251. Genetics of blood lipids among ~300,000 multi-ethnic participants of the Million Veteran Program.
- Author
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Klarin D, Damrauer SM, Cho K, Sun YV, Teslovich TM, Honerlaw J, Gagnon DR, DuVall SL, Li J, Peloso GM, Chaffin M, Small AM, Huang J, Tang H, Lynch JA, Ho YL, Liu DJ, Emdin CA, Li AH, Huffman JE, Lee JS, Natarajan P, Chowdhury R, Saleheen D, Vujkovic M, Baras A, Pyarajan S, Di Angelantonio E, Neale BM, Naheed A, Khera AV, Danesh J, Chang KM, Abecasis G, Willer C, Dewey FE, Carey DJ, Concato J, Gaziano JM, O'Donnell CJ, Tsao PS, Kathiresan S, Rader DJ, Wilson PWF, and Assimes TL
- Subjects
- Aged, Black People genetics, Black People statistics & numerical data, Cardiovascular Diseases blood, Cardiovascular Diseases ethnology, Cardiovascular Diseases genetics, Diabetes Mellitus, Type 2 blood, Diabetes Mellitus, Type 2 ethnology, Diabetes Mellitus, Type 2 genetics, Ethnicity statistics & numerical data, Female, Genome-Wide Association Study, Genotype, Hispanic or Latino genetics, Hispanic or Latino statistics & numerical data, Humans, Male, Middle Aged, Polymorphism, Single Nucleotide, White People genetics, White People statistics & numerical data, Ethnicity genetics, Lipid Metabolism genetics, Lipids blood, Veterans statistics & numerical data
- Abstract
The Million Veteran Program (MVP) was established in 2011 as a national research initiative to determine how genetic variation influences the health of US military veterans. Here we genotyped 312,571 MVP participants using a custom biobank array and linked the genetic data to laboratory and clinical phenotypes extracted from electronic health records covering a median of 10.0 years of follow-up. Among 297,626 veterans with at least one blood lipid measurement, including 57,332 black and 24,743 Hispanic participants, we tested up to around 32 million variants for association with lipid levels and identified 118 novel genome-wide significant loci after meta-analysis with data from the Global Lipids Genetics Consortium (total n > 600,000). Through a focus on mutations predicted to result in a loss of gene function and a phenome-wide association study, we propose novel indications for pharmaceutical inhibitors targeting PCSK9 (abdominal aortic aneurysm), ANGPTL4 (type 2 diabetes) and PDE3B (triglycerides and coronary disease).
- Published
- 2018
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