학술논문

The power of genetic diversity in genome-wide association studies of lipids.
Document Type
Author
Graham, Sarah EClarke, Shoa LWu, Kuan-Han HKanoni, StavroulaZajac, Greg J MRamdas, ShwetaSurakka, IdaNtalla, IoannaVedantam, SailajaWinkler, Thomas WLocke, Adam EMarouli, EiriniHwang, Mi YeongHan, SoheeNarita, AkiraChoudhury, AnanyoBentley, Amy REkoru, KennethVerma, AnuragTrivedi, BhaviMartin, Hilary CHunt, Karen AHui, QinKlarin, DerekZhu, XiangThorleifsson, GudmarHelgadottir, AnnaGudbjartsson, Daniel FHolm, HilmaOlafsson, IsleifurAkiyama, MasatoSakaue, SaoriTerao, ChikashiKanai, MasahiroZhou, WeiBrumpton, Ben MRasheed, HumairaRuotsalainen, Sanni EHavulinna, Aki SVeturi, YogasudhaFeng, QiPingRosenthal, Elisabeth ALingren, ToddPacheco, Jennifer AllenPendergrass, Sarah AHaessler, JeffreyGiulianini, FrancoBradford, YukiMiller, Jason ECampbell, ArchieLin, KuangMillwood, Iona YHindy, GeorgeRasheed, AsifFaul, Jessica DZhao, WeiWeir, David RTurman, ConstanceHuang, HongyanGraff, MariaelisaMahajan, AnubhaBrown, Michael RZhang, WeihuaYu, KetianSchmidt, Ellen MPandit, AnitaGustafsson, StefanYin, XianyongLuan, Jian'anZhao, Jing-HuaMatsuda, FumihikoJang, Hye-MiYoon, KyungheonMedina-Gomez, CarolinaPitsillides, AchilleasHottenga, Jouke JanWillemsen, GonnekeWood, Andrew RJi, YingjiGao, ZishanHaworth, SimonMitchell, Ruth EChai, Jin FangAadahl, MetteYao, JieManichaikul, AniWarren, Helen RRamirez, JuliaBork-Jensen, JetteKårhus, Line LGoel, AnujSabater-Lleal, MariaNoordam, RaymondSidore, CarloFiorillo, EdoardoMcDaid, Aaron FMarques-Vidal, PedroWielscher, MatthiasTrompet, StellaSattar, NaveedMøllehave, Line TThuesen, Betina HMunz, MatthiasZeng, LingyaoHuang, JianfengYang, BinPoveda, AlaitzKurbasic, AzraLamina, ClaudiaForer, LukasScholz, MarkusGalesloot, Tessel EBradfield, Jonathan PDaw, E WarwickZmuda, Joseph MMitchell, Jonathan SFuchsberger, ChristianChristensen, HenryBrody, Jennifer AFeitosa, Mary FWojczynski, Mary KPreuss, MichaelMangino, MassimoChristofidou, ParaskeviVerweij, NiekBenjamins, Jan WEngmann, JorgenKember, Rachel LSlieker, Roderick CLo, Ken SinZilhao, Nuno RLe, PhuongKleber, Marcus EDelgado, Graciela EHuo, ShaofengIkeda, Daisuke DIha, HiroyukiYang, JianLiu, JunLeonard, Hampton LMarten, JonathanSchmidt, BörgeArendt, MarinaSmyth, Laura JCañadas-Garre, MarisaWang, ChaolongNakatochi, MasahiroWong, AndrewHutri-Kähönen, NinaSim, XuelingXia, RuiHuerta-Chagoya, AliciaFernandez-Lopez, Juan CarlosLyssenko, ValeriyaAhmed, MerajJackson, Anne UIrvin, Marguerite ROldmeadow, ChristopherKim, Han-NaRyu, SeunghoTimmers, Paul R H JArbeeva, LiubovDorajoo, RajkumarLange, Leslie AChai, XiaoranPrasad, GauriLorés-Motta, LauraPauper, MarcLong, JirongLi, XiaohuiTheusch, ElizabethTakeuchi, FumihikoSpracklen, Cassandra NLoukola, AnuBollepalli, SailalithaWarner, Sophie CWang, Ya XingWei, Wen BNutile, TeresaRuggiero, DanielaSung, Yun JuHung, Yi-JenChen, ShufengLiu, FangchaoYang, JingyunKentistou, Katherine AGorski, MathiasBrumat, MarcoMeidtner, KarinaBielak, Lawrence FSmith, Jennifer AHebbar, PrashanthaFarmaki, Aliki-EleniHofer, EdithLin, MaoxuanXue, ChaoZhang, JifengConcas, Maria PinaVaccargiu, Simonavan der Most, Peter JPitkänen, NiinaCade, Brian ELee, Jiwonvan der Laan, Sander WChitrala, Kumaraswamy NaiduWeiss, StefanZimmermann, Martina ELee, Jong YoungChoi, Hyeok SunNethander, Maria, 1980; Freitag-Wolf, SandraSoutham, LorraineRayner, Nigel WWang, Carol