Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target

Research output: Contribution to journalJournal articleResearchpeer-review

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Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target. / Roychowdhury, Tanmoy; Klarin, Derek; Levin, Michael G.; Spin, Joshua M.; Rhee, Yae Hyun; Deng, Alicia; Headley, Colwyn A.; Tsao, Noah L.; Gellatly, Corry; Zuber, Verena; Shen, Fred; Hornsby, Whitney E.; Laursen, Ina Holst; Verma, Shefali S.; Locke, Adam E.; Einarsson, Gudmundur; Thorleifsson, Gudmar; Graham, Sarah E.; Dikilitas, Ozan; Pattee, Jack W.; Judy, Renae L.; Pauls-Verges, Ferran; Nielsen, Jonas B.; Wolford, Brooke N.; Brumpton, Ben M.; Dilmé, Jaume; Peypoch, Olga; Juscafresa, Laura Calsina; Edwards, Todd L.; Li, Dadong; Banasik, Karina; Brunak, Søren; Jacobsen, Rikke L.; Garcia-Barrio, Minerva T.; Zhang, Jifeng; Rasmussen, Lars M.; Lee, Regent; Handa, Ashok; Wanhainen, Anders; Mani, Kevin; Lindholt, Jes S.; Obel, Lasse M.; Strauss, Ewa; Oszkinis, Grzegorz; Nelson, Christopher P.; Saxby, Katie L.; van Herwaarden, Joost A.; van der Laan, Sander W.; van Setten, Jessica; Camacho, Mercedes; Davis, Frank M.; Wasikowski, Rachael; Tsoi, Lam C.; Gudjonsson, Johann E.; Eliason, Jonathan L.; Coleman, Dawn M.; Henke, Peter K.; Ganesh, Santhi K.; Chen, Y. Eugene; Guan, Weihua; Pankow, James S.; Pankratz, Nathan; Pedersen, Ole B.; Erikstrup, Christian; Tang, Weihong; Hveem, Kristian; Gudbjartsson, Daniel; Gretarsdottir, Solveig; Thorsteinsdottir, Unnur; Holm, Hilma; Stefansson, Kari; Ferreira, Manuel A.; Baras, Aris; Kullo, Iftikhar J.; Ritchie, Marylyn D.; Christensen, Alex H.; Iversen, Kasper K.; Eldrup, Nikolaj; Sillesen, Henrik; Ostrowski, Sisse R.; Bundgaard, Henning; Ullum, Henrik; Burgess, Stephen; Gill, Dipender; Gallagher, Katherine; Sabater-Lleal, Maria; Dudbridge, Frank; Samani, Nilesh J.; Surakka, Ida; Jones, Gregory T.; Bown, Matthew J.; Tsao, Philip S.; Willer, Cristen J.; Damrauer, Scott M.

In: Nature Genetics, Vol. 55, 2023, p. 1831–1842.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Roychowdhury, T, Klarin, D, Levin, MG, Spin, JM, Rhee, YH, Deng, A, Headley, CA, Tsao, NL, Gellatly, C, Zuber, V, Shen, F, Hornsby, WE, Laursen, IH, Verma, SS, Locke, AE, Einarsson, G, Thorleifsson, G, Graham, SE, Dikilitas, O, Pattee, JW, Judy, RL, Pauls-Verges, F, Nielsen, JB, Wolford, BN, Brumpton, BM, Dilmé, J, Peypoch, O, Juscafresa, LC, Edwards, TL, Li, D, Banasik, K, Brunak, S, Jacobsen, RL, Garcia-Barrio, MT, Zhang, J, Rasmussen, LM, Lee, R, Handa, A, Wanhainen, A, Mani, K, Lindholt, JS, Obel, LM, Strauss, E, Oszkinis, G, Nelson, CP, Saxby, KL, van Herwaarden, JA, van der Laan, SW, van Setten, J, Camacho, M, Davis, FM, Wasikowski, R, Tsoi, LC, Gudjonsson, JE, Eliason, JL, Coleman, DM, Henke, PK, Ganesh, SK, Chen, YE, Guan, W, Pankow, JS, Pankratz, N, Pedersen, OB, Erikstrup, C, Tang, W, Hveem, K, Gudbjartsson, D, Gretarsdottir, S, Thorsteinsdottir, U, Holm, H, Stefansson, K, Ferreira, MA, Baras, A, Kullo, IJ, Ritchie, MD, Christensen, AH, Iversen, KK, Eldrup, N, Sillesen, H, Ostrowski, SR, Bundgaard, H, Ullum, H, Burgess, S, Gill, D, Gallagher, K, Sabater-Lleal, M, Dudbridge, F, Samani, NJ, Surakka, I, Jones, GT, Bown, MJ, Tsao, PS, Willer, CJ & Damrauer, SM 2023, 'Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target', Nature Genetics, vol. 55, pp. 1831–1842. https://doi.org/10.1038/s41588-023-01510-y

