Medicine

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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty

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    A multi-ancestry genome-wide study incorporating gene-smoking interactions identifies multiple new loci for pulse pressure and mean arterial pressure
    (IRL Press at Oxford University Press., 2019) Sung, Y.J.; de Las Fuentes, L.; Winkler, T.W.; Chasman, D.I.; Bentley, A.R.; Kraja, A.T.; Ntalla, I.; Warren, H.R.; Guo, X.; Schwander, K.; Manning, A.K.; Brown, M.R.; Aschard, H.; Feitosa, M.F.; Franceschini, N.; Lu, Y.; Cheng, C.Y.; Sim, X.; Vojinovic, D.; Marten, J.; Musani, S.K.; Kilpeläinen, T.O.; Richard, M.A.; Aslibekyan, S.; Bartz, T.M.; Dorajoo, R.; Li, C.; Liu, Y.; Rankinen, T.; Smith, A.V.; Tajuddin, S.M.; Tayo, B.O.; Zhao, W.; Zhou, Y.; Matoba, N.; Sofer, T.; Alver, M.; Amini, M.; Boissel, M.; Chai, J.F.; Chen, X.; Divers, J.; Gandin, I.; Gao, C.; Giulianini, F.; Goel, A.; Harris, S.E.; Hartwig, F.P.; He, M.; Horimoto, A.R.V.R.; Hsu, F.C.; Jackson, A.U.; Kammerer, C.M.; Kasturiratne, A.; Komulainen, P.; Kühnel, B.; Leander, K.; Lee, W.J.; Lin, K.H.; Luan, J.; Lyytikäinen, L.P.; McKenzie, C.A.; Nelson, C.P.; Noordam, R.; Scott, R.A.; Sheu, W.H.H.; Stančáková, A.; Takeuchi, F.; van der Most, P.J.; Varga, T.V.; Waken, R.J.; Wang, H.; Wang, Y.; Ware, E.B.; Weiss, S.; Wen, W.; Yanek, L.R.; Zhang, W.; Zhao, J.H.; Afaq, S.; Alfred, T.; Amin, N.; Arking, D.E.; Aung, T.; Barr, R.G.; Bielak, L.F.; Boerwinkle, E.; Bottinger, E.P.; Braund, P.S.; Brody, J.A.; Broeckel, U.; Cade, B.; Campbell, A.; Canouil, M.; Chakravarti, A.; Cocca, M.; Collins, F.S.; Connell, J.M.; de Mutsert, R.; de Silva, H.J.; Dörr, M.; Duan, Q.; Eaton, C.B.; Ehret, G.; Evangelou, E.; Faul, J.D.; Forouhi, N.G.; Franco, O.H.; Friedlander, Y.; Gao, H.; Gigante, B.; Gu, C.C.; Gupta, P.; Hagenaars, S.P.; Harris, T.B.; He, J.; Heikkinen, S.; Heng, C.K.; Hofman, A.; Howard, B.V.; Hunt, S.C.; Irvin, M.R.; Jia, Y.; Katsuya, T.; Kaufman, J.; Kerrison, N.D.; Khor, C.C.; Koh, W.P.; Koistinen, H.A.; Kooperberg, C.B.; Krieger, J.E.; Kubo, M.; Kutalik, Z.; Kuusisto, J.; Lakka, T.A.; Langefeld, C.D.; Langenberg, C.; Launer, L.J.; Lee, J.H.; Lehne, B.; Levy, D.; Lewis, C.E.; Li, Y.; Lifelines Cohort Study; Lim, S.H.; Liu, C.T.; Liu, J.; Liu, J.; Liu, Y.; Loh, M.; Lohman, K.K.; Louie, T.; Mägi, R.; Matsuda, K.; Meitinger, T.; Metspalu, A.; Milani, L.; Momozawa, Y.; Mosley, T.H. Jr; Nalls, M.A.; Nasri, U.; O'Connell, J.R.; Ogunniyi, A.; Palmas, W.R.; Palmer, N.D.; Pankow, J.S.; Pedersen, N.L.; Peters, A.; Peyser, P.A.; Polasek, O.; Porteous, D.; Raitakari, O.T.; Renström, F.; Rice, T.K.; Ridker, P.M.; Robino, A.; Robinson, J.G.; Rose, L.M.; Rudan, I.; Sabanayagam, C.; Salako, B.L.; Sandow, K.; Schmidt, C.O.; Schreiner, P.J.; Scott, W.R.; Sever, P.; Sims, M.; Sitlani, C.M.; Smith, B.H.; Smith, J.A.; Snieder, H.; Starr, J.M.; Strauch, K.; Tang, H.; Taylor, K.D.; Teo, Y.Y.; Tham, Y.C.; Uitterlinden, A.G.; Waldenberger, M.; Wang, L.; Wang, Y.X.; Wei, W.B.; Wilson, G.; Wojczynski, M.K.; Xiang, Y.B.; Yao, J.; Yuan, J.M.; Zonderman, A.B.; Becker, D.M.; Boehnke, M.; Bowden, D.W.; Chambers, J.C.; Chen, Y.I.; Weir, D.R.; de