1. Genetic association studies of fibromuscular dysplasia identify new risk loci and shared genetic basis with more common vascular diseases
- Author
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Ozan Dikilitas, Marco Pappaccogli, Peter W. de Leeuw, Witold Smigielski, Valentina d'Escamard, Lijiang Ma, Ernst Rietzschel, Kristina L. Hunker, Lu Liu, Michel Azizi, Matthew Zawistowski, Jeffrey W. Olin, Ynte M. Ruigrok, Min-Lee Yang, Stéphanie Debette, Laurence Amar, Xiang Zhou, Sergiy Kyryachenko, Jun Li, Benjamin A. Satterfield, James C. Stanley, Feiri investigators, Miikka Vikkula, Ewa Warchol Celinska, Mengyao Yu, Dawn M. Coleman, Marc De Buyzere, Nabila Bouatia-Naji, Iftikhar J. Kullo, Megastroke, Aleksander Prejbisz, Andrzej Januszewicz, Piotr Dobrowolski, Wojciech Drygas, Takiy-Eddine Berrandou, Jerzy Piwonski, Sebanti Sengupta, Jason C. Kovacic, Mark K Bakker, Santhi K. Ganesh, Xavier Jeunemaitre, Chad M. Brummett, Jean-François Deleuze, Heather L. Gornik, Sebastian Zoellner, Soto Romuald Kiando, Alexandre Persu, Adrien Georges, Aurélien Lorthioir, Natalia Fendrikova-Mahlay, Daniella Kadian-Dodov, and Délia Dupré
- Subjects
Pathology ,medicine.medical_specialty ,Linkage disequilibrium ,Vascular smooth muscle ,business.industry ,Locus (genetics) ,Fibromuscular dysplasia ,Actin cytoskeleton ,medicine.disease ,Coronary artery disease ,Blood pressure ,medicine ,business ,Genetic association - Abstract
Fibromuscular dysplasia (FMD) is an arteriopathy that presents clinically by hypertension and stroke, mostly in early middle-aged women. We report results from the first genome-wide association meta-analysis of FMD including 1962 FMD cases and 7100 controls. We confirmedPHACTR1and identified three new loci (LRP1, ATP2B1, andLIMA1)associated with FMD. Transcriptome-wide association analysis in arteries identified one additional locus (SLC24A3). FMD associated variants were located in arterial-specific enhancers active in vascular smooth muscle cells and fibroblasts. Target genes are broadly involved in mechanisms related to actin cytoskeleton and intracellular calcium homeostasis, central to vascular contraction. Cross-trait linkage disequilibrium analyses identified positive genetic correlations with blood pressure, migraine and intracranial aneurysm, and an inverse correlation with coronary artery disease, independent from the genetics of blood pressure.
- Published
- 2020
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