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Genome-wide analysis in over 1 million individuals of European ancestry yields improved polygenic risk scores for blood pressure traits

Title: Genome-wide analysis in over 1 million individuals of European ancestry yields improved polygenic risk scores for blood pressure traits
Authors: Keaton, JM; Kamali, Z; Xie, T; Vaez, A; Williams, A; Goleva, SB; Ani, A; Evangelou, E; Hellwege, JN; Yengo, L; Young, WJ; Traylor, M; Giri, A; Zheng, Z; Zeng, J; Chasman, DI; Morris, AP; Caulfield, MJ; Hwang, S-J; Kooner, JS; Conen, D; Attia, JR; Morrison, AC; Loos, RJF; Kristiansson, K; Schmidt, R; Hicks, AA; Pramstaller, PP; Nelson, CP; Samani, NJ; Risch, L; Gyllensten, U; Melander, O; Riese, H; Wilson, JF; Campbell, H; Rich, SS; Psaty, BM; Lu, Y; Rotter, JI; Guo, X; Rice, KM; Vollenweider, P; Sundström, J; Langenberg, C; Tobin, MD; Giedraitis, V; Luan, J; Tuomilehto, J; Kutalik, Z; Ripatti, S; Salomaa, V; Girotto, G; Trompet, S; Jukema, JW; van der Harst, P; Ridker, PM; Giulianini, F; Vitart, V; Goel, A; Watkins, H; Harris, SE; Deary, IJ; van der Most, PJ; Oldehinkel, AJ; Keavney, BD; Hayward, C; Campbell, A; Boehnke, M; Scott, LJ; Boutin, T; Mamasoula, C; Järvelin, M-R; Peters, A; Gieger, C; Lakatta, EG; Cucca, F; Hui, J; Knekt, P; Enroth, S; De Borst, MH; Polašek, O; Pina Concas, M; Catamo, E; Cocca, M; Li-Gao, R; Hofer, E; Schmidt, H; Spedicati, B; Waldenberger, M; Strachan, DP; Laan, M; Teumer, A; Dörr, M; Gudnason, V; Cook, JP; Ruggiero, D; Kolcic, I; Boerwinkle, E; Traglia, M; Lehtimäki, T; Raitakari, OT; Johnson, AD; Newton-Cheh, C; Brown, MJ; Dominiczak, AF; Sever, PJ; Poulter, N; Chambers, JC; Elosua, R; Siscovick, D; Esko, T; Metspalu, A; Strawbridge, RJ; Laakso, M; Hamsten, A; Hottenga, J-J; de Geus, E; Morris, AD; Palmer, CNA; Nolte, IJ; Milaneschi, Y; Marten, J; Wright, A; Zeggini, E; Howson, JMM; O'Donnell, CJ; Spector, T; Nalls, MA; Simonsick, EM; Liu, Y; van Duijn, CM; Butterworth, AS; Danesh, JN; Menni, C; Wareham, NJ; Khaw, K-T; Sun, YV; Wilson, PWF; Cho, K; Visscher, PM; Denny, JC; Million Veteran Program; Lifelines Cohort Study; CHARGE Consortium; ICBP Consortium; Levy, D; Edwards, TL; Munroe, PB; Snieder, H; Warren, HR
Publisher Information: Nature Research
Publication Year: 2024
Collection: St George's University of London: Repository
Description: Hypertension affects more than one billion people worldwide. Here we identify 113 novel loci, reporting a total of 2,103 independent genetic signals (P < 5 × 10−8) from the largest single-stage blood pressure (BP) genome-wide association study to date (n = 1,028,980 European individuals). These associations explain more than 60% of single nucleotide polymorphism-based BP heritability. Comparing top versus bottom deciles of polygenic risk scores (PRSs) reveals clinically meaningful differences in BP (16.9 mmHg systolic BP, 95% CI, 15.5–18.2 mmHg, P = 2.22 × 10−126) and more than a sevenfold higher odds of hypertension risk (odds ratio, 7.33; 95% CI, 5.54–9.70; P = 4.13 × 10−44) in an independent dataset. Adding PRS into hypertension-prediction models increased the area under the receiver operating characteristic curve (AUROC) from 0.791 (95% CI, 0.781–0.801) to 0.826 (95% CI, 0.817–0.836, ∆AUROC, 0.035, P = 1.98 × 10−34). We compare the 2,103 loci results in non-European ancestries and show significant PRS associations in a large African-American sample. Secondary analyses implicate 500 genes previously unreported for BP. Our study highlights the role of increasingly large genomic studies for precision health research.