Faire, U.; Deary, I.J.; Esko, T.; Farrall, M.; Forrester, T.; Freedman, B.I.; Froguel, P.; Gasparini, P.; Gieger, C.; Horta, B.L.; Hung, Y.J.; Jonas, J.B.; Kato, N.; Kooner, J.S.; Laakso, M.; Lehtimäki, T.; Liang, K.W.; Magnusson, P.K.E.; VOldehinkel, A.J.; Pereira, A.C.; Perls, T.; Rauramaa, R.; Redline, S.; Rettig, R.; Samani, N.J.; Scott, J.; Shu, X.O.; van der Harst, P.; Wagenknecht, L.E.; Wareham, N.J.; Watkins, H.; Wickremasinghe, A.R.; Wu, T.; Kamatani, Y.; Laurie, C.C.; Bouchard, C.; Cooper, R.S.; Evans, M.K.; Gudnason, V.; Hixson, J.; Kardia, S.L.R.; Kritchevsky, S.B.; Psaty, B.M.; van Dam, R.M.; Arnett, D.K.; Mook-Kanamori, D.O.; Fornage, M.; Fox, E.R.; Hayward, C.; van Duijn, C.M.; Tai, E.S.; Wong, T.Y.; Loos, R.J.F.; Reiner, A.P.; Rotimi, C.N.; Bierut, L.J.; Zhu, X.; Cupples, L.A.; Province, M.A.; Rotter, J.I.; Franks, P.W.; Rice, K.; Elliott, P.; Caulfield, M.J.; Gauderman, W.J.; Munroe, P.B.; Rao, D.C.; Morrison, A.C.
    ABSTRACT: Elevated blood pressure (BP), a leading cause of global morbidity and mortality, is influenced by both genetic and lifestyle factors. Cigarette smoking is one such lifestyle factor. Across five ancestries, we performed a genome-wide gene-smoking interaction study of mean arterial pressure (MAP) and pulse pressure (PP) in 129 913 individuals in stage 1 and follow-up analysis in 480 178 additional individuals in stage 2. We report here 136 loci significantly associated with MAP and/or PP. Of these, 61 were previously published through main-effect analysis of BP traits, 37 were recently reported by us for systolic BP and/or diastolic BP through gene-smoking interaction analysis and 38 were newly identified (P < 5 × 10-8, false discovery rate < 0.05). We also identified nine new signals near known loci. Of the 136 loci, 8 showed significant interaction with smoking status. They include CSMD1 previously reported for insulin resistance and BP in the spontaneously hypertensive rats. Many of the 38 new loci show biologic plausibility for a role in BP regulation. SLC26A7 encodes a chloride/bicarbonate exchanger expressed in the renal outer medullary collecting duct. AVPR1A is widely expressed, including in vascular smooth muscle cells, kidney, myocardium and brain. FHAD1 is a long non-coding RNA overexpressed in heart failure. TMEM51 was associated with contractile function in cardiomyocytes. CASP9 plays a central role in cardiomyocyte apoptosis. Identified only in African ancestry were 30 novel loci. Our findings highlight the value of multi-ancestry investigations, particularly in studies of interaction with lifestyle factors, where genomic and lifestyle differences may contribute to novel findings.
