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Cerebral small vessel disease genomics and its implications across the lifespan

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Title: Cerebral small vessel disease genomics and its implications across the lifespan
Authors: Sargurupremraj, M
Suzuki, H
Jian, X
Sarnowski, C
Evans, TE
Bis, JC
Eiriksdottir, G
Sakaue, S
Terzikhan, N
Habes, M
Zhao, W
Armstrong, NJ
Hofer, E
Yanek, LR
Hagenaars, SP
Kumar, RB
Van den Akker, EB
McWhirter, RE
Trompet, S
Mishra, A
Saba, Y
Satizabal, CL
Beaudet, G
Petit, L
Tsuchida, A
Zago, L
Schilling, S
Sigurdsson, S
Gottesman, RF
Lewis, CE
Aggarwal, NT
Lopez, OL
Smith, JA
Valdés Hernández, MC
Van der Grond, J
Wright, MJ
Knol, MJ
Dörr, M
Thomson, RJ
Bordes, C
Le Grand, Q
Duperron, M-G
Smith, AV
Knopman, DS
Schreiner, PJ
Evans, DA
Rotter, JI
Beiser, AS
Maniega, SM
Beekman, M
Trollor, J
Stott, DJ
Vernooij, MW
Wittfeld, K
Niessen, WJ
Soumaré, A
Boerwinkle, E
Sidney, S
Turner, ST
Davies, G
Thalamuthu, A
Völker, U
Van Buchem, MA
Bryan, RN
Dupuis, J
Bastin, ME
Ames, D
Teumer, A
Amouyel, P
Kwok, JB
Bülow, R
Deary, IJ
Schofield, PR
Brodaty, H
Jiang, J
Tabara, Y
Setoh, K
Miyamoto, S
Yoshida, K
Nagata, M
Kamatani, Y
Matsuda, F
Psaty, BM
Bennett, DA
De Jager, PL
Mosley, TH
Sachdev, PS
Schmidt, R
Warren, HR
Evangelou, E
Trégouët, D-A
International Network against Thrombosis (INVENT) Consortium
International Headache Genomics Consortium (IHGC)
Ikram, MA
Wen, W
DeCarli, C
Srikanth, VK
Jukema, JW
Slagboom, EP
Kardia, SLR
Okada, Y
Mazoyer, B
Wardlaw, JM
Nyquist, PA
Mather, KA
Grabe, HJ
Schmidt, H
Van Duijn, CM
Gudnason, V
Longstreth, WT
Launer, LJ
Lathrop, M
Seshadri, S
Tzourio, C
Adams, HH
Matthews, PM
Fornage, M
Debette, S
Item Type: Journal Article
Abstract: White matter hyperintensities (WMH) are the most common brain-imaging feature of cerebral small vessel disease (SVD), hypertension being the main known risk factor. Here, we identify 27 genome-wide loci for WMH-volume in a cohort of 50,970 older individuals, accounting for modification/confounding by hypertension. Aggregated WMH risk variants were associated with altered white matter integrity (p = 2.5×10-7) in brain images from 1,738 young healthy adults, providing insight into the lifetime impact of SVD genetic risk. Mendelian randomization suggested causal association of increasing WMH-volume with stroke, Alzheimer-type dementia, and of increasing blood pressure (BP) with larger WMH-volume, notably also in persons without clinical hypertension. Transcriptome-wide colocalization analyses showed association of WMH-volume with expression of 39 genes, of which four encode known drug targets. Finally, we provide insight into BP-independent biological pathways underlying SVD and suggest potential for genetic stratification of high-risk individuals and for genetically-informed prioritization of drug targets for prevention trials.
Issue Date: 8-Dec-2020
Date of Acceptance: 10-Sep-2020
URI: http://hdl.handle.net/10044/1/85599
DOI: 10.1038/s41467-020-19111-2
ISSN: 2041-1723
Publisher: Nature Research
Journal / Book Title: Nature Communications
Volume: 11
Copyright Statement: © The Author(s) 2020. This article is licensed under a Creative CommonsAttribution 4.0 International License, which permits use, sharing,adaptation, distribution and reproduction in any medium or format, as long as you giveappropriate credit to the original author(s) and the source, provide a link to the CreativeCommons license, and indicate if changes were made. The images or other third partymaterial in this article are included in the article’s Creative Commons license, unlessindicated otherwise in a credit line to the material. If material is not included in thearticle’s Creative Commons license and your intended use is not permitted by statutoryregulation or exceeds the permitted use, you will need to obtain permission directly fromthe copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
WHITE-MATTER HYPERINTENSITIES
WIDE ASSOCIATION
MENDELIAN RANDOMIZATION
BLOOD-PRESSURE
COGNITIVE IMPAIRMENT
GENETIC ARCHITECTURE
AGING RESEARCH
CELL-TYPES
METAANALYSIS
RISK
Adult
Aged
Aged, 80 and over
Alzheimer Disease
Cerebral Small Vessel Diseases
Diffusion Tensor Imaging
Female
Genetic Loci
Genome-Wide Association Study
Humans
Hypertension
Male
Medical History Taking
Mendelian Randomization Analysis
Middle Aged
Risk Assessment
Risk Factors
Stroke
White Matter
Young Adult
International Network against Thrombosis (INVENT) Consortium
International Headache Genomics Consortium (IHGC)
Humans
Alzheimer Disease
Hypertension
Medical History Taking
Risk Assessment
Risk Factors
Adult
Aged
Aged, 80 and over
Middle Aged
Female
Male
Stroke
Genome-Wide Association Study
Young Adult
Diffusion Tensor Imaging
Genetic Loci
Mendelian Randomization Analysis
Cerebral Small Vessel Diseases
White Matter
Publication Status: Published
Conference Place: England
Article Number: 6285
Online Publication Date: 2020-12-08
Appears in Collections:Faculty of Medicine
School of Public Health
Department of Brain Sciences



This item is licensed under a Creative Commons License Creative Commons