Document Type: article in journal/newspaper
File Description: application/pdf; application/vnd.ms-excel
Language: English
ISSN: 1061-4036
Relation: https://openaccess.sgul.ac.uk/id/eprint/115938/3/s41588-024-01714-w.pdf; https://openaccess.sgul.ac.uk/id/eprint/115938/8/41588_2024_1714_MOESM1_ESM.pdf; https://openaccess.sgul.ac.uk/id/eprint/115938/13/41588_2024_1714_MOESM2_ESM.pdf; https://openaccess.sgul.ac.uk/id/eprint/115938/18/41588_2024_1714_MOESM3_ESM.xlsx; Keaton, JM; Kamali, Z; Xie, T; Vaez, A; Williams, A; Goleva, SB; Ani, A; Evangelou, E; Hellwege, JN; Yengo, L; et al. Keaton, JM; Kamali, Z; Xie, T; Vaez, A; Williams, A; Goleva, SB; Ani, A; Evangelou, E; Hellwege, JN; Yengo, L; Young, WJ; Traylor, M; Giri, A; Zheng, Z; Zeng, J; Chasman, DI; Morris, AP; Caulfield, MJ; Hwang, S-J; Kooner, JS; Conen, D; Attia, JR; Morrison, AC; Loos, RJF; Kristiansson, K; Schmidt, R; Hicks, AA; Pramstaller, PP; Nelson, CP; Samani, NJ; Risch, L; Gyllensten, U; Melander, O; Riese, H; Wilson, JF; Campbell, H; Rich, SS; Psaty, BM; Lu, Y; Rotter, JI; Guo, X; Rice, KM; Vollenweider, P; Sundström, J; Langenberg, C; Tobin, MD; Giedraitis, V; Luan, J; Tuomilehto, J; Kutalik, Z; Ripatti, S; Salomaa, V; Girotto, G; Trompet, S; Jukema, JW; van der Harst, P; Ridker, PM; Giulianini, F; Vitart, V; Goel, A; Watkins, H; Harris, SE; Deary, IJ; van der Most, PJ; Oldehinkel, AJ; Keavney, BD; Hayward, C; Campbell, A; Boehnke, M; Scott, LJ; Boutin, T; Mamasoula, C; Järvelin, M-R; Peters, A; Gieger, C; Lakatta, EG; Cucca, F; Hui, J; Knekt, P; Enroth, S; De Borst, MH; Polašek, O; Pina Concas, M; Catamo, E; Cocca, M; Li-Gao, R; Hofer, E; Schmidt, H; Spedicati, B; Waldenberger, M; Strachan, DP; Laan, M; Teumer, A; Dörr, M; Gudnason, V; Cook, JP; Ruggiero, D; Kolcic, I; Boerwinkle, E; Traglia, M; Lehtimäki, T; Raitakari, OT; Johnson, AD; Newton-Cheh, C; Brown, MJ; Dominiczak, AF; Sever, PJ; Poulter, N; Chambers, JC; Elosua, R; Siscovick, D; Esko, T; Metspalu, A; Strawbridge, RJ; Laakso, M; Hamsten, A; Hottenga, J-J; de Geus, E; Morris, AD; Palmer, CNA; Nolte, IJ; Milaneschi, Y; Marten, J; Wright, A; Zeggini, E; Howson, JMM; O'Donnell, CJ; Spector, T; Nalls, MA; Simonsick, EM; Liu, Y; van Duijn, CM; Butterworth, AS; Danesh, JN; Menni, C; Wareham, NJ; Khaw, K-T; Sun, YV; Wilson, PWF; Cho, K; Visscher, PM; Denny, JC; Million Veteran Program; Lifelines Cohort Study; CHARGE Consortium; ICBP Consortium; Levy, D; Edwards, TL; Munroe, PB; Snieder, H; Warren, HR (2024) Genome-wide analysis in over 1 million individuals of European ancestry yields improved polygenic risk scores for blood pressure traits. Nature Genetics, 56 (5). pp. 778-791. ISSN 1061-4036 https://doi.org/10.1038/s41588-024-01714-w SGUL Authors: Strachan, David Peter
DOI: 10.1038/s41588-024-01714-w
Availability: https://openaccess.sgul.ac.uk/id/eprint/115938/; https://openaccess.sgul.ac.uk/id/eprint/115938/8/41588_2024_1714_MOESM1_ESM.pdf; https://openaccess.sgul.ac.uk/id/eprint/115938/13/41588_2024_1714_MOESM2_ESM.pdf; https://openaccess.sgul.ac.uk/id/eprint/115938/18/41588_2024_1714_MOESM3_ESM.xlsx; https://doi.org/10.1038/s41588-024-01714-w
Rights: cc_by_4
Accession Number: edsbas.C0DD392F
Database: BASE