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    Multi-ancestry genome-wide gene-smoking interaction study of 387,272 individuals identifies new loci associated with serum lipids.
    (Nature Publishing Group, 2019) Bentley, A.R.; Chasman, D. I.; Schwander, K.; Ntalla, I.; Kraja, A.T.; Winkler, T.W.; Brown, M. R.; Sung, Y. J.; Lim, E.; Huffman, J.E.; Vojinovic, D.; Sim, X.; Cheng, C.Y.; Lu, Y.; Liu, J.; Guo, X.; Deng, X.; Musani, S.K.; Li, C.; Feitosa, M.F.; Richard, M.A.; Noordam, R.; Baker, J.; Chen, G.; Aschard, H.; Bartz, T.M.; Ding, J.; Dorajoo, R.; Manning, A.K.; Rankinen, T.; Smith, A. V.; Tajuddin, S.M.; Zhao, W.; Graff, M.; Alver, M.; Boissel, M.; Chai, J. F.; Chen, X.; Divers, J.; Evangelou, E.; Gao, C.; Goel, A.; Hagemeijer, Y.; Harris, S. E.; Hartwig, F. P.; He, M.; Horimoto, A.R.V. R.; Hsu, F.C.; Hung, Y. J.; Jackson, A. U.; Kasturiratne, A.; Komulainen, P.; Kühnel, B.; Leander, K.; Lin, K. H.; Luan, J.; Lyytikäinen, L.P.; Matoba, N.; Nolte, I. M.; Pietzner, M.; Prins, B.; Riaz, M.; Robino, A.; Said, M. A.; Schupf, N.; Scott, R. A.; Sofer, T.; Stancáková, A.; Takeuchi, F.; Tayo, B. O.; van der Most, P. J.; Varga, T. V.; Wang, T. D.; Wang, Y.; Ware, E. B.; Wen, W.; Xiang, Y. B.; Yanek, L. R.; Zhang, W.; Zhao, J. H.; Adeyemo, A.; Afaq, S.; Amin, N.; Amini, M.; Arking, D.E.; Arzumanyan, Z.; Aung, T.; Ballantyne, C.; Barr, R. G.; Bielak, L. F.; Boerwinkle, E.; Bottinger, E.P.; Broeckel, U.; Chen, Y. I.; Charumathi, S.; Canouil, M.; Campbell, A.; Cade, B. E.; Brown, M.; Christensen, K.; de Las Fuentes, L.; Connell, J. M.; Concas, M. P.; COGENT-Kidney Consortium; de Silva, H.J.; de Vries, P. S.; Doumatey, A.; Duan, Q.; Eaton, C. B.; Eppinga, R.N.; Faul, J. D.; Floyd, J.S.; Gigante, B.; Gharib, S. A.; Forouhi, N.G.; Ghanbari, M.; Gao, H.; Gandin, I.; Friedlander, Y.; Forrester, T.; Hixson, J. E.; Hirata, M.; Justice, A. E.; Jonas, J. B.; Johnson, C.; Joehanes, R.; Jia, Y.; EPIC-InterAct