Disorders of aromatic amino-acid metabolism

E4_AROMAMINO

Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

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

Registry filters:

  • Hospital discharge: ICD-10 E70
  • Cause of death: ICD-10 E70

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

110

4. Check minimum number of events

None

110

5. Include endpoints

115

6. Filter based on genotype QC (FinnGen only)

115

Control definitions (FinnGen only)

Control exclude
E4_METABOLIA

Extra metadata

Level in the ICD hierarchy
3
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E70-E90
Name in latin
Perturbationes metabolismi acidorum aminoicorum aromaticorum

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 1159 532 616
Only index persons 866 389 477
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.02
Only index persons 0.02 0.01 0.02
Median age at first event (years)
Whole population 58.64 60.78 56.81
Only index persons 56.65 56.92 56.42

-FinnGen-

Key figures

All Female Male
Number of individuals 115 52 63
Unadjusted period prevalence (%) 0.02 0.02 0.03
Median age at first event (years) 53.35 45.54 59.80

-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

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
108
Matched controls
1079
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E70.2
ICD-10 Finland
Disorders of tyrosine metabolism
+∞
42.5
38
*
E70.3
ICD-10 Finland
Albinism
+∞
23.8
22
*
E70.0
ICD-10 Finland
Classical phenylketonuria
+∞
21.6
20
*
I70.2
ICD-10 Finland
Atherosclerosis of arteries of extremities
12.4
20.0
38
45
I70.9
ICD-10 Finland
Generalized and unspecified atherosclerosis
73.1
11.9
13
*
E70.8
ICD-10 Finland
Other disorders of aromatic amino-acid metabolism
+∞
11.7
11
*
E78.01
ICD-10 Finland
Pure hypercholesterolaemia
8.8
10.7
23
32
E70.9
ICD-10 Finland
Disorder of aromatic amino-acid metabolism, unspecified
+∞
10.6
10
*
Z31.5
ICD-10 Finland
Genetic counselling
13.2
10.0
17
15
123
Kela drug reimbursment
Chronic disorders of vitamin D metabolism
17.6
9.3
14
9
E11.9
ICD-10 Finland
Type 2 diabetes mellitus, without complications
4.5
9.2
37
113
PE1AT
NOMESCO Finland
Femoral artery PTA
54.5
8.8
10
*
E78.5
ICD-10 Finland
Hyperlipidaemia, unspecified
18.2
8.8
13
8
103
Kela drug reimbursment
Diabetes, insulin-treated
3.9
8.7
41
145
WX408
NOMESCO Finland
General anesthesy, balanced
3.9
8.6
43
158
I25.9
ICD-10 Finland
Chronic ischaemic heart disease, unspecified
5.7
8.5
25
54
E70.1
ICD-10 Finland
Other hyperphenylalaninaemias
+∞
8.4
8
*
E11.7
ICD-10 Finland
Type 2 diabetes mellitus, with multiple complications
10.2
8.4
16
18
B01AC04
ATC
clopidogrel; oral
5.2
8.2
26
62
PD4BC
NOMESCO Finland
Extensive arterigography of lower extremity with X-ray
17.3
7.4
11
7
H55
ICD-10 Finland
Nystagmus and other irregular eye movements
+∞
7.4
7
*
F70.0
ICD-10 Finland
Mild mental retardation, With the statement of no, or minimal, impairment of behaviour
+∞
7.4
7
*
N18.9
ICD-10 Finland
Chronic kidney disease, unspecified
6.7
7.3
18
31
PD4DE
NOMESCO Finland
Lower extremity artery ultrasound examination with Doppler method
21.8
7.3
10
5
N08.39*E11.2
ICD-10 Finland
Non-insulin-dependent diabetes mellitus - Diabetic nephropathy
21.8
7.3
10
5
A10AC01
ATC
insulin (human); parenteral (insulins and analog. for injection, intermediate-acting)
5.7
7.1
20
41
E11.5
ICD-10 Finland
Type 2 diabetes mellitus, with peripheral circulatory complications
15.1
7.1
11
8
L97
ICD-10 Finland
Ulcer of lower limb, not elsewhere classified
10.4
7.0
13
14
TPH04
NOMESCO Finland
Cathetrisation of vein
3.6
6.9
34
122
QDB10
NOMESCO Finland
Major dressing of wound of skin of lower limb
8.8
6.9
14
18
I25.1
ICD-10 Finland
Atherosclerotic heart disease
3.5
6.7
35
129
E11.00
ICD-10 Finland
Non-insulin dependent diabetes diabetic hypoglycaemic coma
11.1
6.7
12
12
PE1BT
NOMESCO Finland
Femoral artery extensive PTA
74.0
6.5
7
*
C03CA01
ATC
furosemide; systemic
3.1
6.5
43
190
A11CC03
ATC
alfacalcidol; systemic
12.1
6.5
11
10
A10AE04
ATC
insulin glargine; parenteral
5.6
6.4
18
37
N08.39*E10.2
ICD-10 Finland
Insulin-dependent diabetes mellitus - Diabetic nephropathy
28.5
6.3
8
*
X57
ICD-10 Finland
Unspecified privation
28.5
6.3
8
*
E78.00
ICD-10 Finland
Familial hypercholesterolaemia
+∞
6.3
6
*
PD4CG
NOMESCO Finland
Extensive MRI examination of abdominal aortta and vasculature of lower extremities with high intensity magnet
+∞
6.3
6
*
AN1
HP
Coronary angiography
5.7
6.2
17
34
XPX99
NOMESCO Finland
Other diagnostic examination of periferal vessel
5.7
6.2
17
34
GD1AA
NOMESCO Finland
Thorax X-ray examination
2.8
6.1
53
275

Mortality – FinRegistry

Association

Association between endpoint E4_AROMAMINO and mortality.

Females

Parameter HR [95% CI] p-value
E4_AROMAMINO 2.581 [1.81, 3.67] < 0.001
Birth year 0.995 [0.99, 1.0] 0.231

During the follow-up period (1.1.1998 — 31.12.2019), 148 out of 395 females with E4_AROMAMINO died.

Males

Parameter HR [95% CI] p-value
E4_AROMAMINO 2.889 [2.02, 4.13] < 0.001
Birth year 0.987 [0.98, 1.0] 0.006

During the follow-up period (1.1.1998 — 31.12.2019), 185 out of 477 males with E4_AROMAMINO died.

Mortality risk

Mortality risk for people of age

years, who have E4_AROMAMINO.

N-year risk Females Males
1 0.266% 0.666%
5 1.487% 3.418%
10 3.9% 8.606%
15 7.321% 15.494%
20 12.257% 25.231%

Relationships between endpoints

Index endpoint: E4_AROMAMINO – Disorders of aromatic amino-acid metabolism

GWS hits: 1

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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