학술논문

Whole-Genome Sequencing Association Analyses of Stroke and Its Subtypes in Ancestrally Diverse Populations From Trans-Omics for Precision Medicine Project
Document Type
article
Source
Stroke. 53(3)
Subject
Epidemiology
Health Sciences
Human Genome
Neurosciences
Brain Disorders
Stroke
Genetics
Aetiology
2.1 Biological and endogenous factors
Good Health and Well Being
Aged
Aged
80 and over
Female
Genetic Loci
Genetic Predisposition to Disease
Genome-Wide Association Study
Humans
Male
Middle Aged
Polymorphism
Single Nucleotide
Precision Medicine
Racial Groups
Whole Genome Sequencing
atherosclerosis
blood pressure
cause of death
embolic stroke
sample size
Trans-Omics for Precision Medicine (TOPMed) Stroke Working Group
the NHLBI Trans-Omics for Precision Medicine (TOPMed) Consortium
Cardiorespiratory Medicine and Haematology
Clinical Sciences
Neurology & Neurosurgery
Clinical sciences
Allied health and rehabilitation science
Language
Abstract
Background and purposeStroke is the leading cause of death and long-term disability worldwide. Previous genome-wide association studies identified 51 loci associated with stroke (mostly ischemic) and its subtypes among predominantly European populations. Using whole-genome sequencing in ancestrally diverse populations from the Trans-Omics for Precision Medicine (TOPMed) Program, we aimed to identify novel variants, especially low-frequency or ancestry-specific variants, associated with all stroke, ischemic stroke and its subtypes (large artery, cardioembolic, and small vessel), and hemorrhagic stroke and its subtypes (intracerebral and subarachnoid).MethodsWhole-genome sequencing data were available for 6833 stroke cases and 27 116 controls, including 22 315 European, 7877 Black, 2616 Hispanic/Latino, 850 Asian, 54 Native American, and 237 other ancestry participants. In TOPMed, we performed single variant association analysis examining 40 million common variants and aggregated association analysis focusing on rare variants. We also combined TOPMed European populations with over 28 000 additional European participants from the UK BioBank genome-wide array data through meta-analysis.ResultsIn the single variant association analysis in TOPMed, we identified one novel locus 13q33 for large artery at whole-genome-wide significance (P