APA

Roychowdhury, T., Klarin, D., Levin, M. G., Spin, J. M., Rhee, Y. H., Deng, A., Headley, C. A., Tsao, N. L., Gellatly, C., Zuber, V., Shen, F., Hornsby, W. E., Laursen, I. H., Verma, S. S., Locke, A. E., Einarsson, G., Thorleifsson, G., Graham, S. E., Dikilitas, O., ... Damrauer, S. M. (2023). Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target. Nature Genetics, 55, 1831–1842. https://doi.org/10.1038/s41588-023-01510-y

Vancouver

Roychowdhury T, Klarin D, Levin MG, Spin JM, Rhee YH, Deng A et al. Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target. Nature Genetics. 2023;55:1831–1842. https://doi.org/10.1038/s41588-023-01510-y

Author

Roychowdhury, Tanmoy ; Klarin, Derek ; Levin, Michael G. ; Spin, Joshua M. ; Rhee, Yae Hyun ; Deng, Alicia ; Headley, Colwyn A. ; Tsao, Noah L. ; Gellatly, Corry ; Zuber, Verena ; Shen, Fred ; Hornsby, Whitney E. ; Laursen, Ina Holst ; Verma, Shefali S. ; Locke, Adam E. ; Einarsson, Gudmundur ; Thorleifsson, Gudmar ; Graham, Sarah E. ; Dikilitas, Ozan ; Pattee, Jack W. ; Judy, Renae L. ; Pauls-Verges, Ferran ; Nielsen, Jonas B. ; Wolford, Brooke N. ; Brumpton, Ben M. ; Dilmé, Jaume ; Peypoch, Olga ; Juscafresa, Laura Calsina ; Edwards, Todd L. ; Li, Dadong ; Banasik, Karina ; Brunak, Søren ; Jacobsen, Rikke L. ; Garcia-Barrio, Minerva T. ; Zhang, Jifeng ; Rasmussen, Lars M. ; Lee, Regent ; Handa, Ashok ; Wanhainen, Anders ; Mani, Kevin ; Lindholt, Jes S. ; Obel, Lasse M. ; Strauss, Ewa ; Oszkinis, Grzegorz ; Nelson, Christopher P. ; Saxby, Katie L. ; van Herwaarden, Joost A. ; van der Laan, Sander W. ; van Setten, Jessica ; Camacho, Mercedes ; Davis, Frank M. ; Wasikowski, Rachael ; Tsoi, Lam C. ; Gudjonsson, Johann E. ; Eliason, Jonathan L. ; Coleman, Dawn M. ; Henke, Peter K. ; Ganesh, Santhi K. ; Chen, Y. Eugene ; Guan, Weihua ; Pankow, James S. ; Pankratz, Nathan ; Pedersen, Ole B. ; Erikstrup, Christian ; Tang, Weihong ; Hveem, Kristian ; Gudbjartsson, Daniel ; Gretarsdottir, Solveig ; Thorsteinsdottir, Unnur ; Holm, Hilma ; Stefansson, Kari ; Ferreira, Manuel A. ; Baras, Aris ; Kullo, Iftikhar J. ; Ritchie, Marylyn D. ; Christensen, Alex H. ; Iversen, Kasper K. ; Eldrup, Nikolaj ; Sillesen, Henrik ; Ostrowski, Sisse R. ; Bundgaard, Henning ; Ullum, Henrik ; Burgess, Stephen ; Gill, Dipender ; Gallagher, Katherine ; Sabater-Lleal, Maria ; Dudbridge, Frank ; Samani, Nilesh J. ; Surakka, Ida ; Jones, Gregory T. ; Bown, Matthew J. ; Tsao, Philip S. ; Willer, Cristen J. ; Damrauer, Scott M. / Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target. In: Nature Genetics. 2023 ; Vol. 55. pp. 1831–1842.