Consortium; Ikram, M.A.; Katsuya, T.; Khor, C.C.; Kilpeläinen, T.O.; Koh, W. P.; Kolcic, I.; Kooperberg, C.; Krieger, J.E.; Kritchevsky, S.B.; Kubo, M.; Kuusisto, J.; Lakka, T. A.; Langefeld, C.D.; Langenberg, C.; Launer, L. J.; Lehne, B.; Lewis, C. E.; Li, Y.; Liang, J.; Lin, S.; Liu, C.T.; Liu, J.; Liu, K.; Loh, M.; Lohman, K.K.; Louie, T.; Luzzi, A.; Mägi, R.; Mahajan, A.; Manichaikul, A.W.; McKenzie, C.A.; Meitinger, T.; Metspalu, A.; Milaneschi, Y.; Milani, L.; Mohlke, K. L.; Momozawa, Y.; Morris, A. P.; Murray, A. D.; Nalls, M. A.; Nauck, M.; Nelson, C. P.; North, K. E.; O'Connell, J.R.; Palmer, N.D.; Papanicolau, G.J.; Pedersen, N. L.; Peters, A.; Peyser, P. A.; Polasek, O.; Poulter, N.; Raitakari, O.T.; Reiner, A. P.; Renström, F.; Rice, T.K.; Rich, S.S.; Robinson, J.G.; Rose, L. M.; Rosendaal, F. R.; Rudan, I.; Schmidt, C.O.; Schreiner, P. J.; Scott, W.R.; Sever, P.; Shi, Y.; Sidney, S.; Sims, M.; Smith, J. A.; Snieder, H.; Starr, J. M.; Strauch, K.; Stringham, H. M.; Tan, N. Y. Q.; Tang, H.; Taylor, K. D.; Teo, Y. Y.; Tham, Y. C.; Tiemeier, H.; Turner, S. T.; Uitterlinden, A. G.; Understanding Society Scientific Group; van Heemst, D.; Waldenberger, M.; Wang, H.; Wang, L.; Wang, L.; Wei, W. B.; Williams, C. A.; Wilson, G. Sr.; Wojczynski, M. K.; Yao, J.; Young, K.; Yu, C.; Yuan, J. M.; Zhou, J.; Zonderman, A. B.; Becker, D. M.; Boehnke, M.; Bowden, D. W.; Chambers, J. C.; Cooper, R. S.; de Faire, U.; Deary, I. J.; Elliott, P.; Esko, T.; Farrall, M.; Franks, P. W.; Freedman, B. I.; Froguel, P.; Gasparini, P.; Gieger, C.; Horta, B. L.; Juang, J. J.; Kamatani, Y.; Kammerer, C. M.; Kato, N.; Kooner, J. S.; Laakso, M.; Laurie, C. C.; Lee, I. T.; Lehtimäki, T.; Lifelines Cohort; Magnusson, P. K. E.; Oldehinkel, A. J.; Penninx, B. W. J. H.; Pereira, A. C.; Rauramaa, R.; Redline, S.; Samani, N. J.; Scott, J.; Shu, X. O.; van der Harst, P.; Wagenknecht, L. E.; Wang, J. S.; Wang, Y. X.; Wareham, N. J.; Watkins, H.; Weir, D. R.; Wickremasinghe, A.R.; Wu, T.; Zeggini, E.; Zheng, W.; Bouchard, C.; Evans, M. K.; Gudnason, V.; Kardia, S. L. R.; Liu, Y.; Psaty, B. M.; Ridker, P. M.; van Dam, R. M.; Mook-Kanamori, D. O.; Fornage, M.; Province, M. A.; Kelly, T. N.; Fox, E. R.; Hayward, C.; van Duijn, C. M.; Tai, E. S.; Wong, T. Y.; Loos, R. J. F.; Franceschini, N.; Rotter, J. I.; Zhu, X.; Bierut, L. J.; Gauderman, W. J.; Rice, K.; Munroe, P. B.; Morrison, A. C.; Rao, D. C.; Cupples, L. A.; Rotimi, C. N.
