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Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect
The heart muscle diseases hypertrophic (HCM) and dilated (DCM) cardiomyopathies are leading causes of sudden death and heart failure in young otherwise healthy individuals. We conducted genome-wide association studies (GWAS) and multi-trait analyses in HCM (1,733 cases), DCM (5,521 cases), and nine...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7611259/ https://www.ncbi.nlm.nih.gov/pubmed/33495596 http://dx.doi.org/10.1038/s41588-020-00762-2 |
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author | Tadros, Rafik Francis, Catherine Xu, Xiao Vermeer, Alexa M. C. Harper, Andrew R. Huurman, Roy Bisabu, Ken Kelu Walsh, Roddy Hoorntje, Edgar T. te Rijdt, Wouter P. Buchan, Rachel J. van Velzen, Hannah G. van Slegtenhorst, Marjon A. Vermeulen, Jentien M. Offerhaus, Joost Allard Bai, Wenjia de Marvao, Antonio Lahrouchi, Najim Beekman, Leander Karper, Jacco C. Veldink, Jan H. Kayvanpour, Elham Pantazis, Antonis Baksi, A. John Whiffin, Nicola Mazzarotto, Francesco Sloane, Geraldine Suzuki, Hideaki Schneider-Luftman, Deborah Elliott, Paul Richard, Pascale Ader, Flavie Villard, Eric Lichtner, Peter Meitinger, Thomas Tanck, Michael W. T. van Tintelen, J. Peter Thain, Andrew McCarty, David Hegele, Robert A. Roberts, Jason D. Amyot, Julie Dubé, Marie-Pierre Cadrin-Tourigny, Julia Giraldeau, Geneviève L’Allier, Philippe L. Garceau, Patrick Tardif, Jean-Claude Boekholdt, S. Matthijs Lumbers, R. Thomas Asselbergs, Folkert W. Barton, Paul J. R. Cook, Stuart A. Prasad, Sanjay K. O’Regan, Declan P. van der Velden, Jolanda Verweij, Karin J. H. Talajic, Mario Lettre, Guillaume Pinto, Yigal M. Meder, Benjamin Charron, Philippe de Boer, Rudolf A. Christiaans, Imke Michels, Michelle Wilde, Arthur A. M. Watkins, Hugh Matthews, Paul M. Ware, James S. Bezzina, Connie R. |
author_facet | Tadros, Rafik Francis, Catherine Xu, Xiao Vermeer, Alexa M. C. Harper, Andrew R. Huurman, Roy Bisabu, Ken Kelu Walsh, Roddy Hoorntje, Edgar T. te Rijdt, Wouter P. Buchan, Rachel J. van Velzen, Hannah G. van Slegtenhorst, Marjon A. Vermeulen, Jentien M. Offerhaus, Joost Allard Bai, Wenjia de Marvao, Antonio Lahrouchi, Najim Beekman, Leander Karper, Jacco C. Veldink, Jan H. Kayvanpour, Elham Pantazis, Antonis Baksi, A. John Whiffin, Nicola Mazzarotto, Francesco Sloane, Geraldine Suzuki, Hideaki Schneider-Luftman, Deborah Elliott, Paul Richard, Pascale Ader, Flavie Villard, Eric Lichtner, Peter Meitinger, Thomas Tanck, Michael W. T. van Tintelen, J. Peter Thain, Andrew McCarty, David Hegele, Robert A. Roberts, Jason D. Amyot, Julie Dubé, Marie-Pierre Cadrin-Tourigny, Julia Giraldeau, Geneviève L’Allier, Philippe L. Garceau, Patrick Tardif, Jean-Claude Boekholdt, S. Matthijs Lumbers, R. Thomas Asselbergs, Folkert W. Barton, Paul J. R. Cook, Stuart A. Prasad, Sanjay K. O’Regan, Declan P. van der Velden, Jolanda Verweij, Karin J. H. Talajic, Mario Lettre, Guillaume Pinto, Yigal M. Meder, Benjamin Charron, Philippe de Boer, Rudolf A. Christiaans, Imke Michels, Michelle Wilde, Arthur A. M. Watkins, Hugh Matthews, Paul M. Ware, James S. Bezzina, Connie R. |
author_sort | Tadros, Rafik |
collection | PubMed |
description | The heart muscle diseases hypertrophic (HCM) and dilated (DCM) cardiomyopathies are leading causes of sudden death and heart failure in young otherwise healthy individuals. We conducted genome-wide association studies (GWAS) and multi-trait analyses in HCM (1,733 cases), DCM (5,521 cases), and nine left ventricular (LV) traits in 19,260 UK Biobank participants with structurally normal hearts. We identified 16 loci associated with HCM, 13 with DCM, and 23 with LV traits. We show strong genetic correlations between LV traits and cardiomyopathies, with opposing effects in HCM and DCM. Two-sample Mendelian randomization supports a causal association linking increased contractility with HCM risk. A polygenic risk score (PRS) explains a significant portion of phenotypic variability in carriers of HCM-causing rare variants. Our findings thus provide evidence that PRS may account for variability in Mendelian diseases. More broadly, we provide insights into how genetic pathways may lead to distinct disorders through opposing genetic effects. |
format | Online Article Text |
id | pubmed-7611259 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
record_format | MEDLINE/PubMed |
