Genome-wide association study of thoracic aortic aneurysm and dissection in the Million Veteran Program.


Journal

Nature genetics
ISSN: 1546-1718
Titre abrégé: Nat Genet
Pays: United States
ID NLM: 9216904

Informations de publication

Date de publication:
07 2023
Historique:
received: 04 04 2022
accepted: 05 05 2023
medline: 13 7 2023
pubmed: 13 6 2023
entrez: 12 6 2023
Statut: ppublish

Résumé

The current understanding of the genetic determinants of thoracic aortic aneurysms and dissections (TAAD) has largely been informed through studies of rare, Mendelian forms of disease. Here, we conducted a genome-wide association study (GWAS) of TAAD, testing ~25 million DNA sequence variants in 8,626 participants with and 453,043 participants without TAAD in the Million Veteran Program, with replication in an independent sample of 4,459 individuals with and 512,463 without TAAD from six cohorts. We identified 21 TAAD risk loci, 17 of which have not been previously reported. We leverage multiple downstream analytic methods to identify causal TAAD risk genes and cell types and provide human genetic evidence that TAAD is a non-atherosclerotic aortic disorder distinct from other forms of vascular disease. Our results demonstrate that the genetic architecture of TAAD mirrors that of other complex traits and that it is not solely inherited through protein-altering variants of large effect size.

Identifiants

pubmed: 37308786
doi: 10.1038/s41588-023-01420-z
pii: 10.1038/s41588-023-01420-z
pmc: PMC10335930
mid: NIHMS1912946
doi:

Substances chimiques

1,3,4,6-tetra-O-acetyl-2-azido-2-deoxyglucopyranose 80321-89-7

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S. Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1106-1115

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL143359
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL139731
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL109946
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL151283
Pays : United States
Organisme : NIGMS NIH HHS
ID : R35 GM124836
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL092577
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011719
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL127564
Pays : United States
Organisme : CSRD VA
ID : IK2 CX001780
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL151152
Pays : United States
Organisme : BLRD VA
ID : IK2 BX005759
Pays : United States
Organisme : NIDDK NIH HHS
ID : F30 DK120062
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL158157
Pays : United States
Organisme : BLRD VA
ID : I01 BX003362
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL007843
Pays : United States
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : NHLBI NIH HHS
ID : R01 HL155915
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL148050
Pays : United States
Organisme : Wellcome Trust
ID : 100114
Pays : United Kingdom
Organisme : NHLBI NIH HHS
ID : R01 HL109942
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL159988
Pays : United States
Organisme : NHLBI NIH HHS
ID : K08 HL159346
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL062594
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL139865
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL007208
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL142711
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL157635
Pays : United States
Organisme : NHLBI NIH HHS
ID : K08 HL153937
Pays : United States

Informations de copyright

© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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Auteurs

Derek Klarin (D)

Veterans Affairs (VA) Palo Alto Healthcare System, Palo Alto, CA, USA. dklarin@stanford.edu.
Department of Surgery, Stanford University School of Medicine, Palo Alto, CA, USA. dklarin@stanford.edu.

Poornima Devineni (P)

Center for Data and Computational Sciences, VA Boston Healthcare System, Boston, MA, USA.

Anoop K Sendamarai (AK)

Center for Data and Computational Sciences, VA Boston Healthcare System, Boston, MA, USA.
Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA.
Department of Medicine, Harvard Medical School, Boston, MA, USA.

Anthony R Angueira (AR)

Institute for Diabetes, Obesity and Metabolism, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Sarah E Graham (SE)

Department of Internal Medicine, Division of Cardiology, University of Michigan, Ann Arbor, MI, USA.

Ying H Shen (YH)

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Department of Cardiovascular Surgery, Texas Heart Institute, Houston, TX, USA.

Michael G Levin (MG)

Division of Cardiovascular Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Department of Medicine, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.

James P Pirruccello (JP)

Division of Cardiology, University of California San Francisco, San Francisco, CA, USA.
Institute for Human Genetics, University of California San Francisco, San Francisco, CA, USA.

Ida Surakka (I)

Department of Internal Medicine, Division of Cardiology, University of Michigan, Ann Arbor, MI, USA.

Purushotham R Karnam (PR)

Center for Data and Computational Sciences, VA Boston Healthcare System, Boston, MA, USA.

Tanmoy Roychowdhury (T)

Department of Internal Medicine, Division of Cardiology, University of Michigan, Ann Arbor, MI, USA.
Department of Genetics, Yale School of Medicine, New Haven, CT, USA.

Yanming Li (Y)

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

Minxian Wang (M)

CAS Key Laboratory of Genome Sciences and Information, Beijing Institute of Genomics, Chinese Academy of Sciences and China National Center for Bioinformation, Beijing, China.
University of Chinese Academy of Sciences, Beijing, China.

Krishna G Aragam (KG)

Department of Medicine, Harvard Medical School, Boston, MA, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.

Kaavya Paruchuri (K)

Department of Medicine, Harvard Medical School, Boston, MA, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.

Verena Zuber (V)

Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
MRC Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.
UK Dementia Research Institute at Imperial College, Imperial College London, London, UK.

Gabrielle E Shakt (GE)

Division of Cardiovascular Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Noah L Tsao (NL)

Division of Cardiovascular Medicine, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Renae L Judy (RL)

Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA.

Ha My T Vy (HMT)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Shefali S Verma (SS)

Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Daniel J Rader (DJ)

Division of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Ron Do (R)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Joseph E Bavaria (JE)

Division of Cardiovascular Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Girish N Nadkarni (GN)

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Marylyn D Ritchie (MD)

Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Institute for Biomedical Informatics, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.

Stephen Burgess (S)

Medical Research Council Biostatistics Unit, University of Cambridge, Cambridge, UK.
Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Dong-Chuan Guo (DC)

Division of Medical Genetics, Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.

Patrick T Ellinor (PT)

Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Cardiology Division, Massachusetts General Hospital, Boston, MA, USA.

Scott A LeMaire (SA)

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Department of Cardiovascular Surgery, Texas Heart Institute, Houston, TX, USA.
Cardiovascular Research Institute, Baylor College of Medicine, Houston, TX, USA.

Dianna M Milewicz (DM)

Division of Medical Genetics, Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.

Cristen J Willer (CJ)

Department of Internal Medicine, Division of Cardiology, University of Michigan, Ann Arbor, MI, USA.
Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Department of Human Genetics, University of Michigan, Ann Arbor, MI, USA.

Pradeep Natarajan (P)

Department of Medicine, Harvard Medical School, Boston, MA, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Program in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Cardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, MA, USA.

Philip S Tsao (PS)

Veterans Affairs (VA) Palo Alto Healthcare System, Palo Alto, CA, USA.
Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Stanford Cardiovascular Institute, Stanford, CA, USA.

Saiju Pyarajan (S)

Center for Data and Computational Sciences, VA Boston Healthcare System, Boston, MA, USA.
Department of Medicine, Harvard Medical School, Boston, MA, USA.

Scott M Damrauer (SM)

Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. scott.damrauer@pennmedicine.upenn.edu.
Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA. scott.damrauer@pennmedicine.upenn.edu.
Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. scott.damrauer@pennmedicine.upenn.edu.

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