    The concentrations of high- and low-density-lipoprotein cholesterol and triglycerides are influenced by smoking, but it is unknown whether genetic associations with lipids may be modified by smoking. We conducted a multi-ancestry genome-wide gene-smoking interaction study in 133,805 individuals with follow-up in an additional 253,467 individuals. Combined meta-analyses identified 13 new loci associated with lipids, some of which were detected only because association differed by smoking status. Additionally, we demonstrate the importance of including diverse populations, particularly in studies of interactions with lifestyle factors, where genomic and lifestyle differences by ancestry may contribute to novel findings.
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    Multi-ancestry genome-wide association study of lipid levels incorporating gene-alcohol interactions.
    (School of Hygiene and Public Health of Johns Hopkins University,Baltimore., 2019) de Vries, P. S.; Brown, M. R.; Bentley, A. R.; Sung, Y. J.; Winkler, T. W.; Ntalla, I.; Schwander, K.; Kraja, A. T.; Guo, X.; Franceschini, N.; Cheng, C. Y.; Sim, X.; Vojinovic, D.; Huffman, J. E.; Musani, S. K.; Li, C.; Feitosa, M.F.; Richard, M.A.; Noordam, R.; Aschard, H.; Bartz, T. M.; Bielak, L. F.; Deng, X.; Dorajoo, R.; Lohman, K.K.; Manning, A. K.; Rankinen, T.; Smith, A. V.; Tajuddin, S. M.; Evangelou, E.; Graff, M.; Alver, M.; Boissel, M.; Chai, J. F.; Chen, X.; Divers, J.; Gandin, I.; Gao, C.; Goel, A.; Hagemeijer, Y.; Harris, S. E.; Hartwig, F. P.; He, M.; Horimoto, A. R. V. R.; Hsu, F. C.; Jackson, A. U.; Kasturiratne, A.; Komulainen, P.; Kühnel, B.; Laguzzi, F.; Lee, J. H.; Luan, J.; Lyytikäinen, L. P.; Matoba, N.; Nolte, I. M.; Pietzner, M.; Riaz, M.; Said, M. A.; Scott, R. A.; Sofer, T.; Stancáková, A.; Takeuchi, F.; Tayo, B. O.; van der Most, P. J.; Varga, T. V.; Wang, Y.; Ware, E. B.; Wen, W.; Yanek, L. R.; Zhang, W.; Zhao, J. H.; Afaq, S.; Amin, N.; Amini, M.; Arking, D. E.; Aung, T.; Ballantyne, C.; Boerwinkle, E.; Broeckel, U.; Campbell, A.; Canouil, M.; Charumathi, S.; Chen, Y. I.; Connell, J. M.; de Faire, U.; de Las Fuentes, L.; de Mutsert, R.; de Silva, H.J.; Ding, J.; Dominiczak, A. F.; Duan, Q.; Eaton, C. B.; Eppinga, R.N.; Faul, J. D.; Fisher, V.; Forrester, T.; Franco, O. H.; Friedlander, Y.; Ghanbari, M.; Giulianini, F.; Grabe, H. J.; Grove, M. L.; Gu, C. C.; Harris, T. B.; Heikkinen, S.; Heng, C. K.; Hirata, M.; Hixson, J. E.; Howard, B. V.; Ikram, M. A.; InterAct Consortium; Jr. Jacobs, D. R.; Johnson, C.; Jonas, J. B.; Kammerer, C. M.; Katsuya, T.; Khor, C. C.; Kilpeläinen, T. O.; Koh, W. P.; Koistinen, H. A.; Kolcic, I.; Kooperberg, C.; Krieger, J. E.; Kritchevsky, S. B.; Kubo, M.; Kuusisto, J.; Lakka, T. A.; Langefeld, C. D.; Langenberg, C.; Launer, L. J.; Lehne, B.; Lemaitre, R. N.; Li, Y.; Liang, J.; Liu, J.; Liu, K.; Loh, M.; Louie, T.; Mägi, R.; Manichaikul, A. W.; McKenzie, C. A.; Meitinger, T.; Metspalu, A.; Milaneschi, Y.; Milani, L.; Mohlke, K. L.; Jr. Mosley, T. H.; Nelson, C