Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program

Author:

Verma Anurag123ORCID,Huffman Jennifer E.456ORCID,Rodriguez Alex7ORCID,Conery Mitchell8ORCID,Liu Molei9ORCID,Ho Yuk-Lam4ORCID,Kim Youngdae10ORCID,Heise David A.11ORCID,Guare Lindsay2ORCID,Panickan Vidul Ayakulangara12ORCID,Garcon Helene4,Linares Franciel13ORCID,Costa Lauren14ORCID,Goethert Ian15ORCID,Tipton Ryan16,Honerlaw Jacqueline4ORCID,Davies Laura17,Whitbourne Stacey61418ORCID,Cohen Jeremy11ORCID,Posner Daniel C.4ORCID,Sangar Rahul14,Murray Michael14,Wang Xuan1219,Dochtermann Daniel R.20ORCID,Devineni Poornima20,Shi Yunling20,Nandi Tarak Nath7ORCID,Assimes Themistocles L.21ORCID,Brunette Charles A.622ORCID,Carroll Robert J.23ORCID,Clifford Royce2425ORCID,Duvall Scott2627ORCID,Gelernter Joel2829ORCID,Hung Adriana30ORCID,Iyengar Sudha K.31ORCID,Joseph Jacob3233ORCID,Kember Rachel3435ORCID,Kranzler Henry3435ORCID,Kripke Colleen M.2ORCID,Levey Daniel2836ORCID,Luoh Shiuh-Wen3738,Merritt Victoria C.24ORCID,Overstreet Cassie28,Deak Joseph D.3940ORCID,Grant Struan F. A.41424344ORCID,Polimanti Renato39ORCID,Roussos Panos45ORCID,Shakt Gabrielle146ORCID,Sun Yan V.47ORCID,Tsao Noah146ORCID,Venkatesh Sanan45ORCID,Voloudakis Georgios45ORCID,Justice Amy364849,Begoli Edmon50ORCID,Ramoni Rachel51ORCID,Tourassi Georgia52,Pyarajan Saiju20,Tsao Philip2153ORCID,O'Donnell Christopher J.54ORCID,Muralidhar Sumitra51,Moser Jennifer51ORCID,Casas Juan P.4,Bick Alexander G.55ORCID,Zhou Wei565758ORCID,Cai Tianxi12ORCID,Voight Benjamin F.184459ORCID,Cho Kelly61418,Gaziano J. Michael61418ORCID,Madduri Ravi K.7ORCID,Damrauer Scott1444660ORCID,Liao Katherine P.46126162ORCID

Affiliation:

1. Corporal Michael Crescenz VA Medical Center, Philadelphia, PA 19104, USA.

2. Department of Medicine, Division of Translational Medicine and Human Genetics, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

3. Institute for Biomedical Informatics, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

4. Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, MA 02130, USA.

5. Palo Alto Veterans Institute for Research (PAVIR), Palo Alto Health Care System, Palo Alto, CA 94304, USA.

6. Department of Medicine, Harvard Medical School, Boston, MA 02115, USA.

7. Data Science and Learning, Argonne National Laboratory, Lemont, IL 60439, USA.

8. Department of Systems Pharmacology and Translational Therapeutics, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

9. Department of Biostatistics, Columbia University's Mailman School of Public Health, New York, NY 10032, USA.

10. Mathematics and Computer Science Division, Argonne National Laboratory, Lemont, IL 60439, USA.

11. National Security Sciences Directorate, Cyber Resilience and Intelligence Division, Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN 37831, USA.

12. Department of Biomedical Informatics, Harvard Medical School, Boston, MA 02115, USA.

13. R&D Systems Engineering, Information Technology Services Directorate, Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN 37831, USA.

14. MVP Boston Coordinating Center, VA Boston Healthcare System, Boston, MA 02111, USA.

15. Data Management and Engineering, Information Technology Services Division, Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN 37831, USA.

16. Knowledge Discovery Infrastructure, Information Technology Services Division, Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN 37831, USA.

17. Computing and Computational Sciences Dir PMO, PMO, Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN 37831, USA.

18. Department of Medicine, Division of Aging, Brigham and Women’s Hospital, Boston, MA 02115, USA.

19. Department of Population Health Sciences, University of Utah, Salt Lake City, UT 84112, USA.

20. VA Cooperative Studies Program, VA Boston Healthcare System, Boston, MA 02130, USA.

21. Medicine, Cardiology, VA Palo Alto Healthcare System, Palo Alto, CA 94304, USA.

22. Research Service, VA Boston Healthcare System, Boston, MA 02130, USA.

23. Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37211, USA.

