4.8 Article

Genome-wide association analysis identifies novel blood pressure loci and offers biological insights into cardiovascular risk

Journal

NATURE GENETICS
Volume 49, Issue 3, Pages 403-415

Publisher

NATURE PORTFOLIO
DOI: 10.1038/ng.3768

Keywords

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Funding

  1. National Institute for Health Research (NIHR) as part of the portfolio of translational research of the NIHR Biomedical Research Unit at Barts and The London School of Medicine and Dentistry
  2. NIHR Imperial College Health Care NHS Trust and Imperial College London Biomedical Research Centre
  3. China Scholarship Council [2011632047]
  4. UK Medical Research Council [G0800270, MR/N015746/1]
  5. British Heart Foundation [SP/09/002, SP/13/2/30111]
  6. UK National Institute for Health Research Cambridge Biomedical Research Centre
  7. European Research Council [268834]
  8. European Commission Framework Programme 7 [HEALTH-F2-2012-279233]
  9. MRC Unit at the University of Bristol [MC_UU_12013/1-9]
  10. NHLBI
  11. National Institutes of Health [HL113933, HL124262, HL128782, HL086694]
  12. ZonMw [90.700.441]
  13. Marie Sklodowska-Curie GF [H2020-MSCA-IF-2014, 661395]
  14. Marie Sklodowska-Curie GF grant [661395]
  15. ICIN-NHI
  16. UK National Institute for Health Research Biomedical Research Centre at Imperial College Healthcare NHS Trust
  17. NIHR Biomedical Research Centre at Imperial College Healthcare NHS Trust and Imperial College London
  18. Wellcome Trust [109863/Z/15/Z]
  19. EU PhenoMeNal project (Horizon) [654241]
  20. Wellcome Trust core award [090532/Z/09/Z]
  21. BHF Centre of Research Excellence, Oxford [RE/13/1/30181]
  22. MRC core grant for QTL in Health and Disease programme
  23. NIHR Health Protection Research Unit in Health Impact of Environmental Hazards [HPRU-2012-10141]
  24. Public Health England [MR/L01341X/1]
  25. Medical Research Council [MR/L01632X/1]
  26. [MR/L016311/1]
  27. Marie Curie Actions (MSCA) [661395] Funding Source: Marie Curie Actions (MSCA)
  28. BBSRC [BB/F019394/1] Funding Source: UKRI
  29. MRC [G0800270, G0600237, MC_UU_12015/1, MR/L01632X/1, MR/L01341X/1, MR/N015746/1, MC_PC_U127561128, MC_UU_12013/3, MR/L003120/1, MR/L016311/1] Funding Source: UKRI
  30. Biotechnology and Biological Sciences Research Council [BB/F019394/1] Funding Source: researchfish
  31. British Heart Foundation [PG/16/49/32176, RG/15/12/31616, RG/08/014/24067, SP/13/2/30111] Funding Source: researchfish
  32. Chief Scientist Office [CZD/16/6/4] Funding Source: researchfish
  33. Medical Research Council [MR/L01341X/1, MC_qA137853, MR/L003120/1, MC_UU_12013/3, G0600237, MR/K026992/1, MR/N015746/1, MC_UU_12015/1, G0800270, MR/K006584/1, MC_PC_U127561128, MR/L01632X/1, MR/L016311/1] Funding Source: researchfish
  34. National Institute for Health Research [NF-SI-0611-10170, NF-SI-0512-10165, NF-SI-0513-10059, NF-SI-0611-10136, NF-SI-0507-10228, NF-SI-0514-10027, NF-SI-0512-10113] Funding Source: researchfish
  35. Wellcome Trust [109863/Z/15/Z] Funding Source: Wellcome Trust

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Elevated blood pressure is the leading heritable risk factor for cardiovascular disease worldwide. We report genetic association of blood pressure (systolic, diastolic, pulse pressure) among UK Biobank participants of European ancestry with independent replication in other cohorts, and robust validation of 107 independent loci. We also identify new independent variants at 11 previously reported blood pressure loci. In combination with results from a range of in silico functional analyses and wet bench experiments, our findings highlight new biological pathways for blood pressure regulation enriched for genes expressed in vascular tissues and identify potential therapeutic targets for hypertension. Results from genetic risk score models raise the possibility of a precision medicine approach through early lifestyle intervention to offset the impact of blood pressure-raising genetic variants on future cardiovascular disease risk.

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