The polygenic architecture of left ventricular mass mirrors the clinical epidemiology

Left ventricular (LV) mass is a prognostic biomarker for incident heart disease and all-cause mortality. Large-scale genome-wide association studies have identified few SNPs associated with LV mass. We hypothesized that a polygenic discovery approach using LV mass measurements made in a clinical pop...

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Veröffentlicht in:Scientific reports 2020-05, Vol.10 (1), p.7561-7561, Article 7561
Hauptverfasser: Mosley, Jonathan D., Levinson, Rebecca T., Farber-Eger, Eric, Edwards, Todd L., Hellwege, Jacklyn N., Hung, Adriana M., Giri, Ayush, Shuey, Megan M., Shaffer, Christian M., Shi, Mingjian, Brittain, Evan L., Chung, Wendy K., Kullo, Iftikhar J., Arruda-Olson, Adelaide M., Jarvik, Gail P., Larson, Eric B., Crosslin, David R., Williams, Marc S., Borthwick, Ken M., Hakonarson, Hakon, Denny, Joshua C., Wang, Thomas J., Stein, Charles M., Roden, Dan M., Wells, Quinn S.
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container_issue 1
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container_title Scientific reports
container_volume 10
creator Mosley, Jonathan D.
Levinson, Rebecca T.
Farber-Eger, Eric
Edwards, Todd L.
Hellwege, Jacklyn N.
Hung, Adriana M.
Giri, Ayush
Shuey, Megan M.
Shaffer, Christian M.
Shi, Mingjian
Brittain, Evan L.
Chung, Wendy K.
Kullo, Iftikhar J.
Arruda-Olson, Adelaide M.
Jarvik, Gail P.
Larson, Eric B.
Crosslin, David R.
Williams, Marc S.
Borthwick, Ken M.
Hakonarson, Hakon
Denny, Joshua C.
Wang, Thomas J.
Stein, Charles M.
Roden, Dan M.
Wells, Quinn S.
description Left ventricular (LV) mass is a prognostic biomarker for incident heart disease and all-cause mortality. Large-scale genome-wide association studies have identified few SNPs associated with LV mass. We hypothesized that a polygenic discovery approach using LV mass measurements made in a clinical population would identify risk factors and diseases associated with adverse LV remodeling. We developed a polygenic single nucleotide polymorphism-based predictor of LV mass in 7,601 individuals with LV mass measurements made during routine clinical care. We tested for associations between this predictor and 894 clinical diagnoses measured in 58,838 unrelated genotyped individuals. There were 29 clinical phenotypes associated with the LV mass genetic predictor at FDR q 
doi_str_mv 10.1038/s41598-020-64525-z
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Large-scale genome-wide association studies have identified few SNPs associated with LV mass. We hypothesized that a polygenic discovery approach using LV mass measurements made in a clinical population would identify risk factors and diseases associated with adverse LV remodeling. We developed a polygenic single nucleotide polymorphism-based predictor of LV mass in 7,601 individuals with LV mass measurements made during routine clinical care. We tested for associations between this predictor and 894 clinical diagnoses measured in 58,838 unrelated genotyped individuals. There were 29 clinical phenotypes associated with the LV mass genetic predictor at FDR q &lt; 0.05. Genetically predicted higher LV mass was associated with modifiable cardiac risk factors, diagnoses related to organ dysfunction and conditions associated with abnormal cardiac structure including heart failure and atrial fibrillation. Secondary analyses using polygenic predictors confirmed a significant association between higher LV mass and body mass index and, in men, associations with coronary atherosclerosis and systolic blood pressure. 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Large-scale genome-wide association studies have identified few SNPs associated with LV mass. We hypothesized that a polygenic discovery approach using LV mass measurements made in a clinical population would identify risk factors and diseases associated with adverse LV remodeling. We developed a polygenic single nucleotide polymorphism-based predictor of LV mass in 7,601 individuals with LV mass measurements made during routine clinical care. We tested for associations between this predictor and 894 clinical diagnoses measured in 58,838 unrelated genotyped individuals. There were 29 clinical phenotypes associated with the LV mass genetic predictor at FDR q &lt; 0.05. Genetically predicted higher LV mass was associated with modifiable cardiac risk factors, diagnoses related to organ dysfunction and conditions associated with abnormal cardiac structure including heart failure and atrial fibrillation. Secondary analyses using polygenic predictors confirmed a significant association between higher LV mass and body mass index and, in men, associations with coronary atherosclerosis and systolic blood pressure. 