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Accès ouvert déclaré 2022 article

Stroke genetics informs drug discovery and risk prediction across ancestries

636Citations signalées, ce qui n’est pas une note de qualité
294Institutions déclarées
31Pays d’affiliation déclarés

Rattachement africain : fr, de, jp, ee, us, tw, fi, gb, no, kr, in, ca, Nigéria, nl, il, dk, es, br, is, au, se, ch, cn, ie, id, at, pl, it, be, Ghana, cl. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

Abstract Previous genome-wide association studies (GWASs) of stroke — the second leading cause of death worldwide — were conducted predominantly in populations of European ancestry 1,2 . Here, in cross-ancestry GWAS meta-analyses of 110,182 patients who have had a stroke (five ancestries, 33% non-European) and 1,503,898 control individuals, we identify association signals for stroke and its subtypes at 89 (61 new) independent loci: 60 in primary inverse-variance-weighted analyses and 29 in secondary meta-regression and multitrait analyses. On the basis of internal cross-ancestry validation and an independent follow-up in 89,084 additional cases of stroke (30% non-European) and 1,013,843 control individuals, 87% of the primary stroke risk loci and 60% of the secondary stroke risk loci were replicated ( P < 0.05). Effect sizes were highly correlated across ancestries. Cross-ancestry fine-mapping, in silico mutagenesis analysis 3 , and transcriptome-wide and proteome-wide association analyses revealed putative causal genes (such as SH3PXD2A and FURIN ) and variants (such as at GRK5 and NOS3 ). Using a three-pronged approach 4 , we provide genetic evidence for putative drug effects, highlighting F11, KLKB1, PROC, GP1BA, LAMC2 and VCAM1 as possible targets, with drugs already under investigation for stroke for F11 and PROC. A polygenic score integrating cross-ancestry and ancestry-specific stroke GWASs with vascular-risk factor GWASs (integrative polygenic scores) strongly predicted ischaemic stroke in populations of European, East Asian and African ancestry 5 . Stroke genetic risk scores were predictive of ischaemic stroke independent of clinical risk factors in 52,600 clinical-trial participants with cardiometabolic disease. Our results provide insights to inform biology, reveal potential drug targets and derive genetic risk prediction tools across ancestries.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Stroke genetics informs drug discovery and risk prediction across ancestries
Date Crossref
30/09/2022
Éditeur
Springer Science and Business Media LLC
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Les institutions déclarées