24. Research Department, VA San Diego Healthcare System, San Diego, CA 92161, USA.

25. Department of Otolaryngology, UCSD San Diego, La Jolla, CA 92093, USA.

26. VA Informatics and Computing Infrastructure, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, USA.

27. Internal Medicine, Epidemiology, University of Utah School of Medicine, Salt Lake City, UT 84132, USA.

28. Psychiatry, Human Genetics, Yale University, New Haven, CT, 06520, USA.

29. VA Connecticut Healthcare System West Haven, West Haven, CT, 06516, USA.

30. Medicine, Nephrology & Hypertension, VA Tennessee Valley Healthcare System & Vanderbilt University, Nashville, TN 37232, USA.

31. Departments of Population and Quantitative Health Sciences, Genetics and Genome Sciences, and Ophthalmology and Visual Sciences and the Cleveland Institute for Computational Biology, Case Western Reserve University, Cleveland, OH 44106, USA.

32. Medicine, Cardiology Section, VA Providence Healthcare System, Providence, RI 02908, USA.

33. Department of Medicine, Brown University, Providence, RI, 02908, USA.

34. Mental Illness Research, Education and Clinical Center, Corporal Michael Crescenz VA Medical Center, Philadelphia, PA 19104, USA.

35. Department of Psychiatry, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

36. Medicine, VA Connecticut Healthcare System West Haven, West Haven, CT 06516, USA.

37. VA Portland Health Care System, Portland, OR 97239, USA.

38. Division of Hematology and Medical Oncology, Knight Cancer Institute, Oregon Health and Science University, Portland, OR 97239, USA.

39. Psychiatry, Yale University, New Haven, CT 06520, USA.

40. Psychiatry, VA Connecticut Healthcare System West Haven, West Haven, CT 06516, USA.

41. Center for Spatial and Functional Genomics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA.

42. Department of Pediatrics, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

43. Divisions of Human Genetics and Endocrinology and Diabetes, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA.

44. Department of Genetics, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

45. Psychiatry, Mental Illness Research, Education and Clinical Center, James J. Peters VA Medical Center; Icahn School of Medicine at Mount Sinai, Bronx, NY 10468, USA.

46. Department of Surgery, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

47. Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA 30322, USA.

48. Internal Medicine, General Medicine, Yale University, New Haven, CT 06520, USA.

49. Health Policy, Yale School of Public Health, New Haven, CT 06520, USA.

50. Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN, 37831, USA.

51. Office of Research and Development, Department of Veterans Affairs, Washington, DC, 20420, USA.

52. National Center for Computational Sciences, Oak Ridge National Laboratory, Dept of Energy, Oak Ridge, TN, 37831, USA.

53. Department of Medicine, Stanford University, Palo Alto, CA, 94304, USA.

54. Medicine, Cardiology, VA Boston Healthcare System, Boston, MA 02130, USA.

55. Department of Medicine, Division of Genetic Medicine, Vanderbilt University, Nashville, TN, 37325, USA.

56. Department of Medicine, Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA.

57. Stanley Center for Psychiatric Research, Cambridge, MA 02142, USA.

58. Program in Medical and Population Genetics, Cambridge, MA 02142, USA.

59. Institute of Translational Medicine and Therapeutics, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

60. Cardiovascular Institute, University of Pennsylvania - Perelman School of Medicine, Philadelphia, PA 19104, USA.

61. Medicine, Rheumatology, VA Boston Healthcare System, Boston, MA 02130, USA.

62. Department of Medicine, Division of Rheumatology, Inflammation, and Immunity, Brigham and Women’s Hospital, Boston, MA 02115, USA.

Abstract

One of the justifiable criticisms of human genetic studies is the underrepresentation of participants from diverse populations. Lack of inclusion must be addressed at-scale to identify causal disease factors and understand the genetic causes of health disparities. We present genome-wide associations for 2068 traits from 635,969 participants in the Department of Veterans Affairs Million Veteran Program, a longitudinal study of diverse United States Veterans. Systematic analysis revealed 13,672 genomic risk loci; 1608 were only significant after including non-European populations. Fine-mapping identified causal variants at 6318 signals across 613 traits. One-third ( n = 2069) were identified in participants from non-European populations. This reveals a broadly similar genetic architecture across populations, highlights genetic insights gained from underrepresented groups, and presents an extensive atlas of genetic associations.

Publisher

American Association for the Advancement of Science (AAAS)

Reference84 articles.

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