학술논문

Genetic and lifestyle risk factors for MRI-defined brain infarcts in a population-based setting
Document Type
Academic Journal
Author
Chauhan, GaneshAdams, Hieab H.H.Satizabal, Claudia L.Bis, Joshua C.Teumer, AlexanderSargurupremraj, MuralidharanHofer, EdithTrompet, StellaHilal, SaimaSmith, Albert VernonJian, XueqiuMalik, RainerTraylor, MatthewPulit, Sara L.Amouyel, PhilippeMazoyer, BernardZhu, Yi-ChengKaffashian, SaraSchilling, SabrinaBeecham, Gary W.Montine, Thomas J.Schellenberg, Gerard D.Kjartansson, OlafurGuðnason, VilmundurKnopman, David S.Griswold, Michael E.Windham, B. GwenGottesman, Rebecca F.Mosley, Thomas H.Schmidt, ReinholdSaba, YasamanSchmidt, HelenaTakeuchi, FumihikoYamaguchi, ShuheiNabika, ToruKato, NorihiroRajan, Kumar B.Aggarwal, Neelum T.De Jager, Philip L.Evans, Denis A.Psaty, Bruce M.Rotter, Jerome I.Rice, KennethLopez, Oscar L.Liao, JieminChen, ChristopherCheng, Ching-YuWong, Tien Y.Ikram, Mohammad K.van der Lee, Sven J.Amin, NajafChouraki, VincentDeStefano, Anita L.Aparicio, Hugo J.Romero, Jose R.Maillard, PaulineDeCarli, CharlesWardlaw, Joanna M.Hernández, Maria del C. ValdésLuciano, MichelleLiewald, DavidDeary, Ian J.Starr, John M.Bastin, Mark E.Muñoz Maniega, SusanaSlagboom, P. ElineBeekman, MarianDeelen, JorisUh, Hae-WonLemmens, RobinBrodaty, HenryWright, Margaret J.Ames, DavidBoncoraglio, Giorgio B.Hopewell, Jemma C.Beecham, Ashley H.Blanton, Susan H.Wright, Clinton B.Sacco, Ralph L.Wen, WeiThalamuthu, AnbupalamArmstrong, Nicola J.Chong, ElizabethSchofield, Peter R.Kwok, John B.van der Grond, JeroenStott, David J.Ford, IanJukema, J. WouterVernooij, Meike W.Hofman, AlbertUitterlinden, André G.van der Lugt, AadWittfeld, KatharinaGrabe, Hans J.Hosten, Norbertvon Sarnowski, BettinaVölker, UweLevi, ChristopherJimenez-Conde, JordiSharma, PankajSudlow, Cathie L.M.Rosand, JonathanWoo, DanielCole, John W.Meschia, James F.Slowik, AgnieszkaThijs, VincentLindgren, ArneMelander, OlleGrewal, Raji P.Rundek, TatjanaRexrode, KathyRothwell, Peter M.Arnett, Donna K.Jern, ChristinaJohnson, Julie A.Benavente, Oscar R.Wasssertheil-Smoller, SylviaLee, Jin-MooWong, QuennaMitchell, Braxton D.Rich, Stephen S.McArdle, Patrick F.Geerlings, Mirjam I.van der Graaf, Yolandade Bakker, Paul I.W.Asselbergs, Folkert W.Srikanth, VelandaiThomson, RussellMcWhirter, RebekahMoran, ChrisCallisaya, MichelePhan, ThanhRutten-Jacobs, Loes C.A.Bevan, SteveTzourio, ChristopheMather, Karen A.Sachdev, Perminder S.van Duijn, Cornelia M.Worrall, Bradford B.Dichgans, MartinKittner, Steven J.Markus, Hugh S.Ikram, Mohammad A.Fornage, MyriamLauner, Lenore J.Seshadri, SudhaLongstreth, W.T., Jr; Debette, StéphanieAlmgren, PeterAnderson, Christopher D.Arnett, Donna K.Attia, JohnAy, HakanBenavente, Oscar R.Bevan, SteveBrown, Robert D.Bustamante, MarianaCheng, Yu-ChingCole, John W.Cotlarciuc, IoanaCruchaga, Carlosde Bakker, Paul IW.Delavaran, HosseinDichgans, MartinEngström, GunnarFornage, MyriamGrewal, Raji P.Heitsch, LauraHolliday, ElizabethIbanez, LaureIlinca, AndreeaIrvin, Marguerite R.Jackson, Rebecca