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This study identified genetic factors linking pilonidal sinus disease to hair growth and androgen traits. These findings offer biological insights into the disease

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Area of Science:

  • Genetics
  • Dermatology
  • Human Biology

Background:

  • Pilonidal sinus disease is a common, chronic condition affecting the sacrococcygeal region.
  • Its strong association with family history suggests a genetic component, yet genetic risk factors remain uninvestigated.

Purpose of the Study:

  • To identify genetic risk factors for pilonidal sinus disease (PSD).

Main Methods:

  • A genome-wide association study (GWAS) was conducted using data from the UK Biobank, FinnGen Biobank, and Penn Medicine BioBank.
  • Genome-wide significant variants were mapped to genes, and genetic correlation with hair phenotypes was assessed.
  • A genome-first approach analyzed rare variants in hair shaft genes (TCHH, PADI3, TGM3).

Main Results:

  • The GWAS identified 5 genome-wide significant loci associated with PSD, implicating genes involved in hair patterning and balding.
  • Significant genetic correlation was found between PSD and androgen-driven hair traits, including male pattern baldness.
  • Rare coding variants in TCHH were associated with an increased prevalence of PSD.

Conclusions:

  • Genetic analysis reveals shared genetic architecture between pilonidal sinus disease and hair biology.
  • This study provides the first investigation into the genetic basis of PSD, offering biological insights into its connection with male sex and hair characteristics.