. P.; Mukamal, K. J.; Nalls, M. A.; Nauck, M.; Sotoodehnia, N.; O'Connell, J. R.; Palmer, N. D.; Pazoki, R.; Pedersen, N. L.; Peters, A.; Peyser, P. A.; Polasek, O.; Poulter, N.; Raffel, L. J.; Raitakari, O. T.; Reiner, A. P.; Rice, T. K.; Rich, S. S.; Robino, A.; Robinson, J. G.; Rose, L. M.; Rudan, I.; Schmidt, C. O.; Schreiner, P. J.; Scott, W. R.; Sever, P.; Shi, Y.; Sidney, S.; Sims, M.; Smith, B. H.; Smith, J. A.; Snieder, H.; Starr, J. M.; Strauch, K.; Tan, N.; Taylor, K. D.; Teo, Y. Y.; Tham, Y. C.; Uitterlinden, A. G.; van Heemst, D.; Vuckovic, D.; Waldenberger, M.; Wang, L.; Wang, Y.; Wang, Z.; Wei, W. B.; Williams, C.; Sr Wilson, G.; Wojczynski, M. K.; Yao, J.; Yu, B.; Yu, C.; Yuan, J. M.; Zhao, W.; Zonderman, A. B.; Becker, D. M.; Boehnke, M.; Bowden, D. W.; Chambers, J. C.; Deary, I. J.; Esko, T.; Farrall, M.; Franks, P. W.; Freedman, B. I.; Froguel, P.; Gasparini, P.; Gieger, C.; Horta, B. L.; Kamatani, Y.; Kato, N.; Kooner, J. S.; Laakso, M.; Leander, K.; Lehtimäki, T.; Lifelines Cohort, Groningen,; The Netherlands (Lifelines Cohort Study); Magnusson, P. K. E.; Penninx, B.; Pereira, A. C.; Rauramaa, R.; Samani, N.J.; Scott, J.; Shu, X. O.; van der Harst, P.; Wagenknecht, L. E.; Wang, Y. X.; Wareham, N. J.; Watkins, H.; Weir, D. R.; Wickremasinghe, A.R.; Zheng, W.; Elliott, P.; North, K. E.; Bouchard, C.; Evans, M. K.; Gudnason, V.; Liu, C. T.; Liu, Y.; Psaty, B. M.; Ridker, P. M.; van Dam, R. M.; Kardia, S. L. R.; Zhu, X.; Rotimi, C. N.; Mook-Kanamori, D. O.; Fornage, M.; Kelly, T. N.; Fox, E. R.; Hayward, C.; van Duijn, C. M.; Tai, E. S.; Wong, T. Y.; Liu, J.; Rotter, J. I.; Gauderman, W. J.; Province, M. A.; Munroe, P. B.; Rice, K.; Chasman, D. I.; Cupples, L. A.; Rao, D. C.; Morrison, A. C.
    An individual's lipid profile is influenced by genetic variants and alcohol consumption, but the contribution of interactions between these exposures has not been studied. We therefore incorporated gene-alcohol interactions into a multi-ancestry genome-wide association study of levels of high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides. We included 45 studies in Stage 1 (genome-wide discovery) and 66 studies in Stage 2 (focused follow-up), for a total of 394,584 individuals from five ancestry groups. Genetic main and interaction effects were jointly assessed by a 2 degrees of freedom (DF) test, and a 1 DF test was used to assess the interaction effects alone. Variants at 495 loci were at least suggestively associated (P < 1 × 10-6) with lipid levels in Stage 1 and were evaluated in Stage 2, followed by combined analyses of Stage 1 and Stage 2. In the combined analysis of Stage 1 and Stage 2, 147 independent loci were associated with lipid levels at P < 5 × 10-8 using 2 DF tests, of which 18 were novel. No genome-wide significant associations were found testing the interaction effect alone. The novel loci included several genes (PCSK5, VEGFB, and A1CF) with a putative role in lipid metabolism based on existing evidence from cellular and experimental models.
