학술논문

Genetic insights into resting heart rate and its role in cardiovascular disease.
Document Type
Author
van de Vegte, Yordi JEppinga, Ruben Nvan der Ende, M YldauHagemeijer, Yanick PMahendran, YuvarajSalfati, EliasSmith, Albert VTan, Vanessa YArking, Dan ENtalla, IoannaAppel, Emil VSchurmann, ClaudiaBrody, Jennifer ARueedi, RicoPolasek, OzrenSveinbjornsson, GardarLecoeur, CecileLadenvall, ClaesZhao, Jing HuaIsaacs, AaronWang, LihuaLuan, Jian'anHwang, Shih-JenMononen, NinaAuro, KirsiJackson, Anne UBielak, Lawrence FZeng, LinyaoShah, NabiNethander, Maria, 1980; Campbell, ArchieRankinen, TuomoPechlivanis, SonaliQi, LuZhao, WeiRizzi, FedericaTanaka, ToshikoRobino, AntoniettaCocca, MassimilianoLange, LeslieMüller-Nurasyid, MartinaRoselli, CarolinaZhang, WeihuaKleber, Marcus EGuo, XiuqingLin, Henry JPavani, FrancescaGalesloot, Tessel ENoordam, RaymondMilaneschi, YuriSchraut, Katharina Eden Hoed, MarcelDegenhardt, FraukeTrompet, Stellavan den Berg, Marten EPistis, GiorgioTham, Yih-ChungWeiss, StefanSim, Xueling SLi, Hengtong Lvan der Most, Peter JNolte, Ilja MLyytikäinen, Leo-PekkaSaid, M AbdullahWitte, Daniel RIribarren, CarlosLauner, LenoreRing, Susan Mde Vries, Paul SSever, PeterLinneberg, AllanBottinger, Erwin PPadmanabhan, SandoshPsaty, Bruce MSotoodehnia, NonaKolcic, IvanaArnar, David OGudbjartsson, Daniel FHolm, HilmaBalkau, BeverleySilva, Claudia TNewton-Cheh, Christopher HNikus, KjellSalo, PerttuMohlke, Karen LPeyser, Patricia ASchunkert, HeribertLorentzon, Mattias, 1970; Lahti, JariRao, Dabeeru CCornelis, Marilyn CFaul, Jessica DSmith, Jennifer AStolarz-Skrzypek, KatarzynaBandinelli, StefaniaConcas, Maria PinaSinagra, GianfrancoMeitinger, ThomasWaldenberger, MelanieSinner, Moritz FStrauch, KonstantinDelgado, Graciela ETaylor, Kent DYao, JieFoco, LuisaMelander, Ollede Graaf, Jacquelinede Mutsert, Renéede Geus, Eco J CJohansson, ÅsaJoshi, Peter KLind, LarsFranke, AndreMacfarlane, Peter WTarasov, Kirill VTan, NicholasFelix, Stephan BTai, E-ShyongQuek, Debra QSnieder, HaroldOrmel, JohanIngelsson, MartinLindgren, CeciliaMorris, Andrew PRaitakari, Olli THansen, TorbenAssimes, ThemistoclesGudnason, VilmundurTimpson, Nicholas JMorrison, Alanna CMunroe, Patricia BStrachan, David PGrarup, NielsLoos, Ruth J FHeckbert, Susan RVollenweider, PeterHayward, CarolineStefansson, KariFroguel, PhilippeGroop, LeifWareham, Nicholas Jvan Duijn, Cornelia MFeitosa, Mary FO'Donnell, Christopher JKähönen, MikaPerola, MarkusBoehnke, MichaelKardia, Sharon L RErdmann, JeanettePalmer, Colin N AOhlsson, ClaesPorteous, David JEriksson, Johan GBouchard, ClaudeMoebus, SusanneKraft, PeterWeir, David RCusi, DanieleFerrucci, LuigiUlivi, SheilaGirotto, GiorgiaCorrea, AdolfoKääb, StefanPeters, AnnetteChambers, John CKooner, Jaspal SMärz, WinfriedRotter, Jerome IHicks, Andrew ASmith, J. Gustav, 1982; Kiemeney, Lambertus A L MMook-Kanamori, Dennis OPenninx, Brenda W J HGyllensten, UlfWilson, James FBurgess, StephenSundström, JohanLieb, WolfgangJukema, J WouterEijgelsheim, MarkLakatta, Edward L MCheng, Ching-YuDörr, MarcusWong, Tien-YinSabanayagam, CharumathiOldehinkel, Albertine JRiese, HarrietteLehtimäki, TerhoVerweij, Niekvan der Harst, Pim
Source
Nature communications. 14(1)
Subject
Cardiac and Cardiovascular Systems
Kardiologi
Medical Genetics
Medicinsk genetik
Language
English
ISSN
2041-1723
Abstract
Resting heart rate is associated with cardiovascular diseases and mortality in observational and Mendelian randomization studies. The aims of this study are to extend the number of resting heart rate associated genetic variants and to obtain further insights in resting heart rate biology and its clinical consequences. A genome-wide meta-analysis of 100 studies in up to 835,465 individuals reveals 493 independent genetic variants in 352 loci, including 68 genetic variants outside previously identified resting heart rate associated loci. We prioritize 670 genes and in silico annotations point to their enrichment in cardiomyocytes and provide insights in their ECG signature. Two-sample Mendelian randomization analyses indicate that higher genetically predicted resting heart rate increases risk of dilated cardiomyopathy, but decreases risk of developing atrial fibrillation, ischemic stroke, and cardio-embolic stroke. We do not find evidence for a linear or non-linear genetic association between resting heart rate and all-cause mortality in contrast to our previous Mendelian randomization study. Systematic alteration of key differences between the current and previous Mendelian randomization study indicates that the most likely cause of the discrepancy between these studies arises from false positive findings in previous one-sample MR analyses caused by weak-instrument bias at lower P-value thresholds. The results extend our understanding of resting heart rate biology and give additional insights in its role in cardiovascular disease development.