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A Large-Scale Multi-ancestry Genome-wide Study Accounting for Smoking Behavior Identifies Multiple Significant Loci for Blood Pressure

  • The CHARGE Neurology Working Group
  • , The COGENT-Kidney Consortium
  • , The GIANT consortium
  • , Lifelines Cohort Study
  • Washington University School of Medicine in St. Louis
  • University of Regensburg
  • Washington University in St. Louis
  • National Human Genome Research Institute (NHGRI)
  • The University of Texas Health Science Center at Houston
  • Barts and The London School of Medicine and Dentistry
  • Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center
  • University of North Carolina at Chapel Hill
  • Mount Sinai School of Medicine
  • Singapore Eye Research Institute
  • Duke-NUS Medical School
  • National University of Singapore
  • National University Health System
  • Erasmus University Medical Center
  • MRC Human Genetics Unit
  • University of Mississippi Medical Center
  • University of Georgia
  • Novo Nordisk Foundation Center for Basic Metabolic Research
  • McGovern Medical School
  • Leiden University Medical Centre
  • Department of Epidemiology
  • Harvard T.H. Chan School of Public Health
  • Institut Pasteur, Paris
  • University of Washington School of Medicine
  • Technology and Research
  • Wake Forest School of Medicine
  • Massachusetts General Hospital
  • The Broad Institute of MIT and Harvard
  • Pennington Biomedical Research Center
  • Icelandic Heart Association
  • University of Iceland
  • National Institute on Aging (NIA)
  • Loyola University Chicago
  • University of Michigan, Ann Arbor
  • Boston University School of Public Health
  • RIKEN Center for Integrative Medical Sciences
  • University of Washington
  • University of Tartu
  • University Medical Center Groningen
  • CHU Lille and Lille-2 University
  • National University of Singapore
  • Karolinska Institutet
  • University of Trieste Via A
  • Brigham and Women's Hospital
  • University of Oxford Medical Sciences Division
  • University of Oxford
  • University of Edinburgh
  • Federal University of Pelotas
  • University of São Paulo
  • Helmholtz Zentrum München German Research Center for Environmental Health
  • Tampere University
  • Tampere University Hospital
  • University of Kelaniya
  • Tunghai University
  • Department of Medical Research
  • University of Cambridge
  • University of the West Indies
  • Tongji Medical College
  • University of Leicester
  • Glenfield Hospital
  • University of Kuopio
  • Mailman School of Public Health
  • National Yang-Ming University Taiwan
  • National Defense Medical Center Taiwan
  • National Chung Hsing University
  • National Center for Global Health and Medicine
  • Lund University
  • Case Western Reserve University School of Medicine
  • University Medicine Greifswald
  • Partner Site Munich Heart Alliance
  • Vanderbilt School of Medicine
  • Johns Hopkins School of Medicine
  • Imperial College London
  • Ealing Hospital
  • Columbia University Irving Medical Center
  • Medical College of Wisconsin
  • Indian Institute of Science
  • University of Southern Denmark
  • Ninewells Hospital and Medical School
  • Université de Bordeaux
  • University Hospital
  • Boston University School of Medicine
  • University of North Carolina
  • Brown University
  • Geneva University Hospitals
  • University of Ioannina Medical School
  • Hadassah Hebrew University Medical Center
  • Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
  • Tulane University School of Public Health and Tropical Medicine
  • Tulane University Medical School
  • University of Tokyo
  • MedStar Research Institute, Hyattsville
  • Georgetown-Howard Universities Center for Clinical and Translational Science
  • University of Utah School of Medicine
  • Weill Cornell Medicine-Qatar
  • Harvard Medical School
  • National Heart, Lung, and Blood Institute (NHLBI)
  • Osaka University Graduate School of Medicine
  • University of Washington School of Public Health and Community Medicine
  • National Institute for Health and Welfare
  • Helsinki University Central Hospital
  • University of Alabama at Birmingham
  • Fred Hutchinson Cancer Research Center
  • Northwestern University Feinberg School of Medicine
  • Agency for Science Technology and Research (A*STAR)
  • University of Liverpool
  • National Institutes of Health
  • University of Aberdeen School of Medicine, Medical Sciences and Nutrition
  • Data Tecnica International
  • Colorado School of Public Health
  • University of Ibadan
  • University of Glasgow
  • Columbia University
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  • University of Split Medical School
  • Turku University Hospital
  • University of Turku
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  • Iowa University
  • The University of Edinburgh Medical School
  • National Heart and Lung Institute
  • University of Munich
  • Stanford University
  • Beijing Tongren Hospital, Capital Medical University
  • Jackson State University
  • University of Pittsburgh Graduate School of Public Health
  • UPMC Hillman Cancer Center
  • Massachusetts Institute of Technology
  • Experimental Genetics Division
  • German Centre for Diabetes Research (DZD)
  • National Defense Medical Center
  • Heidelberg University
  • Fimlab Laboratories
  • China Medical University
  • University of Maryland School of Medicine
  • Kaiser Permanente
  • Department of Medicine
  • University of Kentucky College of Public Health
  • Keck School of Medicine of USC
  • Queen Mary University of London

Research output: Contribution to journalArticlepeer-review

116 Scopus citations

Abstract

Genome-wide association analysis advanced understanding of blood pressure (BP), a major risk factor for vascular conditions such as coronary heart disease and stroke. Accounting for smoking behavior may help identify BP loci and extend our knowledge of its genetic architecture. We performed genome-wide association meta-analyses of systolic and diastolic BP incorporating gene-smoking interactions in 610,091 individuals. Stage 1 analysis examined ∼18.8 million SNPs and small insertion/deletion variants in 129,913 individuals from four ancestries (European, African, Asian, and Hispanic) with follow-up analysis of promising variants in 480,178 additional individuals from five ancestries. We identified 15 loci that were genome-wide significant (p < 5 × 10−8) in stage 1 and formally replicated in stage 2. A combined stage 1 and 2 meta-analysis identified 66 additional genome-wide significant loci (13, 35, and 18 loci in European, African, and trans-ancestry, respectively). A total of 56 known BP loci were also identified by our results (p < 5 × 10−8). Of the newly identified loci, ten showed significant interaction with smoking status, but none of them were replicated in stage 2. Several loci were identified in African ancestry, highlighting the importance of genetic studies in diverse populations. The identified loci show strong evidence for regulatory features and support shared pathophysiology with cardiometabolic and addiction traits. They also highlight a role in BP regulation for biological candidates such as modulators of vascular structure and function (CDKN1B, BCAR1-CFDP1, PXDN, EEA1), ciliopathies (SDCCAG8, RPGRIP1L), telomere maintenance (TNKS, PINX1, AKTIP), and central dopaminergic signaling (MSRA, EBF2).

Original languageEnglish
Pages (from-to)375-400
Number of pages26
JournalAmerican Journal of Human Genetics
Volume102
Issue number3
DOIs
StatePublished - 1 Mar 2018

Keywords

  • GWAS
  • GxE interactions
  • blood pressure
  • lifestyle
  • multi-ancestry
  • smoking

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