D.Jern, ChristinaJimenez-Conde, JordiJohnson, Julie A.Jood, KatarinaKissela, Brett M.Kittner, Steven J.Kleindorfer, Dawn O.Labovitz, DanielLaurie, Cathy C.Lee, Jin-MooLemmens, RobinLevi, ChristopherLi, LinxinLindgren, Arne G.Maguire, JaneMarkus, Hugh S.McArdle, Patrick F.Melander, OlleMeschia, James F.Mitchell, Braxton D.Müller-Nurasyid, MartinaNorrving, BoPeddareddygari, Leema ReddyPera, JoannaPulit, Sara L.Rexrode, KathrynRibasés, MartaRoquer, JaumeRost, Natalia S.Rothwell, Peter M.Rundek, TatjanaSacco, Ralph L.Schmidt, ReinholdSharma, PankajSlowik, AgnieszkaSoriano-Tárraga, CarolinaStanne, TaraStauch, KonstantinStine, O C.Sudlow, Cathie LM.Thijs, Vincent N.S.Wasssertheil-Smoller, SylviaWeir, DavidWilliams, Stephen R.Wong, QuennaWoo, DanielWorrall, Bradford B.Xu, HuichunSeshadri, SudhaHyacinth, Hyacinth IMarini, SandroNyquist, PaulLewis, CathrynHansen, BjornNorrving, BoRosand, JonathanBiffi, AlessandroKourkoulis, ChristinaAnderson, ChrisGiese, Anne-KatrinSacco, RalphSharma, PankajChung, Jong-WonKim, Gyeong-MoonLubitz, StevenBourcier, RomainHowson, JoannaGranata, AlessandraDrazyk, AnnaMarkus, HughWardlaw, JoannaMitchell, BraxtonCole, JohnHopewell, JemmaWalters, RobinTurnbull, IainWorrall, BradfordBis, JoshReiner, AlexDhar, RajHeitsch, LauraLee, Jin-MooPrasad, KameshwarSarnowski, ChloéAparicio, Hugo JavierYang, QiongChasman, DanielRexrode, KathrynPhuah, Chia-LingLiu, GuiyouElkind, MitchellLange, LeslieRost, NataliaJames, MichaelStewart, JillVojinovic, DinaThijs, VincentParati, EugenioBoncoraglio, GiorgioZand, RaminBijlenga, PhilippeSelim, MagdyGrond-Ginsbach, CasparStrbian, DanielTomppo, LiisaSallinen, HannePfeiffer, DorotheaTorres, NuriaBarboza, MiguelLaarman, MelanieCarriero, RobertaHolliday, ElizabethJimenez-Conde, JordiSoriano, CarolinaGill, DipenderDebette, StephanieMishra, AniketWu, Jer-YuarnKo, Tai-MingBione, SilviaJood, KatarinaTatlisumak, TurgutHolmegaard, LukasYue, Suobersano, AnnaPera, JoannaSlowik, AgnieszkaLevi, ChristopherSchlicht, KristinaLemmens, RobinNinomiya, ToshiharuOberstein, Saskia LesnikLee, Tsong-HaiMalik, RainerDichgans, MartinLindgren, ArneWasselius, JohanDrake, MattiasMelander, OlleStenman, MartinIlinca, AndreeaCrawford, KatherineLena, UmmeMateen, FarrahAy, HakanWu, OnaSchirmer, MarkusCramer, SteveGolland, PolinaBrown, RobertMeschia, JamesRoss, Owen A.Pare, GuillaumeChong, MikeRundek, TatjanaGwinn, KatrinaChen, ChristopherKoenig, JimGiralt, EvaSaleheen, Danishde Leeuw, Frank-ErikKlijn, KarinKamatani, YoichiroKubo, MichiakiOkada, YukinoriPedersen, AnnieOlsson, MajaMartín, Juan JoséXu, HuichunTan, Eng KingFrid, PetreaLee, ChaeyoungTregouet, DavidLeung, ThomasChoy, RichardJern, ChristinaLoo, Keat WeiRinkel, GabrielFranca, PauloCendes, IsciaCarrera, CatyFernandez-Cadenas, IsraelMontaner, JoanKim, HelenOwolabi, MayowaSofat, ReechaBakker, MarkRuigrok, YnteHauer, AllardPulit, Sara L.van der Laan, Sander W.Irvin, RyanSargurupremraj, MuraliPezzini, AlessandroAbd-Allah, FoadLiebeskind, DavidTraylor, MatthewTan, RheaDanesh, JohnRutten-Jacobs, LoesDonatti, AmandaAvelar, WagnerBroderick, JosephWoo, DanielSudlow, CathieRannikmae, KristiinaMcDonough, Caitrin