학술논문

A multi-layer functional genomic analysis to understand noncoding genetic variation in lipids
Document Type
Academic Journal
Author
Ramdas, ShwetaJudd, JonathanGraham, Sarah E.Kanoni, StavroulaWang, YuxuanSurakka, IdaWenz, BrandonClarke, Shoa L.Chesi, AlessandraWells, AndrewBhatti, Konain FatimaVedantam, SailajaWinkler, Thomas W.Locke, Adam E.Marouli, EiriniZajac, Greg J.M.Wu, Kuan-Han H.Ntalla, IoannaHui, QinKlarin, DerekHilliard, Austin T.Wang, ZeyuanXue, ChaoThorleifsson, GudmarHelgadottir, AnnaGudbjartsson, Daniel F.Holm, HilmaOlafsson, IsleifurHwang, Mi YeongHan, SoheeAkiyama, MasatoSakaue, SaoriTerao, ChikashiKanai, MasahiroZhou, WeiBrumpton, Ben M.Rasheed, HumairaHavulinna, Aki S.Veturi, YogasudhaPacheco, Jennifer AllenRosenthal, Elisabeth A.Lingren, ToddFeng, QiPingKullo, Iftikhar J.Narita, AkiraTakayama, JunMartin, Hilary C.Hunt, Karen A.Trivedi, BhaviHaessler, JeffreyGiulianini, FrancoBradford, YukiMiller, Jason E.Campbell, ArchieLin, KuangMillwood, Iona Y.Rasheed, AsifHindy, GeorgeFaul, Jessica D.Zhao, WeiWeir, David R.Turman, ConstanceHuang, HongyanGraff, MariaelisaChoudhury, AnanyoSengupta, DhritiMahajan, AnubhaBrown, Michael R.Zhang, WeihuaYu, KetianSchmidt, Ellen M.Pandit, AnitaGustafsson, StefanYin, XianyongLuan, Jian'anZhao, Jing-HuaMatsuda, FumihikoJang, Hye-MiYoon, KyungheonMedina-Gomez, CarolinaPitsillides, AchilleasHottenga, Jouke JanWood, Andrew R.Ji, YingjiGao, ZishanHaworth, SimonMitchell, Ruth E.Chai, Jin FangAadahl, MetteBjerregaard, Anne A.Yao, JieManichaikul, AniLee, Wen-JaneHsiung, Chao AgnesWarren, Helen R.Ramirez, JuliaBork-Jensen, JetteKårhus, Line L.Goel, AnujSabater-Lleal, MariaNoordam, RaymondMauro, PalaMatteo, FlorisMcDaid, Aaron F.Marques-Vidal, PedroWielscher, MatthiasTrompet, StellaSattar, NaveedMøllehave, Line T.Munz, MatthiasZeng, LingyaoHuang, JianfengYang, BinPoveda, AlaitzKurbasic, AzraSchönherr, SebastianForer, LukasScholz, MarkusGalesloot, Tessel E.Bradfield, Jonathan P.Ruotsalainen, Sanni E.Daw, E. WarwickZmuda, Joseph M.Mitchell, Jonathan S.Fuchsberger, ChristianChristensen, HenryBrody, Jennifer A.Le, PhuongFeitosa, Mary F.Wojczynski, Mary K.Hemerich, DaianePreuss, MichaelMangino, MassimoChristofidou, ParaskeviVerweij, NiekBenjamins, Jan W.Engmann, JorgenNoah, Tsao L.Verma, AnuragSlieker, Roderick C.Lo, Ken SinZilhao, Nuno R.Kleber, Marcus E.Delgado, Graciela E.Huo, ShaofengIkeda, Daisuke D.Iha, HiroyukiYang, JianLiu, JunDemirkan, AyseLeonard, Hampton L.Marten, JonathanEmmel, CarinaSchmidt, BörgeSmyth, Laura J.Cañadas-Garre, MarisaWang, ChaolongNakatochi, MasahiroWong, AndrewHutri-Kähönen, NinaSim, XuelingXia, RuiHuerta-Chagoya, AliciaFernandez-Lopez, Juan CarlosLyssenko, ValeriyaNongmaithem, Suraj S.Sankareswaran, AlaguIrvin, Marguerite R.Oldmeadow, ChristopherKim, Han-NaRyu, SeunghoTimmers, Paul R.H.J.Arbeeva, LiubovDorajoo, RajkumarLange, Leslie A.Prasad, GauriLorés-Motta, LauraPauper, MarcLong, JirongLi, XiaohuiTheusch, ElizabethTakeuchi, FumihikoSpracklen, Cassandra