Université de BordeauxInsermBordeaux Population HealthLMU KlinikumInstitut für Schlaganfall- und DemenzforschungLudwig-Maximilians-Universität MünchenIwate Medical UniversityTohoku Medical Megabank OrganizationUniversity of TartuThe University of OsakaVA Boston Healthcare SystemBrigham and Women's HospitalHarvard UniversityThrombolysis in Myocardial Infarction Study GroupTokyo Medical UniversityThe University of TokyoBroad InstituteMassachusetts General HospitalMassachusetts Institute of TechnologyChung Shan Medical University HospitalChung Shan Medical UniversityUniversity of TurkuFinnish Institute for Health and WelfareUniversity of OxfordOslo University HospitalNorwegian University of Science and TechnologyUniversity of Alabama at BirminghamSeoul National University Bundang HospitalRajendra Institute of Medical SciencesThrombosis and Atherosclerosis Research InstituteMcMaster UniversityUniversity of HelsinkiHelsinki University HospitalUniversity of IbadanErasmus MCHebrew University of JerusalemCopenhagen University HospitalRigshospitaletPennsylvania State UniversityGeisinger Health SystemUniversitat Autònoma de BarcelonaHospital de Sant PauUniversity of Southern DenmarkOdense University HospitalNational Institutes of HealthData Tecnica International (United States)National Institute on AgingUniversity of VirginiaUniversity of CambridgeNovo Nordisk (United Kingdom)Vanderbilt University Medical CenterUniversity of PennsylvaniaKyushu UniversityUniversité de LilleInstitut Pasteur de LilleCentre Hospitalier Universitaire de LilleUtrecht UniversityUniversity Medical Center UtrechtUniversity of WashingtonRush University Medical CenterUniversity of OsloWashington University in St. LouisUniversity of Maryland, BaltimoreVA Maryland Health Care SystemColumbia University Irving Medical CenterInstitut d'Investigació en Ciències de la Salut Germans Trias i PujolGerman Center for Neurodegenerative DiseasesGerman Centre for Cardiovascular ResearchCharité - Universitätsmedizin BerlinUniversidade da Região de JoinvilleUniversity of IcelandIcelandic Heart AssociationImperial College LondonInstitute for Molecular Medicine FinlandUniversity of Cincinnati Medical CenterBaker Heart and Diabetes InstituteHealth Data Research UKRadboud University NijmegenRadboud University Medical CenterLos Angeles County Department of Public HealthSahlgrenska University HospitalUniversity of GothenburgEast Carolina UniversityMonash UniversityKorea University Medical CenterSIB Swiss Institute of BioinformaticsUniversity of LausannePeking UniversityHelmholtz MunichTechnical University of MunichUniversity of WürzburgUniversitätsklinikum WürzburgJackson Memorial HospitalUniversity of Mississippi Medical CenterUniversity of CopenhagenGentofte HospitalOllscoil na Gaillimhe – University of GalwayRIKEN Center for Integrative Medical SciencesUniversity of California, San FranciscoZimmer Biomet (Germany)University of MiamiColumbia UniversityStiftelsen Norsk LuftambulanseThe University of Texas at San Antonio Health Science CenterInstitute for Neurodegenerative DisordersUniversitätsmedizin GreifswaldKaiser Permanente Washington Health Research InstituteVA Office of Research and DevelopmentEmory UniversityAtlanta VA Health Care SystemLeiden University Medical CenterUmeå UniversityBoston UniversityKorea National Institute of HealthJacksonville CollegeMayo Clinic in FloridaQueen Mary University of LondonWilliam Harvey Research InstituteKing's College LondonWashington State UniversityFred Hutch Cancer CenterWake Forest UniversityJohns Hopkins UniversityJohns Hopkins MedicineNational Institute of Neurological Disorders and StrokeUniversity of Colorado AnschutzBrown UniversityUniversity of KentuckyUniversity of British ColumbiaSaint Francis Medical CenterSt Olav's University HospitalUniversity of California San DiegoRady Children's Hospital-San DiegoUiT The Arctic University of NorwayUniversity of MinnesotaUniversity of BristolMRC Epidemiology UnitAix-Marseille UniversitéInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'EnvironnementHôpital de la TimoneUniversity Hospital of North NorwayThe Ohio State UniversityStatens Serum InstitutUniversity of MichiganThe Lundquist InstituteUCLA Medical CenterHarbor–UCLA Medical CenterCommissariat à l'Énergie Atomique et aux Énergies AlternativesFondation Jean Dausset-CEPHCentre National de Recherche en Génomique HumaineDirection de la Recherche FondamentaleUniversity of Pembangunan Nasional Veteran Jawa TimurAssistance