Wheelervan Agtmael, TomWalters, MatthewSöderholm, MartinLorentzen, ErikOlsson, SandraStanne, TaraOlsson, MartinaAkinyemi, RufusCotlatciuc, IoanaMcArdle, PatrickDave, TusharKittner, StevenAttia, JohnFaber, James EMillwood, IonaMárquez, Elsa ValdésMancuso, MichelangeloVibo, RiinaKorv, JanikaMaguire, JaneFornage, MyriamMajersik, JenniferDeHavenon, AdamAlexander, MatthewSale, MicheleSoutherland, AndrewOwens, DebraPsaty, BruceLongstreth, W. T., Jr; Wolfe, Stacey QuinteroLangefeld, CarlCruchaga, CarlosKonrad, JanSheth, KevinFalcone, GuidoDonahue, KathleenSimpkins, Alexis NLiang Byorn, Tan WeiChan, BernardClatworthy, PhilFlorez, JoseHarshfield, EricHozawa, AtsushiHsu, ChungHu, Chaur-JongIbanez, LaureIhara, MasafumiLange, MarcosLee, Soo JiLee, I-HuiMusolino, PatriciaNakatomi, HirofumiPark, Kwang-YeolRich, Stephen SRiley, ChrisSung, JoohonSuzuki, HideakiVo, KatieWashida, KazuoIbenez, Laura GarciaSlowik, AgnieszkaHofman, AlbertAlgra, AleReiner, Alex PDoney, Alexander S FGschwendtner, AndreasIlinca, AndreeaGiese, Anne-KatrinLindgren, ArneVicente, Astrid MNorrving, BoNordestgaard, Børge GMitchell, Braxton DWorrall, Bradford BPsaty, Bruce MCarty, Cara LSudlow, CathieAnderson, Christopher DLevi, ChristopherSatizabal, Claudia LPalmer, Colin N AGamble, Dale MWoo, DanielSaleheen, DanishRingelstein, E BerndValdimarsson, EinarHolliday, ElizabethDavies, GailChauhan, GaneshPasterkamp, GerardBoncoraglio, GiorgioKuhlenbäumer, GregorThorleifsson, GudmarFalcone, Guido JPare, GuillameSchmidt, HelenaDelavaran, HosseinMarkus, Hugh SAparicio, Hugo JDeary, IanCotlarciuc, IoanaFernandez-Cadenas, IsraelMeschia, JamesHopewell, Jemma CLiu, JingminMontaner, JoanPera, JoannaCole, JohnAttia, John RRosand, JonathanFerro, Jose MBis, JoshuaFurie, KarenStefansson, KariBerger, KlausKostulas, KonstantinosRannikmae, KristinaIkram, M ArfanBenn, MarianneDichgans, MartinFarrall, MartinPandolfo, MassimoTraylor, MatthewWalters, MatthewSale, MicheleNalls, MikeFornage, Myriamvan Zuydam, Natalie RSharma, PankajAbrantes, Patriciade Bakker, Paul IWHiggins, PeterLichtner, PeterRothwell, Peter MAmouyel, PhilippeYang, QiongMalik, RainerSchmidt, ReinholdClarke, RobertLemmens, Robinvan der Laan, Sander WPulit, Sara LAbboud, SherineOliveira, Sofia AGretarsdottir, SolveigDebette, StephanieWilliams, Stephen RBevan, SteveKittner, Steven JSeshadri, SudhaMosley, ThomasBattey, Thomas WKTatlisumak, TurgutThorsteinsdottir, UnnurThijs, Vincent NSLongstreth, W TZhao, WeiChen, Wei-MinCheng, Yu-ChingAlbert, Marilyn S.Albin, Roger L.Apostolova, Liana G.Arnold, Steven E.Asthana, SanjayAtwood, Craig S.Baldwin, Clinton T.Barmada, M. MichaelBarnes, Lisa L.Barral, SandraBeach, Thomas G.Becker, James T.Beecham, Gary W.Beekly, DuaneBennett, David A.Bigio, Eileen H.Bird, Thomas D.Blacker, DeborahBoeve, Bradley F.Boxer, AdamBurke, James R.Burns, Jeffrey M.Buxbaum, Joseph D.Byrd, Goldie S.Cai, GuiqingCairns, Nigel J.Cantwell, Laura B.Cao, ChuanhaiCarlsson, Cynthia M.Carney, Regina