N.Loukola, AnuBollepalli, SailalithaWarner, Sophie C.Wang, Ya XingWei, Wen B.Nutile, TeresaRuggiero, DanielaSung, Yun JuChen, ShufengLiu, FangchaoYang, JingyunKentistou, Katherine A.Banas, BernhardMorgan, AnnaMeidtner, KarinaBielak, Lawrence F.Smith, Jennifer A.Hebbar, PrashanthaFarmaki, Aliki-EleniHofer, EdithLin, MaoxuanConcas, Maria PinaVaccargiu, Simonavan der Most, Peter J.Pitkänen, NiinaCade, Brian E.van der Laan, Sander W.Chitrala, Kumaraswamy NaiduWeiss, StefanBentley, Amy R.Doumatey, Ayo P.Adeyemo, Adebowale A.Lee, Jong YoungPetersen, Eva R.B.Nielsen, Aneta A.Choi, Hyeok SunNethander, MariaFreitag-Wolf, SandraSoutham, LorraineRayner, Nigel W.Wang, Carol A.Lin, Shih-YiWang, Jun-SingCouture, ChristianLyytikäinen, Leo-PekkaNikus, KjellCuellar-Partida, GabrielVestergaard, HenrikHidalgo, BerthaGiannakopoulou, OlgaCai, QiuyinObura, Morgan O.van Setten, JessicaHe, Karen Y.Tang, HuaTerzikhan, NatalieShin, Jae HunJackson, Rebecca D.Reiner, Alexander P.Martin, Lisa WarsingerChen, ZhengmingLi, LimingKawaguchi, TakahisaThiery, JoachimBis, Joshua C.Launer, Lenore J.Li, HuaixingNalls, Mike A.Raitakari, Olli T.Ichihara, SahokoWild, Sarah H.Nelson, Christopher P.Campbell, HarryJäger, SusanneNabika, ToruAl-Mulla, FahdNiinikoski, HarriBraund, Peter S.Kolcic, IvanaKovacs, PeterGiardoglou, TotaKatsuya, Tomohirode Kleijn, Dominiquede Borst, Gert J.Kim, Eung KweonAdams, Hieab H.H.Ikram, M. ArfanZhu, XiaofengAsselbergs, Folkert W.Kraaijeveld, Adriaan O.Beulens, Joline W.J.Shu, Xiao-OuRallidis, Loukianos S.Pedersen, OlufHansen, TorbenMitchell, PaulHewitt, Alex W.Kähönen, MikaPérusse, LouisBouchard, ClaudeTönjes, AnkeIda Chen, Yii-DerPennell, Craig E.Mori, Trevor A.Lieb, WolfgangFranke, AndreOhlsson, ClaesMellström, DanCho, Yoon ShinLee, HyejinYuan, Jian-MinKoh, Woon-PuayRhee, Sang YoulWoo, Jeong-TaekHeid, Iris M.Stark, Klaus J.Zimmermann, Martina E.Völzke, HenryHomuth, GeorgEvans, Michele K.Zonderman, Alan B.Polasek, OzrenPasterkamp, GerardHoefer, Imo E.Redline, SusanPahkala, KatjaOldehinkel, Albertine J.Snieder, HaroldBiino, GinevraSchmidt, ReinholdSchmidt, HelenaBandinelli, StefaniaDedoussis, GeorgeThanaraj, Thangavel AlphonsePeyser, Patricia A.Kato, NorihiroSchulze, Matthias B.Girotto, GiorgiaBöger, Carsten A.Jung, BettinaJoshi, Peter K.Bennett, David A.De Jager, Philip L.Lu, XiangfengMamakou, VasilikiBrown, MorrisCaulfield, Mark J.Munroe, Patricia B.Guo, XiuqingCiullo, MarinaJonas, Jost B.Samani, Nilesh J.Kaprio, JaakkoPajukanta, PäiviTusié-Luna, TeresaAguilar-Salinas, Carlos A.Adair, Linda S.Bechayda, Sonny Augustinde Silva, H. JanakaWickremasinghe, Ananda R.Krauss, Ronald M.Wu, Jer-YuarnZheng, Weiden Hollander, Anneke I.Bharadwaj, DwaipayanCorrea, AdolfoWilson, James G.Lind, LarsHeng, Chew-KiatNelson, Amanda E.Golightly, Yvonne M.Wilson, James F.Penninx, BrendaKim, Hyung-LaeAttia, JohnScott, Rodney J.Rao, D.C.Arnett, Donna