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

Author:

Keaton Jacob M.,Kamali ZohaORCID,Xie TianORCID,Vaez AhmadORCID,Williams Ariel,Goleva Slavina B.ORCID,Ani AlirezaORCID,Evangelou EvangelosORCID,Hellwege Jacklyn N.ORCID,Yengo Loic,Young William J.ORCID,Traylor Matthew,Giri Ayush,Zheng ZhiliORCID,Zeng Jian,Chasman Daniel I.,Morris Andrew P.ORCID,Caulfield Mark J.ORCID,Hwang Shih-Jen,Kooner Jaspal S.ORCID,Conen David,Attia John R.ORCID,Morrison Alanna C.ORCID,Loos Ruth J. F.ORCID,Kristiansson Kati,Schmidt Reinhold,Hicks Andrew A.ORCID,Pramstaller Peter P.ORCID,Nelson Christopher P.,Samani Nilesh J.,Risch LorenzORCID,Gyllensten UlfORCID,Melander Olle,Riese Harriette,Wilson James F.ORCID,Campbell Harry,Rich Stephen S.ORCID,Psaty Bruce M.ORCID,Lu Yingchang,Rotter Jerome I.ORCID,Guo XiuqingORCID,Rice Kenneth M.ORCID,Vollenweider Peter,Sundström Johan,Langenberg ClaudiaORCID,Tobin Martin D.ORCID,Giedraitis VilmantasORCID,Luan Jian’anORCID,Tuomilehto Jaakko,Kutalik Zoltan,Ripatti SamuliORCID,Salomaa VeikkoORCID,Girotto GiorgiaORCID,Trompet StellaORCID,Jukema J. Wouter,van der Harst Pim,Ridker Paul M.,Giulianini Franco,Vitart VeroniqueORCID,Goel AnujORCID,Watkins HughORCID,Harris Sarah E.ORCID,Deary Ian J.ORCID,van der Most Peter J.ORCID,Oldehinkel Albertine J.ORCID,Keavney Bernard D.ORCID,Hayward CarolineORCID,Campbell ArchieORCID,Boehnke MichaelORCID,Scott Laura J.ORCID,Boutin ThibaudORCID,Mamasoula Chrysovalanto,Järvelin Marjo-Riitta,Peters AnnetteORCID,Gieger ChristianORCID,Lakatta Edward G.ORCID,Cucca FrancescoORCID,Hui Jennie,Knekt Paul,Enroth StefanORCID,De Borst Martin H.ORCID,Polašek Ozren,Concas Maria Pina,Catamo EulaliaORCID,Cocca MassimilianoORCID,Li-Gao Ruifang,Hofer Edith,Schmidt HelenaORCID,Spedicati BeatriceORCID,Waldenberger MelanieORCID,Strachan David P.,Laan MarisORCID,Teumer AlexanderORCID,Dörr Marcus,Gudnason VilmundurORCID,Cook James P.,Ruggiero DanielaORCID,Kolcic IvanaORCID,Boerwinkle Eric,Traglia Michela,Lehtimäki Terho,Raitakari Olli T.,Johnson Andrew D.ORCID,Newton-Cheh ChristopherORCID,Brown Morris J.ORCID,Dominiczak Anna F.ORCID,Sever Peter J.,Poulter Neil,Chambers John C.ORCID,Elosua Roberto,Siscovick David,Esko Tõnu,Metspalu AndresORCID,Strawbridge Rona J.ORCID,Laakso MarkkuORCID,Hamsten Anders,Hottenga Jouke-JanORCID,de Geus Eco,Morris Andrew D.,Palmer Colin N. A.ORCID,Nolte Ilja M.ORCID,Milaneschi YuriORCID,Marten Jonathan,Wright Alan,Zeggini EleftheriaORCID,Howson Joanna M. M.ORCID,O’Donnell Christopher J.,Spector TimORCID,Nalls Mike A.ORCID,Simonsick Eleanor M.,Liu Yongmei,van Duijn Cornelia M.ORCID,Butterworth Adam S.ORCID,Danesh John N.,Menni CristinaORCID,Wareham Nicholas J.ORCID,Khaw Kay-Tee,Sun Yan V.ORCID,Wilson Peter W. F.ORCID,Cho Kelly,Visscher Peter M.ORCID,Denny Joshua C.ORCID, , , ,van Duijn Cornelia M., ,Butterworth Adam S.,Vaez Ahmad,Teumer Alexander,Johnson Andrew D.,Morris Andrew D.,Peters Annette,Goel Anuj,Campbell Archie,Keavney Bernard D.,Hayward Caroline,Newton-Cheh Christopher,Nelson Christopher P.,Chasman Daniel I.,Levy Daniel,Ruggiero Daniela,de Geus Eco,Hofer Edith,Zeggini Eleftheria,Boerwinkle Eric,Girotto Giorgia,Warren Helen R.,Watkins Hugh,Kolcic Ivana,Jukema J. Wouter,Hui Jennie,Howson Joanna M. M.,Sundström Johan,Chambers John C.,Danesh John N.,Risch Lorenz,Caulfield Mark J.,Laakso Markku,Tobin Martin D.,De Borst Martin H.,Waldenberger Melanie,Samani Nilesh J.,Melander Olle,Raitakari Olli T.,Polašek Ozren,Munroe Patricia B.,Ridker Paul M.,van der Harst Pim,Elosua Roberto,Ripatti Samuli,Lehtimäki Terho,Young William J.,Kamali Zoha,Kutalik Zoltan,Levy Daniel,Edwards Todd L.ORCID,Munroe Patricia B.ORCID,Snieder HaroldORCID,Warren Helen R.ORCID

Abstract

AbstractHypertension 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.

Publisher

Springer Science and Business Media LLC

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