Publique Hôpitaux de MarseilleUniversity Medical Center GroningenAmsterdam University Medical CentersUniversity of AmsterdamMaastricht UniversityJohn Hunter HospitalHunter Medical Research InstituteUniversity of Technology SydneyUniversitat Pompeu FabraMunicipal Institute for Medical ResearchHospital del Mar Research InstituteRoyal Holloway University of LondonAshford and St Peter's Hospitals NHS Foundation TrustUniversity of EdinburghMedical University of GrazJagiellonian UniversityThe University of MelbourneFlorey Institute of Neuroscience and Mental HealthAustin HealthLund UniversitySkåne University HospitalUniversity of FloridaWellcome Sanger InstituteGenomics (United Kingdom)Fondazione IRCCS Istituto Neurologico Carlo BestaNational Institute for Health and Care ResearchUniversity of BresciaUniversity of RostockKU LeuvenUniversity of VermontRegion Västra GötalandVIB-KU Leuven Center for Brain & Disease ResearchChang Gung Memorial HospitalUniversity of PittsburghVall d'Hebron Institut de RecercaUniversity Hospital Mútua de TerrassaMútua TerrassaHospital Universitario Virgen MacarenaInstituto de Biomedicina de SevillaHospital Universitario Virgen del RocíoUniversidad de SevillaBeth Israel Deaconess Medical CenterThe University of Texas Health Science Center at HoustonUniversity of GlasgowdeCODE Genetics (Iceland)Population Health Research InstituteUniversity of LincolnMayo Clinic in ArizonaAthinoula A. Martinos Center for Biomedical ImagingFundación AtapuercaUppsala UniversityScience for Life LaboratoryUniversity of North Carolina at Chapel HillUniversity of BaselUniversity Hospital of BaselFelix Platter-HospitalYale UniversityLeeds General InfirmaryLeeds Teaching Hospitals NHS TrustUniversity of Newcastle AustraliaStanford UniversityBerlin Institute of Health at Charité - Universitätsmedizin BerlinKarolinska InstitutetMRC Biostatistics UnitUniversity of Oklahoma Health Sciences CenterJustus-Liebig-Universität GießenUniversité de MontpellierCenter for Research in Environmental EpidemiologyUniversity of PerugiaDayanand Medical College & HospitalUniversity Health NetworkUniversity of TorontoOntario Brain InstituteNational University Hospital of IcelandHeidelberg UniversityUniversity Hospital HeidelbergAlbert Einstein College of MedicineMontefiore Medical CenterCentre for Human GeneticsBioBank JapanUniversity of LiverpoolMario Negri Institute for Pharmacological ResearchUniversitat de BarcelonaCentro de Investigación Biomédica en Red de Salud MentalGuy's and St Thomas' NHS Foundation TrustAichi Cancer CenterUniversité de Caen NormandieNagoya UniversityReykjavík UniversityOklahoma City UniversityHospital Del MarKwame Nkrumah University of Science and TechnologyUniversity of GhanaAhmadu Bello UniversityUniversity of Ilorin Teaching HospitalJos University Teaching HospitalAminu Kano Teaching HospitalObafemi Awolowo UniversityMedical University of South CarolinaChina National Center for Food Safety Risk AssessmentChinese Academy of Medical Sciences & Peking Union Medical CollegePeking Union Medical College HospitalBaylor College of MedicineHaga HospitalAmphia ZiekenhuisElisabeth-TweeSteden ZiekenhuisRijnstate HospitalMedisch Spectrum TwenteCatharina ZiekenhuisSint Franciscus GasthuisCanisius-Wilhelmina ZiekenhuisMedisch Centrum LeeuwardenAkershus University HospitalUniversity of Duisburg-EssenInstitut d'Investigacions Biomèdiques de BarcelonaInstituto de Investigación Sanitaria de SantiagoBioCruces Health research InstituteUniversidad de ValladolidHospital Clínic de BarcelonaConsorci Institut D'Investigacions Biomediques August Pi I SunyerVall d'Hebron Hospital UniversitariHospital Universitari Germans Trias i PujolHospital Universitario Central de AsturiasHealth Research Institute of the Balearic IslandsHospital General Universitario de AlbaceteFrederiksberg HospitalMcGill UniversityNetherlands Heart InstituteAdolfo Ibáñez UniversityErasmus University RotterdamMcGill Genome CentreGeisinger Neuroscience InstituteCarl von Ossietzky Universität OldenburgYonsei UniversityKorea Health Promotion InstituteImpactPhiladelphia VA Medical CenterTurku University HospitalMunich Cluster for Systems NeurologyCentre Hospitalier Universitaire de BordeauxInstitut des Maladies NeurodégénérativesBrown Foundation

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Genetic Associations and EpidemiologyBioinformatics and Genomic NetworksLipoproteins and Cardiovascular Health

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