K.Walker, MarkScott, Laura J.Koistinen, Heikki A.Chandak, Giriraj R.Mercader, Josep M.Villalpando, Clicerio GonzalezOrozco, LorenaFornage, MyriamTai, E. Shyongvan Dam, Rob M.Lehtimäki, TerhoChaturvedi, NishYokota, MitsuhiroLiu, JianjunReilly, Dermot F.McKnight, Amy JayneKee, FrankJöckel, Karl-HeinzMcCarthy, Mark I.Palmer, Colin N.A.Vitart, VeroniqueHayward, CarolineSimonsick, Eleanorvan Duijn, Cornelia M.Jin, Zi-BingLu, FanHishigaki, HaretsuguLin, XuMärz, WinfriedGudnason, VilmundurTardif, Jean-ClaudeLettre, Guillaumet Hart, Leen M.Elders, Petra J.M.Rader, Daniel J.Damrauer, Scott M.Kumari, MeenaKivimaki, Mikavan der Harst, PimSpector, Tim D.Loos, Ruth J.F.Province, Michael A.Parra, Esteban J.Cruz, MiguelPsaty, Bruce M.Brandslund, IvanPramstaller, Peter P.Rotimi, Charles N.Christensen, KaareRipatti, SamuliWidén, ElisabethHakonarson, HakonGrant, Struan F.A.Kiemeney, Lambertusde Graaf, JacquelineLoeffler, MarkusKronenberg, FlorianGu, DongfengErdmann, JeanetteSchunkert, HeribertFranks, Paul W.Linneberg, AllanJukema, J. WouterKhera, Amit V.Männikkö, MinnaJarvelin, Marjo-RiittaKutalik, ZoltanFrancesco, CuccaMook-Kanamori, Dennis O.Willems van Dijk, KoWatkins, HughStrachan, David P.Grarup, NielsSever, PeterPoulter, NeilHuey-Herng Sheu, WayneRotter, Jerome I.Dantoft, Thomas M.Karpe, FredrikNeville, Matt J.Timpson, Nicholas J.Cheng, Ching-YuWong, Tien-YinKhor, Chiea ChuenLi, HengtongSabanayagam, CharumathiPeters, AnnetteGieger, ChristianHattersley, Andrew T.Pedersen, Nancy L.Magnusson, Patrik K.E.Boomsma, Dorret I.de Geus, Eco J.C.Cupples, L. Adriennevan Meurs, Joyce B.J.Ikram, ArfanGhanbari, MohsenGordon-Larsen, PennyHuang, WeiKim, Young JinTabara, YasuharuWareham, Nicholas J.Langenberg, ClaudiaZeggini, EleftheriaTuomilehto, JaakkoKuusisto, JohannaLaakso, MarkkuIngelsson, ErikAbecasis, GoncaloChambers, John C.Kooner, Jaspal S.de Vries, Paul S.Morrison, Alanna C.Hazelhurst, ScottRamsay, MichèleNorth, Kari E.Daviglus, MarthaKraft, PeterMartin, Nicholas G.Whitfield, John B.Abbas, ShahidSaleheen, DanishWalters, Robin G.Holmes, Michael V.Black, CorriSmith, Blair H.Baras, ArisJustice, Anne E.Buring, Julie E.Ridker, Paul M.Chasman, Daniel I.Kooperberg, CharlesTamiya, GenYamamoto, Masayukivan Heel, David A.Trembath, Richard C.Wei, Wei-QiJarvik, Gail P.Namjou, BahramHayes, M. GeoffreyRitchie, Marylyn D.Jousilahti, PekkaSalomaa, VeikkoHveem, KristianÅsvold, Bjørn OlavKubo, MichiakiKamatani, YoichiroOkada, YukinoriMurakami, YoshinoriKim, Bong-JoThorsteinsdottir, UnnurStefansson, KariZhang, JifengChen, Y. EugeneHo, Yuk-LamLynch, Julie A.Tsao, Philip S.Chang, Kyong-MiCho, KellyO'Donnell, Christopher J.Gaziano, John M.Wilson, PeterMohlke, Karen L.Frayling, Timothy M.Hirschhorn, Joel N.Kathiresan, SekarBoehnke, MichaelStruan GrantNatarajan, PradeepSun, Yan V.Morris, Andrew P.Deloukas, PanosPeloso, GinaAssimes, Themistocles L.Willer, Cristen J.Zhu, XiangBrown, Christopher D.
