Variants in the fetal genome near FLT1 are associated with risk of preeclampsia
OA Location
Author(s)
McGinnis, Ralph
Steinthorsdottir, Valgerdur
Williams, Nicholas O
Thorleifsson, Gudmar
Shooter, Scott
Type
Journal Article
Abstract
Preeclampsia, which affects approximately 5% of pregnancies, is a leading cause of maternal and perinatal death. The causes of preeclampsia remain unclear, but there is evidence for inherited susceptibility. Genome-wide association studies (GWAS) have not identified maternal sequence variants of genome-wide significance that replicate in independent data sets. We report the first GWAS of offspring from preeclamptic pregnancies and discovery of the first genome-wide significant susceptibility locus (rs4769613; P = 5.4 × 10-11) in 4,380 cases and 310,238 controls. This locus is near the FLT1 gene encoding Fms-like tyrosine kinase 1, providing biological support, as a placental isoform of this protein (sFlt-1) is implicated in the pathology of preeclampsia. The association was strongest in offspring from pregnancies in which preeclampsia developed during late gestation and offspring birth weights exceeded the tenth centile. An additional nearby variant, rs12050029, associated with preeclampsia independently of rs4769613. The newly discovered locus may enhance understanding of the pathophysiology of preeclampsia and its subtypes.
Date Issued
2017-08-01
Date Acceptance
2017-05-12
Citation
Nature Genetics, 2017, 49 (8), pp.1255-1260
ISSN
1061-4036
Publisher
Nature Research
Start Page
1255
End Page
1260
Journal / Book Title
Nature Genetics
Volume
49
Issue
8
Copyright Statement
© 2017, Springer Nature America, Inc.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/28628106
PII: ng.3895
Subjects
Cohort Studies
Female
Fetus
Follow-Up Studies
Genetic Predisposition to Disease
Genome, Human
Genome-Wide Association Study
Genotype
Humans
Polymorphism, Single Nucleotide
Pre-Eclampsia
Pregnancy
Pregnancy Proteins
Vascular Endothelial Growth Factor Receptor-1
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2017-06-19