Cdrh: database of complex disease-related haplotype in human

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CDRH: database of complex disease-related haplotype in human
Ruijie Zhang 1,†,*, Yongshuai Jiang1,†, Hongchao Lv1,†, Xuehong Zhang 1, , Peng Sun1, , Yan Zhang1, Jin Li 1, Mingming Zhang1, Zhenwei Shang1, Xia Li 1,*
1 College of Bioinformatics Science and Technology, Harbin Medical University, Harbin 150086, China.


Many common variations in DNA sequences and their specific combinations (haplotypes) may be the underlying causes of differences in individual susceptibility to complex diseases. Great progress has been made in accumulating abundant resources relating to complex disease-related haplotypes. However, these resources are scattered among different literatures, resulting in reduced utilization of the information. Therefore, we developed a database of complex disease-related haplotype in human (CDRH). To date, a total of 1,125 haplotypes involved in 114 complex diseases, such as breast cancer, type 2 diabetes, and rheumatoid arthritis, have been manually extracted from 274 papers. After careful review of these literatures, we obtained detailed information on haplotypes and diseases. Furthermore, we integrated gene- and SNP- (and/or microsatellite-) related information from external databases to facilitate further analysis. Via a user-friendly interface, users can query the CDRH by disease name, gene name, chromosome number, or SNP ID (rs#). We hope that CDRH will enrich our knowledge of haplotypes and promote research into the relationship between haplotypes and heritable risk for complex diseases. The CDRH database is freely available at


A haplotype comprises a specific allele set observed on a single chromosome, or part of a chromosome (1,2). Haplotypes can provide critical insights into complex traits, population histories, and natural selection (3-5). Importantly, there is increasing evidence from empirical and simulation studies that, in some circumstances, haplotypes in a chromosomal region of interest can be more powerful than using individual markers in the identification of complex disease susceptibility (6,7). Many studies based on haplotypes have successfully detected genetic susceptibilities to complex human diseases (8,9), such as prostate cancer (10), breast cancer (11), type 1 diabetes (12), and rheumatoid arthritis (13).

With the exponential increases in the scale and density of genetic variation data sets, haplotype analyses have become more important in genetic studies of human diseases, and large amounts of haplotype data have been accumulated. Some haplotype-related databases have been developed for collecting and preserving haplotype information in past decades. D-HaploDB (14) is a genome-wide definitive haplotypes database constructed by a collection of completely genotyped hydatidiform mole samples. YHRD (15) aims to deposit Y-chromosomal short tandem repeat haplotypes for U.S. populations. mtDB (16) provides mitochondrial haplotypes search functions for medical and human population genetic researchers. However, there is no specific database compiling studies of haplotypes associated with complex diseases.

To satisfy the requirements of molecular biologists, geneticists, and pathologists, we developed a manually curated database of complex disease-related human haplotypes (CDRH, by integrating information on haplotypes and diseases scattered in a large number of literatures. CDRH is a comprehensive and well-annotated database, and is a useful resource for researchers to understand complex diseases at the haplotype level.


Text mining was used to collect complex disease-related haplotypes and other detailed information for database construction. We searched the PubMed database ( with a series of keywords, such as ‘complex disease haplotype’, ‘cancer haplotype’, ‘diabetes haplotype’, limiting the results to publications before May 2010 for the current version of CDRH. For systematic and reliable data collection, we checked the important information manually and implemented the following criteria: (i) the article must propose and elaborate a relationship between a complex disease and susceptible (or protective) haplotypes; and (ii) the susceptible (or protective) haplotypes were selected by a certain threshold or p-value of statistical tests. Ultimately, a total of 1,125 haplotypes associated with 114 complex diseases were deposited and maintained in the current CDRH database. Most of the archived information in the database is the SNP haplotypes, and the rest consists of microsatellites.

In the CDRH database, each entry contains detailed information regarding haplotypes and diseases. The information collected includes the disease name, haplotypes associated with the disease, haplotype frequencies, the risk status of the haplotypes, the p-value of the statistical tests, the chromosome upon which the haplotypes are located, the gene symbol with which the haplotypes are associated, SNPs (or microsatellites) that make up the haplotype, and the bibliographical information from the cited literature. We not only collected a wide range of risk haplotypes, but also considered protective haplotypes, both of which provide valuable information for future genetic studies of complex diseases.

We also integrated certain biological annotations from external databases to complement and extend the literature information. Basic information on the genes that were identified by the related haplotypes was retrieved from NCBI, including Entrez Gene ID, Unigene ID, full gene name, chromosome location of the gene, and a brief description of the gene function. Most of the haplotypes in CDRH comprised a series of SNPs; therefore, we collected information on haplotype-related SNPs from dbSNP, including SNP ID, physical position, and alleles for each SNP. In addition, many convenient links were also provided to external databases, such as dbSNP, PubMed, D-HaploDB, and HapMap, which will facilitate the future investigation of complex disease-related haplotypes. Table 1 illustrates the statistical information in the CDRH database.