Source
American Journal of Human Genetics. August 4, 2022, Vol. 109 Issue 8, 1366
Subject
Finland
India
Canada
Singapore
Greece
Austria
Germany
Norway
Denmark
Iceland
China
United Kingdom
North Carolina
Maryland
Pennsylvania
Mexico
Spain
California
Netherlands
Sweden
South Korea
Japan
Australia
Language
English
ISSN
0002-9297
Abstract
Million Veterans Program Keywords lipid biology; fine-mapping; functional genomics; post-GWAS; regulatory mechanism; complex traits; variant prioritization Summary A major challenge of genome-wide association studies (GWASs) is to translate phenotypic associations into biological insights. Here, we integrate a large GWAS on blood lipids involving 1.6 million individuals from five ancestries with a wide array of functional genomic datasets to discover regulatory mechanisms underlying lipid associations. We first prioritize lipid-associated genes with expression quantitative trait locus (eQTL) colocalizations and then add chromatin interaction data to narrow the search for functional genes. Polygenic enrichment analysis across 697 annotations from a host of tissues and cell types confirms the central role of the liver in lipid levels and highlights the selective enrichment of adipose-specific chromatin marks in high-density lipoprotein cholesterol and triglycerides. Overlapping transcription factor (TF) binding sites with lipid-associated loci identifies TFs relevant in lipid biology. In addition, we present an integrative framework to prioritize causal variants at GWAS loci, producing a comprehensive list of candidate causal genes and variants with multiple layers of functional evidence. We highlight two of the prioritized genes, CREBRF and RRBP1, which show convergent evidence across functional datasets supporting their roles in lipid biology. Author Affiliation: (1) Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA (2) Department of Genetics, Stanford University School of Medicine, Stanford, CA 94305, USA (3) Department of Internal Medicine, Division of Cardiology, University of Michigan, Ann Arbor, MI 48109, USA (4) William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, John Vane Science Centre, Charterhouse Square, London EC1M 6BQ, UK (5) Department of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA 02118, USA (6) VA Palo Alto Health Care Systems, Palo Alto, CA, USA (7) Department of Medicine, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA (8) Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, USA (9) Endocrinology, Boston Childrens Hospital, Boston, MA 02115, USA (10) Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, 75 Ames street, Cambridge, MA 02142, USA (11) Department of Genetic Epidemiology, University of Regensburg, Regensburg, Germany (12) McDonnell Genome Institute and Department of Medicine, Washington University, St. Louis, MO 63108, USA (13) Department of Biostatistics, Center for Statistical Genetics, University of Michigan, Ann Arbor, MI, USA (14) Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA (15) Clinical Pharmacology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, EC1M 6BQ London, UK (16) Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA (17) Atlanta VA Health Care System, Decatur, GA, USA (18) Malcolm Randall VA Medical Center, Gainesville, FL, USA (19) Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, FL, USA (20) deCODE genetics/Amgen, Inc., Sturlugata 8, Reykjavik 102, Iceland (21) School of Engineering and Natural Sciences, University of Iceland, Sæmundargötu 2, Reykjavik 102, Iceland (22) Department of Clinical Biochemistry, Landspitali - National University Hospital of Iceland, Hringbraut, Reykjavik 101, Iceland (23) Division of Genome Science, Department of Precision Medicine, National Institute of Health, Chungbuk, South Korea (24) Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan (25) Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (26) Department of Statistical Genetics, Osaka University Graduate School of Medicine, Osaka, Japan (27) Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, The University of Tokyo, Tokyo, Japan (28) Department of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan (29) Laboratory for Statistical and Translational Genetics, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan (30) Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA (31) Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA (32) K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway (33) MRC Integrative Epidemiology Unit (IEU), Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, BS8 2BN Bristol, UK (34) Clinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway (35) Division of Medicine and Laboratory Sciences, University of Oslo, Oslo, Norway (36) Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Tukholmankatu 8, 00014 Helsinki, Finland (37) Department of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland (38) Department of Genetics, Institute for Biomedical Informatics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA 19104, USA (39) Center for Genetic Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA (40) Department of Medicine (Medical Genetics), University of Washington, Seattle, WA, USA (41) Division of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA (42) Division of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA (43) Department of Cardiovascular Medicine and the Gonda Vascular Center, Mayo Clinic, Rochester, MN, USA (44) Tohoku Medical Megabank Organization, Tohoku University, Sendai 980-8573, Japan (45) Wellcome Trust Sanger Institute, CB10 1SA Hinxton, UK (46) Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK (47) Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA 98109, USA (48) Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA 02215, USA (49) Centre for Genomic and Experimental Medicine, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, EH4 2XU Edinburgh, UK (50) Usher Institute, The University of Edinburgh, Nine, Edinburgh Bioquarter, 9 Little France Road, EH16 4UX Edinburgh, UK (51) Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, OX3 7LF Oxford, UK (52) Medical Research Council Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, OX3 7LF Oxford, UK (53) Center for Non-Communicable Diseases, Karachi, SD, Pakistan & Faisalabad Institute of Cardiology, Faislabad, Pakistan (54) Department of Population Medicine, Qatar University College of Medicine, QU Health, Doha, Qatar (55) Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA (56) Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA (57) Program in Genetic Epidemiology and Statistical Genetics, Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA (58) Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA (59) Sydney Brenner Institute for Molecular Bioscience, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (60) Wellcome Centre for Human Genetics, University of Oxford, Oxford OX3 7BN, UK (61) Human Genetics Center, Department of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA (62) Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, School of Public Health, Imperial College London, W2 1PG London, UK (63) Department of Cardiology, Ealing Hospital, London North West University Healthcare NHS Trust, UB1 3HW Middlesex, UK (64) Imperial College Healthcare NHS Trust, Imperial College London, W12 0HS London, UK (65) Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden (66) MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, CB2 0QQ Cambridge, UK (67) Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Strangeways Research Laboratory, Wort's Causeway, CB1 8RN Cambridge, UK (68) Center for Genomic Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan (69) Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands (70) Department of Biological Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands (71) Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam, the Netherlands (72) Genetics of Complex Traits, University of Exeter Medical School, University of Exeter, EX2 5DW Exeter, UK (73) Department of Clinical Acupuncture and Moxibustion, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, China (74) Research Unit of Molecular Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany (75) Institute of Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany (76) Bristol Dental School, University of Bristol, Lower Maudlin Street, BS1 2LY Bristol, UK (77) Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield Grove, BS8 2BN Bristol, UK (78) Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore (79) Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark (80) Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark (81) The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, Lundquist Institute for Biomedical Innovations (Formerly LABioMed) at Harbor-UCLA Medical Center, Torrance, CA 90502, USA (82) Center for Public Health Genomics, University of Virginia, Charlottesville, VA 22903, USA (83) Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan; No. 1650, Sec. 4, Taiwan Boulevard, Taichung City 40705, Taiwan (84) Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County 350, Taiwan, ROC (85) NIHR Barts Cardiovascular Biomedical Research Centre, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, EC1M 6BQ London, UK (86) Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark (87) Division of Cardiovascular Medicine, Radcliffe Department of Medicine, John Radcliffe Hospital, University of Oxford, OX3 9DU Oxford, UK (88) Unit of Genomics of Complex Diseases. Sant Pau Biomedical Research Institute (IIB Sant Pau), Barcelona, Spain (89) Cardiovascular Medicine Unit, Department of Medicine, Karolinska Institutet, Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden (90) Department of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands (91) Istituto di Ricerca Genetica e Biomedica, Consiglio Nazionale delle Ricerche, Rome, Italy (92) Dipartimento di Scienze Biomediche, Università degli Studi di Sassari, Sardinia, Italy (93) University Center for Primary Care and Public Health, University of Lausanne, Rte de Berne 113, 1010 Lausanne, Switzerland (94) Swiss Institute of Bioinformatics, 1015 Lausanne, Switzerland (95) Department of Medicine, Internal Medicine, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland (96) Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands (97) BHF Glasgow Cardiovascular Research Centre, Faculty of Medicine, Glasgow, UK (98) Institute for Cardiogenetics, University of Lübeck, DZHK (German Research Centre for Cardiovascular Research), partner site Hamburg/Lübeck/Kiel, University Heart Center Lübeck, Lübeck and Charité -- University Medicine Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute for Dental and Craniofacial Sciences, Department of Periodontology and Synoptic Dentistry, Berlin, Germany (99) Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, Munich, Germany (100) Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK) e.V., partner site Munich Heart Alliance, Munich, Germany (101) Key Laboratory of Cardiovascular Epidemiology & Department of Epidemiology, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China (102) Lund University Diabetes Centre, Lunds University, Malmö, Sweden (103) Institute of Genetic Epidemiology, Department of Genetics and Pharmacology, Medical University of Innsbruck, Innsbruck, Austria and German Chronic Kidney Disease Study, Austria (104) Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Haertelstrasse 16-18, 04107 Leipzig, Germany (105) LIFE Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Straße 27, 04103 Leipzig, Germany (106) Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands (107) Quantinuum Research LLC, Wayne, PA 19087, USA (108) Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis, MO, USA (109) Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA 15232, USA (110) Institute for Biomedicine, Eurac Research, Affiliated Institute of the University of Lübeck, Via Galvani 31, 39100 Bolzano, Italy (111) Department of Clinical Biochemistry, Lillebaelt Hospital, Vejle, Denmark (112) Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA 98101, USA (113) Department of Anthropology, University of Toronto at Mississauga, Mississauga, ON L5L 1C6, Canada (114) Department of Computer Science, University of Toronto, Toronto, ON M5S 2E4, Canada (115) The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA (116) Department of Twin Research and Genetic Epidemiology, King's College London, SE1 7EH London, UK (117) NIHR Biomedical Research Centre at Guy's and St Thomas' Foundation Trust, SE1 9RT London, UK (118) Department of Cardiology, University of Groningen, University Medical Center Groningen, 9700RB Groningen, the Netherlands (119) Institute of Cardiovascular Sciences, University College London, Gower Street, WC1E 6BT London, UK (120) Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, WC1E 6BT London, UK (121) Department of Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA (122) Amsterdam UMC, Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam 1081HV, the Netherlands (123) Leiden University Medical Center, Department of Cell and Chemical Biology, Leiden 2333ZA, the Netherlands (124) Montreal Heart Institute, Université de Montréal, 5000 Belanger street, Montreal, QC H1T1C8, Canada (125) Icelandic Heart Association, 201 Kopavogur, Iceland (126) Vth Department of Medicine, Medical Faculty Mannheim, Heidelberg University, 68167 Mannheim, Germany (127) SYNLAB MVZ Humangenetik Mannheim GmbH, 68163 Mannheim, Germany (128) Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China (129) Biomedical Technology Research Center, Tokushima Research Institute, Otsuka Pharmaceutical Co., Ltd., Tokushima, Japan (130) School of Life Sciences, Westlake University, Hangzhou, Zhejiang 310024, China (131) Institute for Molecular Bioscience, The University of Queensland, Brisbane, QLD 4072, Australia (132) Nuffield Department