399: Ménière disease: inner ear development and retinoic acid pathways

Shi Z et al., The American Journal of Human Genetics - A large GWAS meta-analysis across five biobanks (8,969 cases, 1,962,542 controls) identifies five genome-wide significant loci for Ménière disease, implicating developmental regulators EYA1/EYA4 and retinoic acid metabolism genes including CYP26A1. Integrative fine-mapping, eQTL, and single-cell expression place these signals in inner ear cell types and link MD to related sensory and neurological traits. Key terms: Ménière disease, EYA1, EYA4, retinoic acid, GWAS.

Study Highlights:
A GWAS meta-analysis of 8,969 Ménière disease cases and 1,962,542 controls across five biobanks identified five independent genome-wide significant loci, including two signals each at EYA4 and EYA1 and one near CYP26A1. Observed-scale SNP heritability was estimated at 7% (SE 0.8%), indicating a modest contribution of common variation. Fine-mapping, eQTL and single-cell expression data implicate dysregulation of inner ear developmental regulators and retinoic acid metabolism. Phenome-wide and genetic-correlation analyses reveal shared architecture with vertigo, tinnitus, hearing loss, migraine, and sleep apnea.

Conclusion:
Regulatory common variants in genes governing inner ear development (EYA1, EYA4) and retinoic acid signaling (CYP26A1/C1, ALDH1A2) contribute to Ménière disease risk, providing a genetic framework for functional follow-up and polygenic risk modeling.

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Article title:
Genome-wide analysis implicates inner ear development in Ménière disease

First author:
Shi Z

Journal:
The American Journal of Human Genetics

DOI:
10.1016/j.ajhg.2026.05.011

Reference:
Shi Z, Mandla R, Li J, et al. Genome-wide analysis implicates inner ear development in Ménière disease. The American Journal of Human Genetics. 2026;113:1–12. https://doi.org/10.1016/j.ajhg.2026.05.011

License:
This episode is based on an open-access article published under the Creative Commons Attribution 4.0 International License (CC BY 4.0) – https://creativecommons.org/licenses/by/4.0/

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QC:
This episode was checked against the original article PDF and publication metadata for the episode release published on 2026-06-22.

QC Scope:
- article metadata and core scientific claims from the narration
- excludes analogies, intro/outro, and music
- transcript coverage: Substantive audit of the transcript's representation of GWAS scale, loci and genes (EYA4, EYA1, CYP26A1, ALDH1A2, LMO4), developmental/retinoic acid pathways, genetic correlations, limitations, and future directions as reported in the canonical article.
- transcript topics: Genome-wide association study scale and meta-analysis across five biobanks; Identification of five independent signals: two at EYA4, two at EYA1, one near CYP26A1; EYA4 and EYA1 as developmental regulators of inner ear; Regulatory vs coding variants and gene expression implications; Retinoic acid signaling pathway involvement: CYP26A1/C1 and ALDH1A2; LMO4 as a suggestive signal and its developmental context

QC Summary:
- factual score: 10/10
- metadata score: 10/10
- supported core claims: 7
- claims flagged for review: 0
- metadata checks passed: 4
- metadata issues found: 0

Metadata Audited:
- article_doi
- article_title
- article_journal
- license

Factual Items Audited:
- MD SNP-based heritability estimated at 7% (SE 0.8%) on the observed scale
- Five independent genome-wide significant index SNPs: two at EYA4, two at EYA1, one near CYP26A1
- Two additional loci near LMO4 and ALDH1A2 are suggestive rather than genome-wide significant
- Developmental regulation of inner ear (EYA4/EYA1) and retinoic acid metabolism (CYP26A1/C1, ALDH1A2) as core pathways
- Genetic correlations between MD and vertigo, tinnitus, hearing loss, migraine, sleep apnea; additional overlap with glaucoma
- Functional follow-up suggested via human inner ear organoids and polygenic risk modeling

QC result: Pass.