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Levinson, Rebecca T. ; Farber-Eger, Eric ; Edwards, Todd L. ; Hellwege, Jacklyn N. ; Hung, Adriana M. ; Giri, Ayush ; Shuey, Megan M. ; Shaffer, Christian M. ; Shi, Mingjian ; Brittain, Evan L. ; Chung, Wendy K. ; Kullo, Iftikhar J. ; Arruda-Olson, Adelaide M. ; Jarvik, Gail P. ; Larson, Eric B. ; Crosslin, David R. ; Williams, Marc S. ; Borthwick, Ken M. ; Hakonarson, Hakon ; Denny, Joshua C. ; Wang, Thomas J. ; Stein, Charles M. ; Roden, Dan M. ; Wells, Quinn S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-c210ee8e98cbbd054819644739be2a5746e0aeeccd3c659432811d7e60bee2563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>631/208/205</topic><topic>692/4019/592/1540</topic><topic>Arteriosclerosis</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cardiovascular diseases</topic><topic>Congestive heart failure</topic><topic>Coronary artery disease</topic><topic>Echocardiography</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fibrillation</topic><topic>Genetic analysis</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetic variability</topic><topic>Genome-wide association studies</topic><topic>Genome-Wide Association Study</topic><topic>Genomes</topic><topic>Genotype</topic><topic>Health risk assessment</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - epidemiology</topic><topic>Heart Diseases - etiology</topic><topic>Heart Diseases - mortality</topic><topic>Heart Ventricles - anatomy &amp; 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Large-scale genome-wide association studies have identified few SNPs associated with LV mass. We hypothesized that a polygenic discovery approach using LV mass measurements made in a clinical population would identify risk factors and diseases associated with adverse LV remodeling. We developed a polygenic single nucleotide polymorphism-based predictor of LV mass in 7,601 individuals with LV mass measurements made during routine clinical care. We tested for associations between this predictor and 894 clinical diagnoses measured in 58,838 unrelated genotyped individuals. There were 29 clinical phenotypes associated with the LV mass genetic predictor at FDR q &lt; 0.05. Genetically predicted higher LV mass was associated with modifiable cardiac risk factors, diagnoses related to organ dysfunction and conditions associated with abnormal cardiac structure including heart failure and atrial fibrillation. Secondary analyses using polygenic predictors confirmed a significant association between higher LV mass and body mass index and, in men, associations with coronary atherosclerosis and systolic blood pressure. In summary, these analyses show that LV mass-associated genetic variability associates with diagnoses of cardiac diseases and with modifiable risk factors which contribute to these diseases.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32372017</pmid><doi>10.1038/s41598-020-64525-z</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/208/205
692/4019/592/1540
Arteriosclerosis
Blood pressure
Body mass index
Cardiovascular diseases
Congestive heart failure
Coronary artery disease
Echocardiography
Epidemiology
Female
Fibrillation
Genetic analysis
Genetic Predisposition to Disease
Genetic variability
Genome-wide association studies
Genome-Wide Association Study
Genomes
Genotype
Health risk assessment
Heart Diseases - diagnosis
Heart Diseases - epidemiology
Heart Diseases - etiology
Heart Diseases - mortality
Heart Ventricles - anatomy & histology
Heart Ventricles - diagnostic imaging
Heart Ventricles - pathology
Humanities and Social Sciences
Humans
Male
multidisciplinary
Multifactorial Inheritance
Odds Ratio
Organ Size
Phenotype
Phenotypes
Polymorphism, Single Nucleotide
Risk Assessment
Risk Factors
Science
Science (multidisciplinary)
Single-nucleotide polymorphism
Ventricle
Ventricular Remodeling - genetics
title The polygenic architecture of left ventricular mass mirrors the clinical epidemiology
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