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Maternal and fetal genetic effects on birth weight and their relevance to cardio-metabolic risk factors

  • EGG Consortium
  • University of Queensland
  • University of Exeter
  • RIKEN Center for Integrative Medical Sciences
  • University of Oxford
  • University of Cambridge School of Clinical Medicine
  • University of Bergen
  • Haukeland University Hospital
  • Norwegian Institute of Public Health
  • University of Bristol
  • Bristol Medical School
  • Sahlgrenska University Hospital
  • Mount Sinai School of Medicine
  • Statens Serum Institut
  • University of Exeter Medical School
  • Wellcome Sanger Institute
  • Oslo University Hospital
  • Biotechnology Centre of Oslo
  • Emory University Rollins School of Public Health
  • Northwestern University Feinberg School of Medicine
  • Novo Nordisk Foundation Center for Basic Metabolic Research
  • Amsterdam University Medical Centers
  • Children's Hospital of Philadelphia
  • LLC
  • Erasmus University Medical Center
  • Leiden University Medical Centre
  • University of Copenhagen
  • Steno Diabetes Center Copenhagen
  • University of Lausanne
  • Swiss Institute of Bioinformatics
  • Faculty of Medicine
  • VU University Amsterdam
  • University of Amsterdam
  • Fimlab Laboratories
  • Tampere University
  • University of Auckland
  • UCL Great Ormond Street Institute of Child Health
  • St Thomas' Hospital
  • University of Pennsylvania
  • University of North Carolina
  • Helmholtz Zentrum München German Research Center for Environmental Health
  • Ludwig-Maximilians-Universität München
  • University of Newcastle
  • Centre for Genomic Regulation (CRG) and Pompeu Fabra University
  • Pasqual Maragall Foundation
  • The University of Edinburgh Medical School
  • Queensland Institute of Medical Research
  • Barts and The London School of Medicine and Dentistry
  • University of Turku
  • University of Kuopio
  • Katholieke Universiteit Leuven
  • VIB Center for Inflammation Research
  • University of Barcelona
  • Pompeu Fabra University (UPF)
  • Instituto Salud Carlos III
  • Hospital Del Mar-Instituto Municipal de Asistencia Sanitaria (IMAS)
  • University of Southampton
  • University Hospital Southampton NHS Foundation Trust
  • University of Southampton, Faculty of Medicine
  • Subdirección de Salud Pública y Adicciones de Gipuzkoa
  • Biodonostia Health Research Institute
  • Sidra Medical and Research Centre
  • Genomics Unit
  • University of Western Australia
  • University of Potsdam
  • University of Ferrara
  • Universitätsmedizin Mannheim
  • Reproductive and Genetic Hospital of CITIC-Xiangya
  • Boston University School of Public Health
  • Framingham Heart Study
  • Boston University School of Medicine
  • Keck School of Medicine of USC
  • Ctr. Hosp. Univ. de Sherbrooke
  • Hôpital de Chicoutimi
  • Université de Sherbrooke, Faculté de Médecine et des Sciences de la Santé
  • Harvard Medical School
  • Massachusetts General Hospital
  • University of Sherbrooke
  • Cincinnati Children’s Hospital Medical Center
  • University of Cincinnati College of Medicine
  • March of Dimes Prematurity Research Center Ohio Collaborative
  • University of Helsinki
  • University of Copenhagen, Glostrup Hospital
  • Swammerdam Institute for Life Sciences
  • University of California, San Diego
  • Centre Hospitalier Universitaire Vaudois (CHUV)
  • Centre Hospitalier Universitaire Vaudois
  • University College London
  • Amsterdam Reproduction and Development
  • Copenhagen University Hospital
  • Odense University Hospital
  • University of Valencia
  • Barcelona Supercomputing Center
  • The Broad Institute of MIT and Harvard
  • Bispebjerg and Frederiksberg Hospital
  • Exeter Foundation Trust Hospital
  • National University Health System
  • Technology Department
  • University of Leipzig
  • Imperial College London
  • Brigham and Women's Hospital
  • Kuopion Yliopistollinen sairaala
  • Turku University Hospital
  • University of Turku and Turku University Hospital
  • Harokopio University
  • National University of Singapore
  • Singapore Eye Research Institute
  • MRC Human Genetics Unit
  • Technical University of Denmark
  • Royal Perth Hospital
  • University of North Carolina at Chapel Hill
  • University of San Carlos
  • National Institute for Health and Welfare
  • Helsinki University Central Hospital
  • Folkhälsan
  • Tampere University Hospital
  • University of Oulu
  • University of Iowa Carver College of Medicine
  • Stanford University School of Medicine
  • University of Southern Denmark
  • AstraZeneca R&D
  • Oulu University Hospital
  • Brunel University London
  • University of South Australia
  • South Australian Health and Medical Research Institute
  • Bristol NIHR Biomedical Research Centre
  • University of Liverpool
  • University of Tartu
  • University of Cambridge
  • John Radcliffe Hospital

Research output: Contribution to journalArticlepeer-review

455 Scopus citations

Abstract

Birth weight variation is influenced by fetal and maternal genetic and non-genetic factors, and has been reproducibly associated with future cardio-metabolic health outcomes. In expanded genome-wide association analyses of own birth weight (n = 321,223) and offspring birth weight (n = 230,069 mothers), we identified 190 independent association signals (129 of which are novel). We used structural equation modeling to decompose the contributions of direct fetal and indirect maternal genetic effects, then applied Mendelian randomization to illuminate causal pathways. For example, both indirect maternal and direct fetal genetic effects drive the observational relationship between lower birth weight and higher later blood pressure: maternal blood pressure-raising alleles reduce offspring birth weight, but only direct fetal effects of these alleles, once inherited, increase later offspring blood pressure. Using maternal birth weight-lowering genotypes to proxy for an adverse intrauterine environment provided no evidence that it causally raises offspring blood pressure, indicating that the inverse birth weight–blood pressure association is attributable to genetic effects, and not to intrauterine programming.

Original languageEnglish
Pages (from-to)804-814
Number of pages11
JournalNature Genetics
Volume51
Issue number5
DOIs
StatePublished - 1 May 2019
Externally publishedYes

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