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    Novel genetic associations for blood pressure identified via gene-alcohol interaction in up to 570K individuals across multiple ancestries
    (Public Library of Science, 2018) Feitosa, M.F.; Kraja, A.T.; Chasman, D.I.; Sung, Y.J.; Winkler, T.W.; Ntalla, I.; Guo, X.; Franceschini, N.; Cheng, C.Y.; Sim, X.; Vojinovic, D.; Marten, J.; Musani, S.K.; Li, C.; Bentley, A.R.; Brown, M.R.; Scwander, K.; Richard, M.A.; Noordam, R.; Aschard, H.; Bartz, T.M.; Bielak, L.F.; Dorajoo, R.; Fishaer, V.; Hartwig, F.P.; Horimoto, A.R.V.R.; Lohman, K.K.; Manning, A.K.; Rankinen, T.; Smith, A.V.; Tajiddin, S.M.; Wojczynski, M.K.; Alver, M.; Boissel, M.; Cai, Q.; Campbell, A.; Chai, J.F.; Chen, X.; Divers, J.; Gao, C.; Goel, A.; Hagemeijer, Y.; Harris, S.E.; He, M.; Hsu, F.C.; Jackson, A.U.; Kahonen, M.; Kasturiratne, A.; Komulainen, P.; Kuhnel, B.; Laguzzi, F.; Luan, J.; Matoba, N.; Nolte, I.M.; Padmanabhan, S.; Riaz, M.; Rueedi, R.; Robino, A.; Said, M.A.; Scott, R.A.; Soffer, T.; Stancakova, A.; Takeuchi, F.; Tayo, B.O.; van de Most, P.J.; Varga, T.V.; Vitart, V.; Wang, Y.; Ware, E.B.; Warren, H.R.; Weiss, S.; Wen, W.; Yanek, L.R.; Zhang, W.; Zhao, J.H.; Afaq, S.; Amin, N.; Amini, M.; Arking, D.E.; Aung, T.; Boerwinkle, E.; Borecki, I.; Broecki, I.; Broeckel, U.; Brown, M.; Brumat, M.; Burke, G.L.; Canouil, M.; Chakravarthi, A.; Charumathi, S.; Ida Chen, Y.D.; Connel, J.M.; Correa, A.; de Las Fuentes, L.; de Mutsert, R.; de Silva, H.J.; Deng, X.; Ding, J.; Duan, Q.; Eaton, C.B.; Ehret, G.; Eppinga, R.N.; Evangelou, E.; Faul, J.D.; Felix, S.B.; Forouhi, N.G.; Forrester, T.; Franco, O.H.; Friedlander, Y.; Gandin, I.; Gao, H.; Ghanbari, M.; Gigante, B.; Gu, C.C.; Gu, D.; Hagenaars, S.P.; Halmans, G.; Harris, T.B.; He, J.; Heikkinen, S.; Heng, C.K.; Hirata, M.; Howard, B.V.; Ikram, M.A.; InterAct Consortium; John, U.; Katsuya, T.; Lakka, T.A.; Langefeld, C.D.; Langenberg, C.; Launer, L.J.; Lehne, B.; Lewis, C.E.; Li, Y.; Lin, S.; Lin, U.; Liu, J.; Liu, J.; Loh, M.; Louie, T.; Magi, R.; McKenzie, C.A.; Meitinger, T.; Metspalu, A.; Milaneschi, Y.; Milani, L.; mohlke, K.L.; Momozawa, Y.; Nalls, M.A.; Nelson, C.P.; Sotoodehnia, N.; Norris, J.M.; O'Connel, J.R.; Palmer, N.D.; Perls, T.; Pedersen, N.L.; Peters, A.; Peyser, P.A.; Poulter, N.; Raffel, L.J.; Raitakari, O.T.; Roll, K.; Rose, L.M.; Rosendaal, F.R.; Rotter, J.I.; Schimidit, C.O.; Schreiner, P.J.; Schupf, N.; Scott, W.R.; Sever, P.S.; Shi, Y.; Sidney, S.; Sims, M.; Sitlani, C.M.; Smith, J.A.; Snieder, H.; Starr, J.M.; Strauch, K.; Stringham, H.M.; Tan, N.Y.Q.; Tang, H.; Taylor, K.D.; Teo, Y.Y.; Tham, Y.C.; Turner, S.C.; Uitterlinden, A.G.; Vollenweider, P.; Waldenberger, M.; Wang, L.; Wang, Y.X.; Wei, W.B.; Williams, C.; Yao, J.; Yuan, J.M.; Zhao, W.; Zonderman, A.B.; Becker, D.M.; Boehnke, M.; Bowden, D.W.; Chambers, J.C.; Deary, I.J.; Esco, T.; Farall, M.; Frankd, P.W.; Freedman, B.I.; Froguel, P.; Gasparini, P.; Gieger, C.; Jonas, J.B.; Kamatani, Y.; Kato, N.; Kooner, J.S.; Kutalik, Z.; Laakso, M.; Laurie, C.C.; Leander, K.; Lehtimaki, T.; Study, L.C.; Magnusson, P.K.E.; Olderhinkel, A.J.; Penninx, B.W.J.H.; Polasek, O.; Porteous, D.J.; Rauramaa, R.; Ssamani, N.J.; Scott, J.; Shu, X.O.; van der Harst, P.; Wagenknecht, L.E.; Wareham, N.J.; Watkins, H.; Weir, D.R.; Wickremasinghe, A.R.; Wu, T.; Zheng, W.; Bouchard, C.; Christensen, K.; Evans, M.K.; Gudnason, V.; Horta, B.L.; Kardia, S.L.R.; Liu, Y.; Pereira, A.C.; Psaty, B.M.; Ridker, P.M.; van Dam, R.M.; Gauderman, W.J.; Zhu, X.; Mook-Kanamori, D.O.; Fornage, M.; Rotimi, C.N.; Cupples, L.A.; Kelly, T.N.; Fox, E.R.; Hayward, C.; van Duijn, C.M.; Tai, E.S.; Wong, T.Y.; Kooperberg, C.; Palmas, W.; Rice, K.; Morrison, A.C.; Elliott, P.; Caulfield, M.J.; Munroe, P.B.; Rao, D.C.; Province, M.A.; Levy, D.
    Heavy alcohol consumption is an established risk factor for hypertension; the mechanism by which alcohol consumption impact blood pressure (BP) regulation remains unknown. We hypothesized that a genome-wide association study accounting for gene-alcohol consumption interaction for BP might identify additional BP loci and contribute to the understanding of alcohol-related BP regulation. We conducted a large two-stage investigation incorporating joint testing of main genetic effects and single nucleotide variant (SNV)-alcohol consumption interactions. In Stage 1, genome-wide discovery meta-analyses in ≈131K individuals across several ancestry groups yielded 3,514 SNVs (245 loci) with suggestive evidence of association (P < 1.0 x 10-5). In Stage 2, these SNVs were tested for independent external replication in ≈440K individuals across multiple ancestries. We identified and replicated (at Bonferroni correction threshold) five novel BP loci (380 SNVs in 21 genes) and 49 previously reported BP loci (2,159 SNVs in 109 genes) in European ancestry, and in multi-ancestry meta-analyses (P < 5.0 x 10-8). For African ancestry samples, we detected 18 potentially novel BP loci (P < 5.0 x 10-8) in Stage 1 that warrant further replication. Additionally, correlated meta-analysis identified eight novel BP loci (11 genes). Several genes in these loci (e.g., PINX1, GATA4, BLK, FTO and GABBR2) have been previously reported to be associated with alcohol consumption. These findings provide insights into the role of alcohol consumption in the genetic architecture of hypertension
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