spelling | pubmed-76112592021-07-25 Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect Tadros, Rafik Francis, Catherine Xu, Xiao Vermeer, Alexa M. C. Harper, Andrew R. Huurman, Roy Bisabu, Ken Kelu Walsh, Roddy Hoorntje, Edgar T. te Rijdt, Wouter P. Buchan, Rachel J. van Velzen, Hannah G. van Slegtenhorst, Marjon A. Vermeulen, Jentien M. Offerhaus, Joost Allard Bai, Wenjia de Marvao, Antonio Lahrouchi, Najim Beekman, Leander Karper, Jacco C. Veldink, Jan H. Kayvanpour, Elham Pantazis, Antonis Baksi, A. John Whiffin, Nicola Mazzarotto, Francesco Sloane, Geraldine Suzuki, Hideaki Schneider-Luftman, Deborah Elliott, Paul Richard, Pascale Ader, Flavie Villard, Eric Lichtner, Peter Meitinger, Thomas Tanck, Michael W. T. van Tintelen, J. Peter Thain, Andrew McCarty, David Hegele, Robert A. Roberts, Jason D. Amyot, Julie Dubé, Marie-Pierre Cadrin-Tourigny, Julia Giraldeau, Geneviève L’Allier, Philippe L. Garceau, Patrick Tardif, Jean-Claude Boekholdt, S. Matthijs Lumbers, R. Thomas Asselbergs, Folkert W. Barton, Paul J. R. Cook, Stuart A. Prasad, Sanjay K. O’Regan, Declan P. van der Velden, Jolanda Verweij, Karin J. H. Talajic, Mario Lettre, Guillaume Pinto, Yigal M. Meder, Benjamin Charron, Philippe de Boer, Rudolf A. Christiaans, Imke Michels, Michelle Wilde, Arthur A. M. Watkins, Hugh Matthews, Paul M. Ware, James S. Bezzina, Connie R. Nat Genet Article The heart muscle diseases hypertrophic (HCM) and dilated (DCM) cardiomyopathies are leading causes of sudden death and heart failure in young otherwise healthy individuals. We conducted genome-wide association studies (GWAS) and multi-trait analyses in HCM (1,733 cases), DCM (5,521 cases), and nine left ventricular (LV) traits in 19,260 UK Biobank participants with structurally normal hearts. We identified 16 loci associated with HCM, 13 with DCM, and 23 with LV traits. We show strong genetic correlations between LV traits and cardiomyopathies, with opposing effects in HCM and DCM. Two-sample Mendelian randomization supports a causal association linking increased contractility with HCM risk. A polygenic risk score (PRS) explains a significant portion of phenotypic variability in carriers of HCM-causing rare variants. Our findings thus provide evidence that PRS may account for variability in Mendelian diseases. More broadly, we provide insights into how genetic pathways may lead to distinct disorders through opposing genetic effects. 2021-02-01 2021-01-25 /pmc/articles/PMC7611259/ /pubmed/33495596 http://dx.doi.org/10.1038/s41588-020-00762-2 Text en http://www.nature.com/authors/editorial_policies/license.html#termsUsers may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:http://www.nature.com/authors/editorial_policies/license.html#terms |
spellingShingle | Article Tadros, Rafik Francis, Catherine Xu, Xiao Vermeer, Alexa M. C. Harper, Andrew R. Huurman, Roy Bisabu, Ken Kelu Walsh, Roddy Hoorntje, Edgar T. te Rijdt, Wouter P. Buchan, Rachel J. van Velzen, Hannah G. van Slegtenhorst, Marjon A. Vermeulen, Jentien M. Offerhaus, Joost Allard Bai, Wenjia de Marvao, Antonio Lahrouchi, Najim Beekman, Leander Karper, Jacco C. Veldink, Jan H. Kayvanpour, Elham Pantazis, Antonis Baksi, A. John Whiffin, Nicola Mazzarotto, Francesco Sloane, Geraldine Suzuki, Hideaki Schneider-Luftman, Deborah Elliott, Paul Richard, Pascale Ader, Flavie Villard, Eric Lichtner, Peter Meitinger, Thomas Tanck, Michael W. T. van Tintelen, J. Peter Thain, Andrew McCarty, David Hegele, Robert A. Roberts, Jason D. Amyot, Julie Dubé, Marie-Pierre Cadrin-Tourigny, Julia Giraldeau, Geneviève L’Allier, Philippe L. Garceau, Patrick Tardif, Jean-Claude Boekholdt, S. Matthijs Lumbers, R. Thomas Asselbergs, Folkert W. Barton, Paul J. R. Cook, Stuart A. Prasad, Sanjay K. O’Regan, Declan P. van der Velden, Jolanda Verweij, Karin J. H. Talajic, Mario Lettre, Guillaume Pinto, Yigal M. Meder, Benjamin Charron, Philippe de Boer, Rudolf A. Christiaans, Imke Michels, Michelle Wilde, Arthur A. M. Watkins, Hugh Matthews, Paul M. Ware, James S. Bezzina, Connie R. Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
title | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
title_full | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
title_fullStr | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
title_full_unstemmed | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
title_short | Shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
title_sort | shared genetic pathways contribute to risk of hypertrophic and dilated cardiomyopathies with opposite directions of effect |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7611259/ https://www.ncbi.nlm.nih.gov/pubmed/33495596 http://dx.doi.org/10.1038/s41588-020-00762-2 |
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