Genetic insights into resting heart rate and its role in cardiovascular disease

Author:

van de Vegte Yordi J.ORCID,Eppinga Ruben N.,van der Ende M. Yldau,Hagemeijer Yanick P.ORCID,Mahendran Yuvaraj,Salfati Elias,Smith Albert V.ORCID,Tan Vanessa Y.,Arking Dan E.,Ntalla Ioanna,Appel Emil V.,Schurmann ClaudiaORCID,Brody Jennifer A.ORCID,Rueedi Rico,Polasek Ozren,Sveinbjornsson GardarORCID,Lecoeur CecileORCID,Ladenvall ClaesORCID,Zhao Jing Hua,Isaacs AaronORCID,Wang Lihua,Luan Jian’anORCID,Hwang Shih-Jen,Mononen Nina,Auro Kirsi,Jackson Anne U.ORCID,Bielak Lawrence F.ORCID,Zeng Linyao,Shah Nabi,Nethander MariaORCID,Campbell Archie,Rankinen Tuomo,Pechlivanis Sonali,Qi Lu,Zhao WeiORCID,Rizzi Federica,Tanaka Toshiko,Robino Antonietta,Cocca Massimiliano,Lange Leslie,Müller-Nurasyid Martina,Roselli CarolinaORCID,Zhang WeihuaORCID,Kleber Marcus E.ORCID,Guo Xiuqing,Lin Henry J.,Pavani Francesca,Galesloot Tessel E.,Noordam RaymondORCID,Milaneschi Yuri,Schraut Katharina E.,den Hoed Marcel,Degenhardt Frauke,Trompet StellaORCID,van den Berg Marten E.,Pistis Giorgio,Tham Yih-Chung,Weiss StefanORCID,Sim Xueling S.ORCID,Li Hengtong L.,van der Most Peter J.ORCID,Nolte Ilja M.ORCID,Lyytikäinen Leo-PekkaORCID,Said M. AbdullahORCID,Witte Daniel R.,Iribarren Carlos,Launer LenoreORCID,Ring Susan M.ORCID,de Vries Paul S.,Sever Peter,Linneberg AllanORCID,Bottinger Erwin P.,Padmanabhan Sandosh,Psaty Bruce M.ORCID,Sotoodehnia Nona,Kolcic Ivana,Roshandel Delnaz,Paterson Andrew D.,Arnar David O.,Gudbjartsson Daniel F.ORCID,Holm HilmaORCID,Balkau BeverleyORCID,Silva Claudia T.,Newton-Cheh Christopher H.ORCID,Nikus Kjell,Salo Perttu,Mohlke Karen L.,Peyser Patricia A.ORCID,Schunkert HeribertORCID,Lorentzon Mattias,Lahti JariORCID,Rao Dabeeru C.,Cornelis Marilyn C.,Faul Jessica D.,Smith Jennifer A.ORCID,Stolarz-Skrzypek Katarzyna,Bandinelli Stefania,Concas Maria PinaORCID,Sinagra Gianfranco,Meitinger ThomasORCID,Waldenberger MelanieORCID,Sinner Moritz F.ORCID,Strauch Konstantin,Delgado Graciela E.,Taylor Kent D.ORCID,Yao Jie,Foco LuisaORCID,Melander Olle,de Graaf Jacqueline,de Mutsert Renée,de Geus Eco J. C.,Johansson ÅsaORCID,Joshi Peter K.ORCID,Lind Lars,Franke Andre,Macfarlane Peter W.ORCID,Tarasov Kirill V.ORCID,Tan Nicholas,Felix Stephan B.,Tai E-Shyong,Quek Debra Q.,Snieder HaroldORCID,Ormel JohanORCID,Ingelsson Martin,Lindgren Cecilia,Morris Andrew P.ORCID,Raitakari Olli T.,Hansen TorbenORCID,Assimes ThemistoclesORCID,Gudnason VilmundurORCID,Timpson Nicholas J.ORCID,Morrison Alanna C.ORCID,Munroe Patricia B.ORCID,Strachan David P.ORCID,Grarup NielsORCID,Loos Ruth J. F.ORCID,Heckbert Susan R.ORCID,Vollenweider Peter,Hayward Caroline,Stefansson Kari,Froguel PhilippeORCID,Groop LeifORCID,Wareham Nicholas J.ORCID,van Duijn Cornelia M.,Feitosa Mary F.ORCID,O’Donnell Christopher J.,Kähönen Mika,Perola Markus,Boehnke MichaelORCID,Kardia Sharon L. R.,Erdmann JeanetteORCID,Palmer Colin N. A.ORCID,Ohlsson ClaesORCID,Porteous David J.ORCID,Eriksson Johan G.,Bouchard ClaudeORCID,Moebus SusanneORCID,Kraft PeterORCID,Weir David R.ORCID,Cusi Daniele,Ferrucci LuigiORCID,Ulivi Sheila,Girotto GiorgiaORCID,Correa AdolfoORCID,Kääb StefanORCID,Peters AnnetteORCID,Chambers John C.,Kooner Jaspal S.ORCID,März Winfried,Rotter Jerome I.ORCID,Hicks Andrew A.ORCID,Smith J. Gustav,Kiemeney Lambertus A. L. M.ORCID,Mook-Kanamori Dennis O.,Penninx Brenda W. J. H.,Gyllensten UlfORCID,Wilson James F.ORCID,Burgess StephenORCID,Sundström JohanORCID,Lieb WolfgangORCID,Jukema J. WouterORCID,Eijgelsheim Mark,Lakatta Edward L. M.ORCID,Cheng Ching-YuORCID,Dörr MarcusORCID,Wong Tien-Yin,Sabanayagam CharumathiORCID,Oldehinkel Albertine J.ORCID,Riese Harriette,Lehtimäki TerhoORCID,Verweij Niek,van der Harst Pim,

Abstract

AbstractResting heart rate is associated with cardiovascular diseases and mortality in observational and Mendelian randomization studies. The aims of this study are to extend the number of resting heart rate associated genetic variants and to obtain further insights in resting heart rate biology and its clinical consequences. A genome-wide meta-analysis of 100 studies in up to 835,465 individuals reveals 493 independent genetic variants in 352 loci, including 68 genetic variants outside previously identified resting heart rate associated loci. We prioritize 670 genes and in silico annotations point to their enrichment in cardiomyocytes and provide insights in their ECG signature. Two-sample Mendelian randomization analyses indicate that higher genetically predicted resting heart rate increases risk of dilated cardiomyopathy, but decreases risk of developing atrial fibrillation, ischemic stroke, and cardio-embolic stroke. We do not find evidence for a linear or non-linear genetic association between resting heart rate and all-cause mortality in contrast to our previous Mendelian randomization study. Systematic alteration of key differences between the current and previous Mendelian randomization study indicates that the most likely cause of the discrepancy between these studies arises from false positive findings in previous one-sample MR analyses caused by weak-instrument bias at lower P-value thresholds. The results extend our understanding of resting heart rate biology and give additional insights in its role in cardiovascular disease development.

Publisher

Springer Science and Business Media LLC

Subject

General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry,Multidisciplinary

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