Table 1. Summary of the data in CDRH.















22 autosomes, X, Y and mitochondrion.



The CDRH database uses MySQL 5.0 to store and manage the data, and implements it in PHP scripts running in an Apache/PHP environment.

Search page

The CDRH database is accessible online and allows users to retrieve detailed information pertaining to complex disease-related human haplotypes by disease name, gene name, chromosome number, or SNP ID (rs#). We first introduce the search by disease name, which is sorted alphabetically in a drop-down list box. For example, if a user selects ‘colorectal cancers’ as a query term (Figure 1a), search and browse results will be displayed in a new page (Figure 1c). The detailed information consists of three sections: disease, literature, and haplotype. The disease section focuses on a brief summary of the pathogenesis and clinical characteristics of colorectal cancers. If users desire more comprehensive knowledge of the disease and its effects, they can enter the web site of Patient UK or Wikipedia by an included hyperlink. The literature section lists all documents concerning susceptible (or protective) haplotypes for colorectal cancers, including PubMed ID, publication date, title, and the abstract. This information provides a preliminary insight into progress in the detection and treatment of colorectal cancers based on haplotype analysis. The haplotype section presents all colorectal cancer related haplotypes, haplotype frequencies, related chromosome number, and gene symbol, SNPs (or microsatellites) that comprise a haplotype, the risk status of haplotypes, the p-value of statistical tests, and study populations (Figure 1f). For more detailed information about genes or haplotypes, users are able to click on relevant links and a new page will appear, as shown in Figure 1e and Figure 1g. An image showing the haplotype location on chromosome bands is displayed on the left, which gives users visual indication of the haplotype location. In addition to disease related haplotypes, we provide all the other haplotypes defined by the same SNPs (or microsatellites) in the same study populations, and their frequencies, to users (Figure 1h). Users can also query CDRH by using combinations of disease names and chromosome numbers (Figure 1b). The results are the same as searching only by disease name.

Figure 1c shows the row called ‘risk status’ of the query results. It has four different values: ‘risk’ and ‘protection’ stand for haplotypes that increase or decrease, respectively, the disease risk as described in the literature; ‘statistical inference risk’ and ‘statistical inference protection’ stand for haplotypes that increase or decrease the disease risk, respectively, which were only present in the results table of an association test.

Similar to the search by disease name, users can search the database by gene name (currently supports Entrez Gene ID and Gene Symbol). This is effective in helping users directly identify haplotypes related to a gene of interest. Users can also search the database by chromosome number. Complex disease-related haplotype-centered information is shown in the order of the online publication date of the articles. Users can track developments in the design and analysis of haplotype studies for complex human diseases on this chromosome. In addition, users can retrieve information by SNP ID (rs#). If the query SNP has been identified as being part of a haplotype in our database, the search result will be returned in a new page. The basic SNP information and the concise description of relevant references will help users better understand genetic susceptibility to complex diseases. Users can view the details of interesting items by clicking on hypertext links. Our database also preserves the search history records for each query model, which allows users to recall previous search results.

The query results obtained in different ways can be directly downloaded as an Excel file by the download link at the top of view page (Figure 1d). Furthermore, all data for complex disease-related haplotypes, as well as the corresponding analysis software, are freely available on the download page.

Submit page

We encourage users to submit information concerning complex disease-related haplotypes that are not documented. Data can be directly submitted to CDRH via the Submit Web page. Required submission information includes disease name, population, chromosome number, gene symbol, haplotype, PubMed ID, and the correspondence details of the submitters. All submissions will receive a systematic quality assurance review.

The submitted records, and other essential information, will be added in the CDRH as soon as possible if the submissions pass the above checks. The data contained in CDRH is updated regularly by manual extraction of relevant information from publications retrieved from the literature databases of PubMed. The collection of new and improved items will be displayed in the top of the browse page after each update.


Understanding the relationship between genetic variation and heritable risk for complex human diseases is a formidable challenge for modern human genetics. This is also an important step towards the discovery of genes that influence complex human diseases. To provide a central resource for molecular biologists and geneticists who study complex disease-related haplotypes, we have collected a considerable amount of information, which was scattered in existing studies, and have developed a database of complex disease-related haplotypes, CDRH. It not only offers an easy-to-use interface to query the valuable reference information concerning haplotypes and diseases extracted from the literature, but also integrates vast quantities of complementary biological annotations from external database. The CDRH database clearly reflects the relationships between haplotypes and complex diseases. Thus, it facilitates the gathering of more comprehensive information on complex disease-related haplotypes, and at the same time, saves researchers the trouble of searching multiple databases and large quantities of literatures.

