CausalSentinel

Protein Dossier — SERPINA1 (Alpha-1-antitrypsin)

MR feasibility tier: A — Published pQTL-MR estimates exist for this protein (retrieved below - not computed here).

1. Published MR estimates (retrieved, not computed)

Outcome beta se p method nSNP cis/trans coloc
Breast cancer (Combined Oncoarray; iCOGS; GWAS meta analysis) 0.0544 0.0173 0.00172 Wald ratio 1 cis NA
Serum creatinine (eGFRcrea) 0.00727 0.00234 0.00194 Wald ratio 1 cis NA
ER-negative Breast cancer (Combined Oncoarray; iCOGS; GWAS meta analysis) 0.0874 0.0316 0.00573 Wald ratio 1 cis NA
Forced vital capacity (FVC) -0.0149 0.00552 0.007 Wald ratio 1 cis NA
Forced expiratory volume in 1-second (FEV1) -0.0149 0.00582 0.0105 Wald ratio 1 cis NA
Ischemic stroke 0.107 0.0429 0.0129 Wald ratio 1 cis NA
Parkinson’s disease 0.274 0.113 0.0154 Wald ratio 1 cis NA
Height -0.018 0.00797 0.0235 Wald ratio 1 cis NA
ER-positive Breast cancer (Combined Oncoarray; iCOGS; GWAS meta analysis) 0.0471 0.0209 0.0239 Wald ratio 1 cis NA
LDL cholesterol -0.0321 0.0143 0.0247 Wald ratio 1 cis NA
Diastolic blood pressure automated reading 0.0154 0.00689 0.0253 Wald ratio 1 cis NA
Cancer code self-reported: basal cell carcinoma -0.183 0.0851 0.0312 Wald ratio 1 cis NA
…and 108 more outcomes (see JSON)              

2. pQTL instrument availability (Tier-B probe)

Dataset Trait Author Year
prot-c-3580_25_8 a1-Antitrypsin Suhre K 2019

3. GWAS Catalog results — traits with signal at this locus

1199 association rows across 796 traits (1162 genome-wide significant rows). Associations are loci, not causal claims; the mapped gene at a locus is not necessarily the effector gene.

Trait best p lead SNP n assoc study MR status
BSG/CKAP4 protein level ratio 8e-1010 rs28929474 1 GCST90313531 no MR -> candidate analysis
CKAP4/PGF protein level ratio 2e-983 rs28929474 1 GCST90314075 no MR -> candidate analysis
Circulating CKAP4 levels 3e-742 rs112635299 1 GCST90860214 no MR -> candidate analysis
IFNGR1/LTBR protein level ratio 4e-580 rs28929474 1 GCST90315128 no MR -> candidate analysis
Circulating LTBR levels 2e-577 rs112635299 2 GCST90859931 no MR -> candidate analysis
CSF1/LTBR protein level ratio 5e-550 rs28929474 1 GCST90314287 no MR -> candidate analysis
COLEC12/LTBR protein level ratio 6e-512 rs28929474 1 GCST90314182 no MR -> candidate analysis
FSTL3/LTBR protein level ratio 4e-490 rs28929474 1 GCST90314883 no MR -> candidate analysis
Neutrophil cytosol factor 2 levels 7e-482 rs17580 3 GCST90248615 no MR -> candidate analysis
LTBR/TNFRSF14 protein level ratio 1e-445 rs28929474 1 GCST90315340 no MR -> candidate analysis
Alpha-1-antitrypsin levels 9e-444 rs28929474 6 GCST90246390 no MR -> candidate analysis
Syntaxin-2 levels 1e-409 rs17580 1 GCST90249720 no MR -> candidate analysis
…and 784 more traits (see JSON)          

4. Phenome map — where this gene is a genetic locus, vs. where MR exists

Top diseases by Open Targets association (of 1430 total). Associations are loci, not causal claims. The causal-status column is a four-state triage per pair: established (curated) = a curated clinical assertion exists (ClinGen/G2P/GEL/Orphanet/ClinVar — any validity level, MR adds little); exploratory rare-variant signal = ExWAS burden evidence without curation — a candidate NEW gene-disease relationship; common-variant locus = GWAS signal, classic pQTL-MR territory; multi-layer = burden+GWAS together, an allelic-series candidate (the strongest causal setup). Burden estimand is carrier-vs-noncarrier, not per-SD MR.

Disease genetic assoc. burden (ExWAS) causal status MR status
Alpha-1-antitrypsin deficiency 0.876 established (curated) no MR -> candidate analysis
chronic obstructive pulmonary disease 0.886 established (curated) no MR -> candidate analysis
alpha 1-antitrypsin deficiency 0.608 established (curated) no MR -> candidate analysis
cholelithiasis 0.929 common-variant locus no MR -> candidate analysis
pulmonary emphysema 0.891 common-variant locus no MR -> candidate analysis
cirrhosis of liver 0.902 common-variant locus no MR -> candidate analysis
coronary artery disorder 0.907 common-variant locus no MR -> candidate analysis
Abnormality of the skeletal system 0.915 common-variant locus no MR -> candidate analysis
liver disorder 0.873 common-variant locus no MR -> candidate analysis
gallstones 0.877 common-variant locus no MR -> candidate analysis
cardiovascular disorder 0.875 common-variant locus no MR -> candidate analysis
osteoarthritis, knee 0.852 common-variant locus MR: beta=0.0714, p=0.335 (cis)
chronic lung disease 0.853 common-variant locus no MR -> candidate analysis
carpal tunnel syndrome 0.851 common-variant locus no MR -> candidate analysis
osteoarthritis, hip 0.851 common-variant locus MR: beta=-0.0693, p=0.395 (cis)

Of the 15 rows above, 13 have no MR estimate in this resource. Across all retrieved diseases for this gene: 0 exploratory rare-variant signal(s), 0 multi-layer (allelic-series candidate) pair(s). Final triage still belongs to a statistical geneticist.

5. Downstream annotation (druggability & safety preview)

Layer Result
ChEMBL druggability 0 known modulators (Alpha-1-antiproteinase)
gnomAD constraint pLI=8.8e-07, LOEUF=1.19 — LoF-tolerant
GWAS Catalog 145 unique SNPs / 384 rows
ClinVar 568 records; 2 pathogenic in sample of 30
PharmGKB/ClinPGx no annotations

Caveats declared by the tools

Sources

Provenance