of Population Health, University of Oxford, Oxford, UK (133) Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, the Netherlands (134) Section of Statistical Multi-omics, Department of Clinical and Experimental research, University of Surrey, Guildford, Surrey, UK (135) Laboratory of Neurogenetics, National Institute on Aging, NIH, Bethesda, MD, USA (136) Data Tecnica International, Glen Echo, MD, USA (137) MRC Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK (138) Institute for Medical Informatics, Biometrie and Epidemiology, University of Duisburg-Essen, Essen, Germany (139) Centre for Public Health, Queen's University of Belfast, Belfast, Northern Ireland (140) Genomic Oncology Area, GENYO, Centre for Genomics and Oncological Research: Pfizer-University of Granada-Andalusian Regional Government, Granada, Spain (141) Hematology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain (142) Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), Granada, Spain (143) Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (144) Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore (145) Public Health Informatics Unit, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya 461-8673, Japan (146) University of Alabama at Birmingham, Epidemiology, School of Public Health, Birmingham, AL, USA (147) Tampere Centre for Skills Training and Simulation, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland (148) Brown Foundation Institute of Molecular Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston TX 77030, USA (149) CONACYT, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de Mexico, Mexico (150) Departamento de Genómica Computacional, Instituto Nacional de Medicina Genómica, Ciudad de Mexico, Mexico (151) Center for diabetes research, University of Bergen, Bergen, Norway (152) Genomic Research on Complex diseases (GRC Group), CSIR-Centre for Cellular and Molecular Biology, Hyderabad, Telangana, India (153) Academy of Scientific and Innovative Research (AcSIR), CSIR-Human Resource Development Centre, New Delhi, India (154) Hunter Medical Research Institute, Newcastle, NSW, Australia (155) Medical Research Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of 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No. 1650, Sec. 4, Taiwan Boulevard, Xitun District Taichung City 40705, Taiwan (360) Division of Endocrinology and Metabolism, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; No. 201, Sec. 2, Shipai Road, Beitou District, Taipei City 112201, Taiwan (361) OCDEM, University of Oxford, Churchill Hospital, OX3 7LE Oxford, UK (362) NIHR Oxford Biomedical Research Centre, Churchill Hospital, Oxford, UK (363) Ocular Epidemiology, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore 168751, Singapore (364) Ophthalmology & Visual Sciences Academic Clinical Program (Eye ACP), Duke-NUS Medical School, Singapore 169857, Singapore (365) Data Science, Singapore Eye Research Institute, Singapore National Eye Centre, Singapore 168751, Singapore (366) German Center for Diabetes Research (DZD), Neuherberg, Germany (367) University of Exeter Medical School, University of Exeter, EX2 5DW Exeter, UK (368) Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden (369) Framingham Heart Study, National Heart, Lung, and Blood Institute, US National Institutes of Health, Bethesda, MD, USA (370) Department of Genetics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran (371) Department of Genetics, Shanghai-MOST Key Laboratory of Health and Disease Genomics, Chinese National Human Genome Center at Shanghai, Shanghai 201203, China (372) Technical University of Munich (TUM) and Klinikum Rechts der Isar, TUM School of Medicine, Munich, Germany (373) Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia (374) Institute of Clinical Medicine, Internal Medicine, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland (375) Stanford Cardiovascular Institute, Stanford University, Stanford, CA 94305, USA (376) Stanford Diabetes Research Center, Stanford University, Stanford, CA 94305, USA (377) Regeneron Pharmaceuticals, Tarrytown, NY, USA (378) Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore (379) MRC-PHE Centre for Environment and Health, Imperial College London, London W2 1PG, UK (380) School of Electrical & Information Engineering, University of the Witwatersrand, Witwatersrand, South Africa (381) Institute for Minority Health Research, University of Illinois College of Medicine, Chicago, IL, USA (382) Department of Biostatistics, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA (383) QIMR Berghofer Medical Research Institute, 300 Herston Road, Brisbane, QLD 4006, Australia (384) Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA (385) Department of Cardiology, Columbia University Irving Medical Center, New York, NY, USA (386) Big Data Instutute, University of Oxford, OX3 7LF Oxford, UK (387) Aberdeen Centre for Health Data Science,1:042 Polwarth Building School of Medicine, Medical Science and Nutrition University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK (388) Biomedical and Translational Informatics, Geisinger Health, Danville, PA 17822, USA (389) School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, UK (390) Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA (391) Departments of Medicine (Medical Genetics) and Genome Sciences, University of Washington, Seattle, WA, USA (392) Center for Autoimmune Genomics and Etiology, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA (393) Division of Endocrinology, Metabolism, and Molecular Medicine, Department of Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA (394) Department of Anthropology, Northwestern University, Evanston, IL 60208, USA (395) HUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Levanger 7600, Norway (396) Department of Medicine, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger 7600, Norway (397) Department of Endocrinology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway (398) RIKEN Center for Integrative Medical Sciences, Yokohama, Japan (399) Laboratory of Complex Trait Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan (400) Laboratory of Statistical Immunology, WPI Immunology Frontier Research Center, Osaka University, Osaka, Japan (401) Integrated Frontier Research for Medical Science Division, Institute for Open and Transdisciplinary Research Initiatives, Osaka University, Osaka, Japan (402) Division of Molecular Pathology, Institute of Medical Science, The University of Tokyo, Tokyo, Japan (403) Division of Genome Research, Center for Genome Science, National Institute of Health, Chungcheongbuk-do, South Korea (404) VA Boston Healthcare System, Boston, MA, USA (405) VA Informatics and Computing Infrastructure, VA Salt Lake City Health Care System, Salt Lake City, UT, USA (406) University of Massachusetts, Boston, MA, USA (407) Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA (408) Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA (409) Department of Medicine, Brigham Women's Hospital, Boston, MA, USA (410) Division of Cardiology, Emory University School of Medicine, Atlanta, GA, USA (411) Departments of Pediatrics and Genetics, Harvard Medical School, Boston, MA, USA (412) Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA (413) Cardiovascular Research Center and Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA (414) Centre for Genetics and Genomics Versus Arthritis, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, The University of Manchester, Manchester, UK (415) Princess Al-Jawhara Al-Brahim Centre of Excellence in Research of Hereditary Disorders (PACER-HD), King Abdulaziz University, Jeddah, Saudi Arabia (416) Department of Human Genetics, University of Michigan, Ann Arbor, MI 48109, USA (417) Department of Statistics, The Pennsylvania State University, University Park, PA, USA (418) Huck Institutes of the Life Sciences, The Pennsylvania State University, University Park, PA, USA (419) Department of Statistics, Stanford University, Stanford, CA, USA * Corresponding author Article History: Received 2 December 2021; Accepted 23 June 2022 (miscellaneous) Published: August 4, 2022 (footnote)420 These authors contributed equally Byline: Shweta Ramdas (1,420), Jonathan Judd (2,420), Sarah E. Graham (3,420), Stavroula Kanoni (4,420), Yuxuan Wang (5,420), Ida Surakka (3), Brandon Wenz (1), Shoa L. Clarke (6,7), Alessandra Chesi (8), Andrew Wells (1), Konain Fatima Bhatti (4), Sailaja Vedantam (9,10), Thomas W. Winkler (11), Adam E. Locke (12), Eirini Marouli (4), Greg J.M. Zajac (13), Kuan-Han H. Wu (14), Ioanna Ntalla (15), Qin Hui (16,17), Derek Klarin (10,18,19), Austin T. Hilliard (6), Zeyuan Wang (16,17), Chao Xue (3), Gudmar Thorleifsson (20), Anna Helgadottir (20), Daniel F. Gudbjartsson (20,21), Hilma Holm (20), Isleifur Olafsson (22), Mi Yeong Hwang (23), Sohee Han (23), Masato Akiyama (24,25), Saori Sakaue (26,27,28), Chikashi Terao (29), Masahiro Kanai (10,24,30), Wei Zhou (10,14,31), Ben M. Brumpton (32,33,34), Humaira Rasheed (32,33,35), Aki S. Havulinna (36,37), Yogasudha Veturi (38), Jennifer Allen Pacheco (39), Elisabeth A. Rosenthal (40), Todd Lingren (41), QiPing Feng (42), Iftikhar J. Kullo (43), Akira Narita (44), Jun Takayama (44), Hilary C. 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