.003

During the follow-up period (1.1.1998 — 31.12.2019), 153 out of 681 males with E4_PLASMAPROT died.

Mortality risk

Mortality risk for people of age

years, who have E4_PLASMAPROT.

N-year risk Females Males
1 0.2% 0.625%
5 1.247% 3.59%
10 3.249% 8.999%
15 6.513% 16.458%
20 11.882% 26.107%

Relationships between endpoints

Index endpoint: E4_PLASMAPROT – Disorders of plasma-protein metabolism, not elsewhere classified

GWS hits: 8

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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