ALin, Shih-YiWang, Jun-SingCouture, ChristianLyytikäinen, Leo-PekkaNikus, KjellCuellar-Partida, GabrielVestergaard, HenrikHildalgo, BerthaGiannakopoulou, OlgaCai, QiuyinObura, Morgan Ovan Setten, JessicaLi, XiaoyinSchwander, KarenTerzikhan, NatalieShin, Jae HunJackson, Rebecca DReiner, Alexander PMartin, Lisa WarsingerChen, ZhengmingLi, LimingHighland, Heather MYoung, Kristin LKawaguchi, TakahisaThiery, JoachimBis, Joshua CNadkarni, Girish NLauner, Lenore JLi, HuaixingNalls, Mike ARaitakari, Olli TIchihara, SahokoWild, Sarah HNelson, Christopher PCampbell, HarryJäger, SusanneNabika, ToruAl-Mulla, FahdNiinikoski, HarriBraund, Peter SKolcic, IvanaKovacs, PeterGiardoglou, TotaKatsuya, TomohiroBhatti, Konain Fatimade Kleijn, Dominiquede Borst, Gert JKim, Eung KweonAdams, Hieab H HIkram, M ArfanZhu, XiaofengAsselbergs, Folkert WKraaijeveld, Adriaan OBeulens, Joline W JShu, Xiao-OuRallidis, Loukianos SPedersen, OlufHansen, TorbenMitchell, PaulHewitt, Alex WKähönen, MikaPérusse, LouisBouchard, ClaudeTönjes, AnkeChen, Yii-Der IdaPennell, Craig EMori, Trevor ALieb, WolfgangFranke, AndreOhlsson, Claes, 1965; Mellström, Dan, 1945; Cho, Yoon ShinLee, HyejinYuan, Jian-MinKoh, Woon-PuayRhee, Sang YoulWoo, Jeong-TaekHeid, Iris MStark, Klaus JVölzke, HenryHomuth, GeorgEvans, Michele KZonderman, Alan BPolasek, OzrenPasterkamp, GerardHoefer, Imo ERedline, SusanPahkala, KatjaOldehinkel, Albertine JSnieder, HaroldBiino, GinevraSchmidt, ReinholdSchmidt, HelenaChen, Y EugeneBandinelli, StefaniaDedoussis, GeorgeThanaraj, Thangavel AlphonseKardia, Sharon L RKato, NorihiroSchulze, Matthias BGirotto, GiorgiaJung, BettinaBöger, Carsten AJoshi, Peter KBennett, David ADe Jager, Philip LLu, XiangfengMamakou, VasilikiBrown, MorrisCaulfield, Mark JMunroe, Patricia BGuo, XiuqingCiullo, MarinaJonas, Jost BSamani, Nilesh JKaprio, JaakkoPajukanta, PäiviAdair, Linda SBechayda, Sonny Augustinde Silva, H JanakaWickremasinghe, Ananda RKrauss, Ronald MWu, Jer-YuarnZheng, Weiden Hollander, Anneke IBharadwaj, DwaipayanCorrea, AdolfoWilson, James GLind, LarsHeng, Chew-KiatNelson, Amanda EGolightly, Yvonne MWilson, James FPenninx, BrendaKim, Hyung-LaeAttia, JohnScott, Rodney JRao, D CArnett, Donna KWalker, MarkKoistinen, Heikki AChandak, Giriraj RYajnik, Chittaranjan SMercader, Josep MTusié-Luna, TeresaAguilar-Salinas, Carlos AVillalpando, Clicerio GonzalezOrozco, LorenaFornage, MyriamTai, E Shyongvan Dam, Rob MLehtimäki, TerhoChaturvedi, NishYokota, MitsuhiroLiu, JianjunReilly, Dermot FMcKnight, Amy JayneKee, FrankJöckel, Karl-HeinzMcCarthy, Mark IPalmer, Colin N AVitart, VeroniqueHayward, CarolineSimonsick, Eleanorvan Duijn, Cornelia MLu, FanQu, JiaHishigaki, HaretsuguLin, XuMärz, WinfriedParra, Esteban JCruz, MiguelGudnason, VilmundurTardif, Jean-ClaudeLettre, Guillaume't Hart, Leen MElders, Petra J MDamrauer, Scott MKumari, MeenaKivimaki, Mikavan der Harst, PimSpector, Tim DLoos, Ruth J FProvince, Michael APsaty, Bruce MBrandslund, IvanPramstaller, Peter PChristensen, KaareRipatti, SamuliWidén, ElisabethHakonarson, HakonGrant, Struan F AKiemeney, Lambertus A L Mde Graaf, JacquelineLoeffler, MarkusKronenberg, FlorianGu, DongfengErdmann, JeanetteSchunkert, HeribertFranks, Paul WLinneberg, AllanJukema, J WouterKhera, Amit VMännikkö, MinnaJarvelin, Marjo-RiittaKutalik, ZoltanCucca, FrancescoMook-Kanamori, Dennis Ovan Dijk, Ko WillemsWatkins, HughStrachan, David PGrarup, NielsSever, PeterPoulter, NeilRotter, Jerome IDantoft, Thomas MKarpe, FredrikNeville, Matt JTimpson, Nicholas JCheng, Ching-YuWong, Tien-YinKhor, Chiea