Trans-ancestry meta-analyses identify rare and common variants associated with blood pressure and hypertension.

Nat Genet
Authors
Abstract

High blood pressure is a major risk factor for cardiovascular disease and premature death. However, there is limited knowledge on specific causal genes and pathways. To better understand the genetics of blood pressure, we genotyped 242,296 rare, low-frequency and common genetic variants in up to 192,763 individuals and used ∼155,063 samples for independent replication. We identified 30 new blood pressure- or hypertension-associated genetic regions in the general population, including 3 rare missense variants in RBM47, COL21A1 and RRAS with larger effects (>1.5 mm Hg/allele) than common variants. Multiple rare nonsense and missense variant associations were found in A2ML1, and a low-frequency nonsense variant in ENPEP was identified. Our data extend the spectrum of allelic variation underlying blood pressure traits and hypertension, provide new insights into the pathophysiology of hypertension and indicate new targets for clinical intervention.

Year of Publication
2016
Journal
Nat Genet
Volume
48
Issue
10
Pages
1151-61
Date Published
2016 Oct
ISSN
1546-1718
DOI
10.1038/ng.3654
PubMed ID
27618447
PubMed Central ID
PMC5056636
Links
Grant list
G0700931 / Medical Research Council / United Kingdom
R01 HL127564 / HL / NHLBI NIH HHS / United States
MR/L01341X/1 / Medical Research Council / United Kingdom
G0601966 / Medical Research Council / United Kingdom
CZD/16/6/4 / Chief Scientist Office / United Kingdom
P30 DK020595 / DK / NIDDK NIH HHS / United States