M.Carrasquillo, Minerva M.Carroll, Steven L.Chui, Helena C.Clark, David G.Cribbs, David H.Crocco, Elizabeth A.Cruchaga, CarlosDe Jager, Philip L.DeCarli, CharlesDemirci, F. YesimDick, MalcolmDickson, Dennis W.Duara, RanjanErtekin-Taner, NiluferEvans, Denis A.Faber, Kelley M.Fallin, M. DanieleFallon, Kenneth B.Fardo, David W.Farlow, Martin R.Farrer, Lindsay A.Ferris, StevenForoud, Tatiana M.Frosch, Matthew P.Galasko, Douglas R.Gearing, MarlaGeschwind, Daniel H.Ghetti, BernardinoGilbert, John R.Go, Rodney C.P.Goate, Alison M.Graff-Radford, Neill R.Green, Robert C.Griffith, PatrickGrowdon, John H.Haines, Jonathan L.Hakonarson, HakonHamilton, Ronald L.Hamilton-Nelson, Kara L.Haroutunian, VahramHarrell, Lindy E.Honig, Lawrence S.Huebinger, Ryan M.Hulette, Christine M.Hyman, Bradley T.Jicha, Gregory A.Jin, Lee-WayJun, GyungahKamboh, M. IlyasKarydas, AnnaKauwe, John S.K.Kaye, Jeffrey A.Kim, RonaldKowall, Neil W.Kramer, Joel H.Kukull, Walter A.Kunkle, Brian W.LaFerla, Frank M.Lah, James J.Lang-Walker, RosalynLarson, Eric B.Leverenz, James B.Levey, Allan I.Li, GeLieberman, Andrew P.Logue, Mark W.Lopez, Oscar L.Lunetta, Kathryn L.Lyketsos, Constantine G.Mack, Wendy J.Manly, Jennifer J.Marson, Daniel C.Martin, Eden R.Martiniuk, FrankMash, Deborah C.Masliah, EliezerMayeux, RichardMcKee, Ann C.Mesulam, MarselMiller, Bruce L.Miller, Carol A.Miller, Joshua W.Montine, Thomas J.Morris, John C.Murrell, Jill R.Naj, Adam C.Obisesan, Thomas O.Olichney, John M.Pankratz, Vernon S.Parisi, Joseph E.Partch, AmandaPaulson, Henry L.Pericak-Vance, Margaret A.Perry, WilliamPeskind, ElainePetersen, Ronald C.Pierce, AimeePoon, Wayne W.Potter, HuntingtonQuinn, Joseph F.Raj, AshokRaj, TowfiqueRaskind, MurrayReiman, Eric M.Reisberg, BarryReitz, ChristianeRingman, John M.Roberson, Erik D.Rosen, Howard J.Rosenberg, Roger N.Sager, Mark A.Sano, MarySaykin, Andrew J.Schellenberg, Gerard D.Schneider, Julie A.Schneider, Lon S.Seeley, William W.Smith, Amanda G.Sonnen, Joshua A.Spina, SalvatoreStern, Robert A.Swerdlow, Russell H.Tanzi, Rudolph E.Thornton-Wells, Tricia A.Trojanowski, John Q.Troncoso, Juan C.Tsuang, Debby W.Valladares, OttoVan Deerlin, Vivianna M.Van Eldik, Linda J.Vardarajan, Badri N.Vinters, Harry V.Vonsattel, Jean PaulWang, Li-SanWeintraub, SandraWelsh-Bohmer, Kathleen A.Williamson, JenniferWingo, Thomas S.Wishnek, SarahWoltjer, Randall L.Wright, Clinton B.Younkin, Steven G.Yu, Chang-EnYu, LeiChauhan, GaneshChu, Audrey Y.Fornage, MyriamBis, Joshua C.Havulinna, Aki S.Sargurupremraj, MuralidharanSmith, Albert VernonAdams, Hieab H.H.Choi, Seung HoanTrompet, StellaGarcia, Melissa E.Manichaikul, AniTeumer, AlexanderGustafsson, StefanBartz, Traci M.Bellenguez, CélineVidal, Jean SebastienJian, XueqiuKjartansson, OlafurWiggins, Kerri L.Satizabal, Claudia L.Xue, FloraRipatti, SamuliLiu, YongmeiDeelen, JorisHoed, Marcel denHeckbert, Susan R.Rice, KennethSmith, Nicholas L.Wong, QuennaAparicio, Hugo J.Buring, Julie E.Ridker, Paul MBerr, ClaudineDartigues, Jean-FrançoisHamsten, AndersMagnusson, Patrik K.Pedersen, Nancy