Pneumonia risk signals and their potential for precision medicine

Credit: Unsplash/CC0 Public Domain

The largest ever genomic study of pneumonia has identified the genetic risk signals of the disease, paving the way for potential new treatments and the use of precision medicine.

Precision medicine is a treatment approach that takes into account individual variability in genes, environment, and lifestyle for each person, allowing doctors and researchers to predict more accurately which treatment and prevention strategies for a particular disease will work in which groups of people.

The development of a quick, straightforward genetic test of a patient with could determine the best drug therapy for them based on their pneumonia susceptibility.

In a parallel and unexpected finding the University of Newcastle study, published in Nature Communications, also discovered a genetic correlation between and risk of psychiatric disease, such as schizophrenia, and .

Pneumonia is considered one of the worst outcomes for any kind of respiratory condition or infection. Characterized as an acute infection of the lung, with fluid or pus-filled alveoli causing an extreme restriction of oxygen intake, it remains one of the leading causes of death worldwide.

A number of mechanisms cause pneumonia, however, bacterial or viral infection are the most common. Bacterial-induced pneumonia is treated with antibiotics, yet yearly worldwide remain high, even in where access to antibiotics and routine hospital care are usually available.

Principal Investigator, University of Newcastle Professor Murray Cairns, from the HMRI Precision Medicine Research Program, said current treatments were not effective for all or suitable as a "one drug suits all" medical response.

"Every year thousands of people die with influenza, yet it is pneumonia that kills them. And, many patients hospitalized for COVID-19 throughout the pandemic have been treated for pneumonia as well.

"It is a terrible condition where people often need hospitalization and intensive care including intubation and mechanically assisted ventilation. There is also a further risk of multiple-organ failure and death," he said.

Precision medicine

Prof Cairns said pneumonia was a complex disorder and people inherited different patterns of risk for the condition.

The , which interrogated data from the 23andMe study and FinnGen consortium, identified four new genomic regions with genes associated with the risk for pneumonia.

The team then focused on identifying drug targets which would most likely be helpful in treating the condition.

"We were able to not only recognize drugs that could help with this disorder, but also find a way to tailor those treatments specifically to an individual's specific risk or susceptibility for the disorder."

"This is what we commonly call precision medicine because we can tailor the treatment to suit the person's underlying biology."

"Precision medicine is far more effective than having just one drug for pneumonia as the response varies tremendously from one individual to another due to their underlying risk factors—both environmental and genetic."

Link to psychiatric disease

The study also found a compelling and unexpected genetic correlation between risk of pneumonia and risk of psychiatric illness.

"Following the where we looked at the relationship between thousands of variants across the genome and the risk for pneumonia, we then compared that risk with all other diseases."

"One of the closest relationships to pneumonia we found were with psychiatric disorders such as post-traumatic stress disorders, major depression, , and schizophrenia."

"I think it's surprising, but in some ways it's not, as there are thought to be inflammatory risks for mental illness."

"It is a well-known risk factor for psychiatric illness so it's potentially a risk shared between those disorders."

More information: William R. Reay et al, The genetic architecture of pneumonia susceptibility implicates mucin biology and a relationship with psychiatric illness, Nature Communications (2022). DOI: 10.1038/s41467-022-31473-3

Journal information: Nature Communications
Citation: Pneumonia risk signals and their potential for precision medicine (2022, July 6) retrieved 15 July 2024 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

COVID-19 pneumonia increases dementia risk


Feedback to editors