학술논문

Discovery of rare variants associated with blood pressure regulation through meta-analysis of 1.3 million individuals
Document Type
Report
Source
Nature Genetics. December 2020, Vol. 52 Issue 12, p1314, 19 p.
Subject
Netherlands
Language
English
ISSN
1061-4036
Abstract
Author(s): Praveen Surendran [sup.1] [sup.2] [sup.3] [sup.4] , Elena V. Feofanova [sup.5] , Najim Lahrouchi [sup.6] [sup.7] [sup.8] , Ioanna Ntalla [sup.9] , Savita Karthikeyan [sup.1] , James Cook [sup.10] [...]
Genetic studies of blood pressure (BP) to date have mainly analyzed common variants (minor allele frequency > 0.05). In a meta-analysis of up to ~1.3 million participants, we discovered 106 new BP-associated genomic regions and 87 rare (minor allele frequency [less than or equal to] 0.01) variant BP associations (P < 5 × 10.sup.-8), of which 32 were in new BP-associated loci and 55 were independent BP-associated single-nucleotide variants within known BP-associated regions. Average effects of rare variants (44% coding) were ~8 times larger than common variant effects and indicate potential candidate causal genes at new and known loci (for example, GATA5 and PLCB3). BP-associated variants (including rare and common) were enriched in regions of active chromatin in fetal tissues, potentially linking fetal development with BP regulation in later life. Multivariable Mendelian randomization suggested possible inverse effects of elevated systolic and diastolic BP on large artery stroke. Our study demonstrates the utility of rare-variant analyses for identifying candidate genes and the results highlight potential therapeutic targets. Meta-analyses in up to 1.3 million individuals identify 87 rare-variant associations with blood pressure traits. On average, rare variants exhibit effects ~8 times larger than the mean effects of common variants and implicate candidate causal genes at associated regions.