L.Lannfelt, LarsLind, LarsLindgren, Cecilia M.Morris, Andrew P.Hofman, AlbertKoudstaal, Peter J.Portegies, Marileen LP.Uitterlinden, André G.de Craen, Anton JMFord, IanJukema, J. WouterStott, David JAllen, Norrina B.Sale, Michele M.Johnson, Andrew DBennett, David A.De Jager, Philip L.White, Charles C.Grabe, Hans JörgenPaulista Markus, Marcello RicardoLopez, Oscar LRotter, Jerome I.Nalls, Michael A.Gottesman, Rebecca F.Griswold, Michael E.Knopman, David S.Windham, B. GwenBeiser, AlexaVartiainen, ErkkiFrench, Curtis R.Kurth, TobiasPsaty, Bruce M.Harris, Tamara B.Rich, Stephen SdeStefano, Anita L.Schmidt, Carsten OliverSalomaa, VeikkoMosley, Thomas H.Ingelsson, Erikvan Duijn, Cornelia M.Tzourio, ChristopheLauner, Lenore JIkram, M. ArfanChasman, Daniel I.Longstreth, W. T., Jr; Seshadri, SudhaDebette, StéphanieVerhaaren, Benjamin F.J.Debette, StéphanieBis, Joshua C.Smith, Jennifer A.Ikram, M. KamranAdams, Hieab H.Beecham, Ashley H.Rajan, Kumar B.Lopez, Lorna M.Barral, Sandravan Buchem, Mark A.van der Grond, JeroenSmith, Albert V.Hegenscheid, KatrinAggarwal, Neelum T.de Andrade, MarizaAtkinson, Elizabeth J.Beekman, MarianBeiser, Alexa S.Blanton, Susan H.Boerwinkle, EricBrickman, Adam M.Bryan, R. NickChauhan, GaneshChen, Christopher P.L.H.Chouraki, Vincentde Craen, Anton J.M.Crivello, FabriceDeary, Ian J.Deelen, JorisDe Jager, Philip L.Dufouil, CaroleElkind, Mitchell S.V.Evans, Denis A.Freudenberger, PaulGottesman, Rebecca F.Guðnason, VilmundurHabes, MohamadHeckbert, Susan R.Heiss, GerardoHilal, SaimaHofer, EdithHofman, AlbertIbrahim-Verbaas, Carla A.Knopman, David S.Lewis, Cora E.Liao, JieminLiewald, David C.M.Luciano, Michellevan der Lugt, AadMartinez, Oliver O.Mayeux, RichardMazoyer, BernardNalls, MikeNauck, MatthiasNiessen, Wiro J.Oostra, Ben A.Psaty, Bruce M.Rice, Kenneth M.Rotter, Jerome I.von Sarnowski, BettinaSchmidt, HelenaSchreiner, Pamela J.Schuur, MaaikeSidney, Stephen S.Sigurdsson, SigurdurSlagboom, P. ElineStott, David J.M.van Swieten, John C.Teumer, AlexanderTöglhofer, Anna MariaTraylor, MatthewTrompet, StellaTurner, Stephen T.Tzourio, ChristopheUh, Hae-WonUitterlinden, André G.Vernooij, Meike W.Wang, Jing J.Wong, Tien Y.Wardlaw, Joanna M.Windham, B. GwenWittfeld, KatharinaWolf, ChristianeWright, Clinton B.Yang, QiongZhao, WeiZijdenbos, AlexJukema, J. WouterSacco, Ralph L.Kardia, Sharon L.R.Amouyel, PhilippeMosley, Thomas H.Longstreth, W. T., Jr; DeCarli, Charles C.van Duijn, Cornelia M.Schmidt, ReinholdLauner, Lenore J.Grabe, Hans J.Seshadri, Sudha S.Ikram, M. ArfanFornage, MyriamBis, Joshua C.Kavousi, MaryamFranceschini, NoraIsaacs, AaronAbecasis, Gonçalo RSchminke, UlfPost, WendySmith, Albert V.Cupples, L. AdrienneMarkus, Hugh SSchmidt, ReinholdHuffman, Jennifer E.Lehtimäki, TerhoBaumert, JensMünzel, ThomasHeckbert, Susan R.Dehghan, AbbasNorth, KariOostra, BenBevan, SteveStoegerer, Eva-MariaHayward, CarolineRaitakari, OlliMeisinger, ChristaSchillert, ArneSanna, SerenaVölzke, HenryCheng, Yu-ChingThorsson, BolliFox, Caroline S.Rice, KennethRivadeneira, FernandoNambi, VijayHalperin, EranPetrovic, Katja