Gene-Centric Analysis of Preeclampsia Identifies Maternal Association at .
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Abstract | The genetic susceptibility to preeclampsia, a pregnancy-specific complication with significant maternal and fetal morbidity, has been poorly characterized. To identify maternal genes associated with preeclampsia risk, we assembled 498 cases and 1864 controls of European ancestry from preeclampsia case-control collections in 5 different US sites (with additional matched population controls), genotyped samples on a cardiovascular gene-centric array composed of variants from ≈2000 genes selected based on prior genetic studies of cardiovascular and metabolic diseases and performed case-control genetic association analysis on 27 429 variants passing quality control. In silico replication testing of 9 lead signals with 10 was performed in independent European samples from the SOPHIA (Study of Pregnancy Hypertension in Iowa) and Inova cohorts (212 cases, 456 controls). Multiethnic assessment of lead signals was then performed in samples of black (26 cases, 136 controls), Hispanic (132 cases, 468 controls), and East Asian (9 cases, 80 controls) ancestry. Multiethnic meta-analysis (877 cases, 3004 controls) revealed a study-wide statistically significant association of the rs9478812 variant in the pleiotropic gene (odds ratio, 1.40 [1.23-1.60]; =5.90×10). The rs9478812 effect was even stronger in the subset of European cases with known early-onset preeclampsia (236 cases diagnosed 37 weeks, 1864 controls; odds ratio, 1.59 [1.27-1.98]; =4.01×10). variants have previously been implicated in genome-wide association studies of blood pressure, body weight, and neurological disorders. Although larger studies are required to further define maternal preeclampsia heritability, this study identifies a novel maternal risk locus for further investigation. |
Year of Publication | 2018
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Journal | Hypertension
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Volume | 72
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Issue | 2
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Pages | 408-416
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Date Published | 2018 08
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ISSN | 1524-4563
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DOI | 10.1161/HYPERTENSIONAHA.117.10688
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PubMed ID | 29967039
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PubMed Central ID | PMC6043396
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Grant list | K08 HD075831 / HD / NICHD NIH HHS / United States
HHMI / Howard Hughes Medical Institute / United States
R01 HD032579 / HD / NICHD NIH HHS / United States
K12 HD051959 / HD / NICHD NIH HHS / United States
F32 HD086948 / HD / NICHD NIH HHS / United States
R21 HD046624 / HD / NICHD NIH HHS / United States
T32 HL007427 / HL / NHLBI NIH HHS / United States
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