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- Epidemiology and risk factors
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1. Epidemiology of COPD
- Dr. David Mannino
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2. COPD in never smokers
- Dr. Sundeep Salvi
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3. Genetics of chronic obstructive pulmonary disease (COPD)
- Prof. Martin Tobin
- Phenotypes of COPD
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4. COPD and asthma: similarities and differences
- Prof. Peter Barnes
- Pathophysiology and mechanisms of COPD
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5. The pathology of chronic obstructive pulmonary disease
- Prof. James Hogg
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6. The continuum of COPD: a physiological perspective
- Prof. Denis O'Donnell
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7. Inflammatory and immune mechanisms in COPD
- Prof. Peter Barnes
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8. Mechanisms of COPD exacerbations and relation to exacerbation therapy
- Prof. Wisia Wedzicha
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9. Protease-antiprotease balance
- Prof. Robert Stockley
- Therapy and management
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10. Updates in chronic obstructive pulmonary disease (COPD)
- Dr. Omar S. Usmani
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11. Long-acting bronchodilators in COPD
- Prof. Bart Celli
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12. Treatment of COPD exacerbations
- Prof. Antonio Anzueto
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13. Pulmonary rehabilitation: history, promise and problems
- Prof. Richard Casaburi
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14. Lung volume reduction: advances in COPD
- Dr. Nick Hopkinson
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15. New pharmacological therapies for COPD
- Prof. Peter Barnes
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16. The Salford lung study in COPD
- Dr. Dave Leather
- COPD case studies
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17. COPD treatment case I: COPD with “bronchitis attacks”
- Dr. Janwillem Kocks
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18. COPD treatment case II: COPD with asthma as child
- Dr. Janwillem Kocks
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19. COPD treatment case III: COPD with pre-diabetes
- Dr. Janwillem Kocks
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20. Tailoring care for advanced COPD
- Prof. Wissam Chatila
- Archived Lectures *These may not cover the latest advances in the field
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21. Alpha-1 antitrypsin deficiency: state of the art
- Dr. Jamie Stoller
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22. Oxidative stress in COPD
- Prof. William MacNee
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23. Managing co-morbidity in COPD
- Dr. John Hurst
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24. Clinical phenotypes of COPD
- Prof. Jørgen Vestbo
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25. Pulmonary rehabilitation: focusing on rehabilitative exercise
- Prof. Richard Casaburi
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26. Genetics of COPD
- Prof. Ian Hall
Printable Handouts
Navigable Slide Index
- Introduction
- Why do genetics research?
- Genetically driven drug targets
- Defining genetic determinants of disease
- EXCEED Study
- Genome-wide association study (GWAS)
- Phenome-wide association study (PheWAS)
- Chronic respiratory disease
- Measuring lung function
- SpiroMeta consortium
- Recent study approaches and findings
- Multi-ancestry lung function GWAS
- Ancestries included in the meta-analysis
- Study outline
- Discovery: association testing
- Identification of putative causal genes
- Genes show implicated mechanisms
- Putative causal genes: examples
- Pathway analysis
- Genetic risk scores and polygenic scores
- Polygenic risk scores
- PheWAS: FEV1/FVC Genetic Risk Score (GRS)
- PheWAS: FVC GRS
- PheWAS: elastic fibre formation pathway-specific GRS
- PheWAS: PI3K-Akt signalling pathway-specific GRS
- Future directions
- Future work and funding
- Acknowledgements
Topics Covered
- Routine use of genetic evidence in drug target discovery and validation
- Genetically supported targets can double the success rate in clinical development
- COPD has the highest prevalence of chronic respiratory diseases globally
- SpiroMeta consortium: understanding the genetic determinants of COPD
- Understanding the tractability of drug targets
- Identification of statistically independent genetic associations (signals) for lung function
- Use of phonome-wide association studies
- DeepPheWAS: testing pathway-specific GRS to infer possible consequences of intervening in pathways underlying lung function
Links
Series:
Categories:
Therapeutic Areas:
External Links
Talk Citation
Tobin, M. (2023, July 31). Genetics of chronic obstructive pulmonary disease (COPD) [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 21, 2024, from https://doi.org/10.69645/GFQO8310.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Martin Tobin has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Respiratory Diseases
Transcript
Please wait while the transcript is being prepared...
0:00
I'm Martin Tobin.
I'm Professor of Genetic
Epidemiology and
Public Health at the
University of Leicester and
I'll be talking about
the genetics of
Chronic Obstructive
Pulmonary Disease or COPD.
So before we start, I'll just
outline what I'll
cover in this talk.
I'll first introduce why we
undertake genetics research,
what it can tell us.
I'll then move on
to how we generate
evidence about
genetic determinants
of pulmonary diseases.
I'll give some
specific examples of
recent studies relating to
genomics as lung function and
COPD and then I'll move on to
discussion as to potential
future directions.
0:52
So let's begin by describing
why we undertake
genetic research.
In general, we're
interested in studying
genetic associations
with disease or with
disease related traits, related
to susceptibility or
progression of disease for
example in order to
have evidence that
we can have confidence in
about disease mechanisms,
and that evidence in turn can
often be used in addition for
prediction to help us make
decisions about
future diagnostics,
potential new therapeutics
or therapeutics that
can be retargeted or
repurposed from other areas,
as well as evidence
about how to target
those treatments and
how to prevent disease.
So what is it about
genetic evidence that's
special in some way?
Well the issue is that
certainly in observational
epidemiology,
many associations
that we observe
be they between non-genetic
risk factors or
biomarker levels and disease are
often confounded and subject
to reverse causation.
Whereas genetic variants
are allocated by
an essentially random process
during gamete formation
and this means
that genetic
associations provide
particularly strong
evidence that we can have
additional confidence
in when we're actually
making important decisions
about what to prioritize,
for example for
drug development.
In fact, Nelson and colleagues
have shown that using
genetic evidence to support
drug targets actually
doubles the success rate
during drug development.
Whilst many of these goals of
genetics research do seem rather
grand and have come in for
some criticism that maybe
there is a degree
of hype there ,
we are now actually seeing
practical examples
coming through.
So on the next slide you
will see some examples