Bibtex

@article{03f11edbd62c4aca9876cf81c017e517,
title = "Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target",
abstract = "Abdominal aortic aneurysm (AAA) is a common disease with substantial heritability. In this study, we performed a genome-wide association meta-analysis from 14 discovery cohorts and uncovered 141 independent associations, including 97 previously unreported loci. A polygenic risk score derived from meta-analysis explained AAA risk beyond clinical risk factors. Genes at AAA risk loci indicate involvement of lipid metabolism, vascular development and remodeling, extracellular matrix dysregulation and inflammation as key mechanisms in AAA pathogenesis. These genes also indicate overlap between the development of AAA and other monogenic aortopathies, particularly via transforming growth factor β signaling. Motivated by the strong evidence for the role of lipid metabolism in AAA, we used Mendelian randomization to establish the central role of nonhigh-density lipoprotein cholesterol in AAA and identified the opportunity for repurposing of proprotein convertase, subtilisin/kexin-type 9 (PCSK9) inhibitors. This was supported by a study demonstrating that PCSK9 loss of function prevented the development of AAA in a preclinical mouse model.",
author = "Tanmoy Roychowdhury and Derek Klarin and Levin, {Michael G.} and Spin, {Joshua M.} and Rhee, {Yae Hyun} and Alicia Deng and Headley, {Colwyn A.} and Tsao, {Noah L.} and Corry Gellatly and Verena Zuber and Fred Shen and Hornsby, {Whitney E.} and Laursen, {Ina Holst} and Verma, {Shefali S.} and Locke, {Adam E.} and Gudmundur Einarsson and Gudmar Thorleifsson and Graham, {Sarah E.} and Ozan Dikilitas and Pattee, {Jack W.} and Judy, {Renae L.} and Ferran Pauls-Verges and Nielsen, {Jonas B.} and Wolford, {Brooke N.} and Brumpton, {Ben M.} and Jaume Dilm{\'e} and Olga Peypoch and Juscafresa, {Laura Calsina} and Edwards, {Todd L.} and Dadong Li and Karina Banasik and S{\o}ren Brunak and Jacobsen, {Rikke L.} and Garcia-Barrio, {Minerva T.} and Jifeng Zhang and Rasmussen, {Lars M.} and Regent Lee and Ashok Handa and Anders Wanhainen and Kevin Mani and Lindholt, {Jes S.} and Obel, {Lasse M.} and Ewa Strauss and Grzegorz Oszkinis and Nelson, {Christopher P.} and Saxby, {Katie L.} and {van Herwaarden}, {Joost A.} and {van der Laan}, {Sander W.} and {van Setten}, Jessica and Mercedes Camacho and Davis, {Frank M.} and Rachael Wasikowski and Tsoi, {Lam C.} and Gudjonsson, {Johann E.} and Eliason, {Jonathan L.} and Coleman, {Dawn M.} and Henke, {Peter K.} and Ganesh, {Santhi K.} and Chen, {Y. Eugene} and Weihua Guan and Pankow, {James S.} and Nathan Pankratz and Pedersen, {Ole B.} and Christian Erikstrup and Weihong Tang and Kristian Hveem and Daniel Gudbjartsson and Solveig Gretarsdottir and Unnur Thorsteinsdottir and Hilma Holm and Kari Stefansson and Ferreira, {Manuel A.} and Aris Baras and Kullo, {Iftikhar J.} and Ritchie, {Marylyn D.} and Christensen, {Alex H.} and Iversen, {Kasper K.} and Nikolaj Eldrup and Henrik Sillesen and Ostrowski, {Sisse R.} and Henning Bundgaard and Henrik Ullum and Stephen Burgess and Dipender Gill and Katherine Gallagher and Maria Sabater-Lleal and Frank Dudbridge and Samani, {Nilesh J.} and Ida Surakka and Jones, {Gregory T.} and Bown, {Matthew J.} and Tsao, {Philip S.} and Willer, {Cristen J.} and Damrauer, {Scott M.}",
note = "Publisher Copyright: {\textcopyright} 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.",
year = "2023",
doi = "10.1038/s41588-023-01510-y",
language = "English",
volume = "55",
pages = "1831–1842",
journal = "Nature Genetics",
issn = "1061-4036",
publisher = "nature publishing group",

}

RIS

TY - JOUR

T1 - Genome-wide association meta-analysis identifies risk loci for abdominal aortic aneurysm and highlights PCSK9 as a therapeutic target

AU - Roychowdhury, Tanmoy

AU - Klarin, Derek

AU - Levin, Michael G.

AU - Spin, Joshua M.

AU - Rhee, Yae Hyun

AU - Deng, Alicia

AU - Headley, Colwyn A.

AU - Tsao, Noah L.

AU - Gellatly, Corry

AU - Zuber, Verena

AU - Shen, Fred

AU - Hornsby, Whitney E.

AU - Laursen, Ina Holst

AU - Verma, Shefali S.

AU - Locke, Adam E.

AU - Einarsson, Gudmundur

AU - Thorleifsson, Gudmar

AU - Graham, Sarah E.