Currently, 1,125 haplotypes are documented in the CDRH database, referring to 22 autosomes, the chromosome X, the chromosome Y, and the mitochondrion. Figure 2a represents a histogram of the number of complex disease-related haplotypes on each chromosome. Figure 2b represents a histogram of the number of complex disease-related genes on each chromosome. As is evident from Figure 2, the overwhelming majority of haplotypes (431 haplotypes) and genes (39 genes) are located on chromosome 6. In particular, these haplotypes and genes are mainly concentrated in the 6p21.3 (74.36%) region. Some previous studies indicated that this region is associated with many complex immune diseases, such as type 1 diabetes (17,18), rheumatoid arthritis (19), rheumatic heart disease (20), and systemic lupus erythematosus (21). These results imply that certain complex diseases share some common biomarkers and might have underlying functional interaction among predisposing genes. In the future, more studies will give us a deeper comprehension of the 6p21.3 region. Figure 2a also indicates that there are no complex disease-related haplotypes located on chromosome 21. This phenomenon is attributable to there being no exact haplotype information for chromosome 21 in the literatures.

To date, the CDRH database has records of 114 complex diseases. Table 2 shows the statistical information of the top six complex diseases, in order of the number of haplotypes. These diseases involve at least two populations, and more than one chromosome and gene, which implies that these diseases are more common compared with the others and may be caused by multiple genes. Multiple sclerosis (22) and rheumatoid arthritis (23) each have at least two studies in the literature in our database, which might imply that researchers pay more attention to these diseases.

Table 2. The statistical information of the top six complex diseases in the CDRH database

Disease name











chr. num.b

Type 1 diabetes mellitus







Multiple sclerosis







Bipolar disorder














Age-related macular degeneration







Rheumatoid arthritis







a SNP/micro; SNPs and microsatellites

b chr num.; chromosome number

Haplotypes can contain more information than a single marker, and can reveal synergistic effects among SNPs. Thus, haplotypes that are responsible for some genetic disorders are being developed for molecular diagnosis of genetic disorders (especially for autosomal recessive genetic disorders). Some studies (24-27) have indicated that haplotype analysis is highly informative for molecular disease diagnosis and carrier status. Consequently, by offering detailed information about complex disease-related haplotypes, CDRH may help in the design of future experimental and computational biology studies.


CDRH is the first database to emphasize complex human diseases at the haplotype level by collecting and cataloguing a great variety of literatures. It provides a user-friendly interface to search for detailed information concerning haplotypes and diseases. We encourage researchers to submit interesting new data and offer a download function. We are committed to the maintenance and update of the CDRH database, and hope that it will guide researchers to a fuller understanding of complex human diseases.


With the rapid improvement in SNP genotyping technology and haplotype analysis methods, we can conveniently obtain genome-wide SNP data. Thus, genome-wide association studies based on haplotypes might be an efficient way to identify genetic regions or genes that are implicated in complex diseases. Our group will closely follow the future developments in haplotype studies of complex human diseases, and provide users with timely information. We believe that the CDRH database will provide deeper insights into the relationships between haplotypes and complex diseases.



This work was supported in part by grants from the National Natural Science Foundation of China (Grant Nos. 81172842, 31200934) and the Natural Science Foundation of Heilongjiang Province (Grant No. C201206).


We thank all members of the statistical genetics workshop at the College of Bioinformatics Science and Technology, Harbin Medical University.


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Figure legends
Figure 1. The results of searching by ‘colorectal cancer’. (a) Searching with ‘colorectal cancer’. (b) Searching with ‘colorectal cancer’ and ‘chromosome 7’. (c) The list of results retrieved by searching with ‘colorectal cancer’. (d) The download page of retrieved results. (e) The detailed information obtained by clicking the hyperlink of the gene symbol ‘ABCB1’. (f) The description of the ‘Slovenia population’. (g) Detailed information obtained by clicking the hyperlink for haplotype ‘TT’. (h) All the other haplotypes defined by the same SNPs in the same study populations and their frequencies.

Figure 2. The chromosomal distribution of complex disease-related haplotypes and genes in the CDRH database. MT; mitochondrion. (a) Histogram of the number of complex disease-related haplotypes on each chromosome. (b) Histogram of the number of complex disease-related genes on each chromosome.

* To whom correspondence should be addressed. Tel: +86 045186650721; Email:

Correspondence may also be addressed to Xia Li. Tel: +86 045186615922; Email:

†The authors wish it to be known that, in their opinion, the first three authors should be regarded as joint First Authors.

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