ChuenSabanayagam, CharumathiPeters, AnnetteGieger, ChristianHattersley, Andrew TPedersen, Nancy LMagnusson, Patrik K EBoomsma, Dorret Ide Geus, Eco J CCupples, L Adriennevan Meurs, Joyce B JGhanbari, MohsenGordon-Larsen, PennyHuang, WeiKim, Young JinTabara, YasuharuWareham, Nicholas JLangenberg, ClaudiaZeggini, EleftheriaKuusisto, JohannaLaakso, MarkkuIngelsson, ErikAbecasis, GoncaloChambers, John CKooner, Jaspal Sde Vries, Paul SMorrison, Alanna CNorth, Kari EDaviglus, MarthaKraft, PeterMartin, Nicholas GWhitfield, John BAbbas, ShahidSaleheen, DanishWalters, Robin GHolmes, Michael VBlack, CorriSmith, Blair HJustice, Anne EBaras, ArisBuring, Julie ERidker, Paul MChasman, Daniel IKooperberg, CharlesWei, Wei-QiJarvik, Gail PNamjou, BahramHayes, M GeoffreyRitchie, Marylyn DJousilahti, PekkaSalomaa, VeikkoHveem, KristianÅsvold, Bjørn OlavKubo, MichiakiKamatani, YoichiroOkada, YukinoriMurakami, YoshinoriThorsteinsdottir, UnnurStefansson, KariHo, Yuk-LamLynch, Julie ARader, Daniel JTsao, Philip SChang, Kyong-MiCho, KellyO'Donnell, Christopher JGaziano, John MWilson, PeterRotimi, Charles NHazelhurst, ScottRamsay, MichèleTrembath, Richard Cvan Heel, David ATamiya, GenYamamoto, MasayukiKim, Bong-JoMohlke, Karen LFrayling, Timothy MHirschhorn, Joel NKathiresan, SekarBoehnke, MichaelNatarajan, PradeepPeloso, Gina MBrown, Christopher DMorris, Andrew PAssimes, Themistocles LDeloukas, PanosSun, Yan VWiller, Cristen J
Source
Nature. 600(7890):675-679
Subject
Endocrinology and Diabetes
Endokrinologi och diabetes
Language
English
ISSN
1476-4687
Abstract
Increased blood lipid levels are heritable risk factors of cardiovascular disease with varied prevalence worldwide owing to different dietary patterns and medication use1. Despite advances in prevention and treatment, in particular through reducing low-density lipoprotein cholesterol levels2, heart disease remains the leading cause of death worldwide3. Genome-wideassociation studies (GWAS) of blood lipid levels have led to important biological and clinical insights, as well as new drug targets, for cardiovascular disease. However, most previous GWAS4-23 have been conducted in European ancestry populations and may have missed genetic variants that contribute to lipid-level variation in other ancestry groups. These include differences in allele frequencies, effect sizes and linkage-disequilibrium patterns24. Here we conduct a multi-ancestry, genome-wide genetic discovery meta-analysis of lipid levels in approximately 1.65million individuals, including 350,000 of non-European ancestries. We quantify the gain in studying non-European ancestries and provide evidence to support the expansion of recruitment of additional ancestries, even with relatively small sample sizes. We find that increasing diversity rather than studying additional individuals of European ancestry results in substantial improvements in fine-mapping functional variants and portability of polygenic prediction (evaluated in approximately295,000 individuals from 7ancestry groupings). Modest gains in the number of discovered loci and ancestry-specific variants were also achieved. As GWAS expand emphasis beyond the identification of genes and fundamental biology towards the use of genetic variants for preventive and precision medicine25, we anticipate that increased diversity of participants will lead to more accurate and equitable26 application of polygenic scores in clinical practice.