ArticleEBioMedicine2026
Interstitial cystitis: a phenotype and rare variant exome sequencing study.
Article in EBioMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundInterstitial cystitis/bladder pain syndrome (IC/BPS) is a poorly understood and underdiagnosed syndrome of chronic bladder/pelvic pain with urinary frequency and urgency. Conflicting data exist regarding associated phenotypes, and little is known of its genetic aetiology.
methodsWe conducted a retrospective case-control analysis of electronic medical record (EMR) and retrospective case-control analysis of exome sequencing (ES) to identify phenotypes related to and rare variant risk factors for IC/BPS. Retrospective EMR data were collected from a national network of research sites in eMERGE-III. ES data were acquired from two research cohorts of individuals with IC/BPS and family members in addition to unaffected individuals stored at Columbia University Irving Medical Center. We determined odds ratios and P values for phenotypes associated with IC/BPS in eMERGE, odds ratios and P values for genes and gene-sets enriched for rare damaging variants in individuals with IC/BPS, and P values indicating overlap of genes enriched with rare damaging variants in individuals with IC/BPS with canonical gene sets.
findingsUsing the eMERGE data, we compared 193 individuals with IC/BPS to 99,482 individuals without and confirmed known phenotypic associations such as gastroesophageal reflux disease (odds ratio [OR] 2.3, P = 1.6 × 10
interpretationIndividuals with IC/BPS should be screened for related phenotypes, and previously unreported phenotypic associations with IC/BPS. Perturbations in biological networks for epithelial integrity and cell cycle progression in IC/BPS pathogenesis provide a roadmap for its future investigation.
fundingThis publication was supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $2,400,000 with 60 percent funding from the CDC/HHS (U01DP006634-01). The contents are those of the author(s) and do not necessarily represent the official views of, nor are they endorsed by, the CDC/HHS or the U.S. Government (CAB). National Institutes of Health grant 1K08HG012374 (JEM). New York-Presbyterian Samberg Scholar (JEM). Thrasher Early Career Research Award (JEM). NIH/NIDDK CAIRIBU Interactions Core U24-DK-127726 (CAB). NICHD Boston Children's Hospital Intellectual and Developmental Disabilities Research Center Molecular Genetics Core Facility U54HD090255. NIDDK George M. O'Brien Urology Cooperative Research Centers Program U54DK104309 (AGG). The eMERGE Network was initiated and funded by NHGRI through the following grants: Phase III: U01HG8657 (Group Health Cooperative/University of Washington); U01HG8685 (Brigham and Women's Hospital); U01HG8672 (Vanderbilt University Medical Center); U01HG8666 (Cincinnati Children's Hospital Medical Center); U01HG6379 (Mayo Clinic); U01HG8679 (Geisinger Clinic); U01HG8680 (Columbia University Health Sciences); U01HG8684 (Children's Hospital of Philadelphia); U01HG8673 (Northwestern University); U01HG8701 (Vanderbilt University Medical Center serving as the Coordinating Center); U01HG8676 (Partners Healthcare/Broad Institute); and U01HG8664 (Baylor College of Medicine).
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