E.Peltonen, LeenaWichmann, H. ErichSchnabel, Renate B.Dörr, MarcusParsa, AfshinAspelund, ThorDemissie, SerkalemKathiresan, SekarReilly, Muredach P.Taylor, KentUitterlinden, AndreCouper, David J.Sitzer, MatthiasKähönen, MikaIllig, ThomasWild, Philipp S.Orru, MarcoLüdemann, JanShuldiner, Alan R.Eiriksdottir, GudnyWhite, Charles C.Rotter, Jerome I.Hofman, AlbertSeissler, JochenZeller, TanjaUsala, GianlucaErnst, FlorianLauner, Lenore J.DʼAgostino, Ralph B., Sr; OʼLeary, Daniel H.Ballantyne, ChristieThiery, JoachimZiegler, AndreasLakatta, Edward G.Chilukoti, Ravi KumarHarris, Tamara B.Wolf, Philip A.Psaty, Bruce M.Polak, Joseph FLi, XiaRathmann, WolfgangUda, ManuelaBoerwinkle, EricKlopp, NormanSchmidt, HelenaWilson, James FViikari, JormaKoenig, WolfgangBlankenberg, StefanNewman, Anne B.Witteman, JacquelineHeiss, Gerardovan Duijn, CorneliaScuteri, AngeloHomuth, GeorgMitchell, Braxton D.Gudnason, VilmundurO’Donnell, Christopher J.
Source
Neurology. Jan 29, 2019 92(5):e486-e503
Subject
Language
English
ISSN
0028-3878
Abstract
OBJECTIVE: To explore genetic and lifestyle risk factors of MRI-defined brain infarcts (BI) in large population-based cohorts. METHODS: We performed meta-analyses of genome-wide association studies (GWAS) and examined associations of vascular risk factors and their genetic risk scores (GRS) with MRI-defined BI and a subset of BI, namely, small subcortical BI (SSBI), in 18 population-based cohorts (n = 20,949) from 5 ethnicities (3,726 with BI, 2,021 with SSBI). Top loci were followed up in 7 population-based cohorts (n = 6,862; 1,483 with BI, 630 with SBBI), and we tested associations with related phenotypes including ischemic stroke and pathologically defined BI. RESULTS: The mean prevalence was 17.7% for BI and 10.5% for SSBI, steeply rising after age 65. Two loci showed genome-wide significant association with BI: FBN2, p = 1.77 × 10; and LINC00539/ZDHHC20, p = 5.82 × 10. Both have been associated with blood pressure (BP)–related phenotypes, but did not replicate in the smaller follow-up sample or show associations with related phenotypes. Age- and sex-adjusted associations with BI and SSBI were observed for BP traits (p value for BI, p[BI] = 9.38 × 10; p[SSBI] = 5.23 × 10 for hypertension), smoking (p[BI] = 4.4 × 10; p[SSBI] = 1.2 × 10), diabetes (p[BI] = 1.7 × 10; p[SSBI] = 2.8 × 10), previous cardiovascular disease (p[BI] = 1.0 × 10; p[SSBI] = 2.3 × 10), stroke (p[BI] = 3.9 × 10; p[SSBI] = 3.2 × 10), and MRI-defined white matter hyperintensity burden (p[BI] = 1.43 × 10; p[SSBI] = 3.16 × 10), but not with body mass index or cholesterol. GRS of BP traits were associated with BI and SSBI (p ≤ 0.0022), without indication of directional pleiotropy. CONCLUSION: In this multiethnic GWAS meta-analysis, including over 20,000 population-based participants, we identified genetic risk loci for BI requiring validation once additional large datasets become available. High BP, including genetically determined, was the most significant modifiable, causal risk factor for BI.