AU - Dikilitas, Ozan

AU - Pattee, Jack W.

AU - Judy, Renae L.

AU - Pauls-Verges, Ferran

AU - Nielsen, Jonas B.

AU - Wolford, Brooke N.

AU - Brumpton, Ben M.

AU - Dilmé, Jaume

AU - Peypoch, Olga

AU - Juscafresa, Laura Calsina

AU - Edwards, Todd L.

AU - Li, Dadong

AU - Banasik, Karina

AU - Brunak, Søren

AU - Jacobsen, Rikke L.

AU - Garcia-Barrio, Minerva T.

AU - Zhang, Jifeng

AU - Rasmussen, Lars M.

AU - Lee, Regent

AU - Handa, Ashok

AU - Wanhainen, Anders

AU - Mani, Kevin

AU - Lindholt, Jes S.

AU - Obel, Lasse M.

AU - Strauss, Ewa

AU - Oszkinis, Grzegorz

AU - Nelson, Christopher P.

AU - Saxby, Katie L.

AU - van Herwaarden, Joost A.

AU - van der Laan, Sander W.

AU - van Setten, Jessica

AU - Camacho, Mercedes

AU - Davis, Frank M.

AU - Wasikowski, Rachael

AU - Tsoi, Lam C.

AU - Gudjonsson, Johann E.

AU - Eliason, Jonathan L.

AU - Coleman, Dawn M.

AU - Henke, Peter K.

AU - Ganesh, Santhi K.

AU - Chen, Y. Eugene

AU - Guan, Weihua

AU - Pankow, James S.

AU - Pankratz, Nathan

AU - Pedersen, Ole B.

AU - Erikstrup, Christian

AU - Tang, Weihong

AU - Hveem, Kristian

AU - Gudbjartsson, Daniel

AU - Gretarsdottir, Solveig

AU - Thorsteinsdottir, Unnur

AU - Holm, Hilma

AU - Stefansson, Kari

AU - Ferreira, Manuel A.

AU - Baras, Aris

AU - Kullo, Iftikhar J.

AU - Ritchie, Marylyn D.

AU - Christensen, Alex H.

AU - Iversen, Kasper K.

AU - Eldrup, Nikolaj

AU - Sillesen, Henrik

AU - Ostrowski, Sisse R.

AU - Bundgaard, Henning

AU - Ullum, Henrik

AU - Burgess, Stephen

AU - Gill, Dipender

AU - Gallagher, Katherine

AU - Sabater-Lleal, Maria

AU - Dudbridge, Frank

AU - Samani, Nilesh J.

AU - Surakka, Ida

AU - Jones, Gregory T.

AU - Bown, Matthew J.

AU - Tsao, Philip S.

AU - Willer, Cristen J.

AU - Damrauer, Scott M.

N1 - Publisher Copyright: © 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

PY - 2023

Y1 - 2023

N2 - Abdominal aortic aneurysm (AAA) is a common disease with substantial heritability. In this study, we performed a genome-wide association meta-analysis from 14 discovery cohorts and uncovered 141 independent associations, including 97 previously unreported loci. A polygenic risk score derived from meta-analysis explained AAA risk beyond clinical risk factors. Genes at AAA risk loci indicate involvement of lipid metabolism, vascular development and remodeling, extracellular matrix dysregulation and inflammation as key mechanisms in AAA pathogenesis. These genes also indicate overlap between the development of AAA and other monogenic aortopathies, particularly via transforming growth factor β signaling. Motivated by the strong evidence for the role of lipid metabolism in AAA, we used Mendelian randomization to establish the central role of nonhigh-density lipoprotein cholesterol in AAA and identified the opportunity for repurposing of proprotein convertase, subtilisin/kexin-type 9 (PCSK9) inhibitors. This was supported by a study demonstrating that PCSK9 loss of function prevented the development of AAA in a preclinical mouse model.

AB - Abdominal aortic aneurysm (AAA) is a common disease with substantial heritability. In this study, we performed a genome-wide association meta-analysis from 14 discovery cohorts and uncovered 141 independent associations, including 97 previously unreported loci. A polygenic risk score derived from meta-analysis explained AAA risk beyond clinical risk factors. Genes at AAA risk loci indicate involvement of lipid metabolism, vascular development and remodeling, extracellular matrix dysregulation and inflammation as key mechanisms in AAA pathogenesis. These genes also indicate overlap between the development of AAA and other monogenic aortopathies, particularly via transforming growth factor β signaling. Motivated by the strong evidence for the role of lipid metabolism in AAA, we used Mendelian randomization to establish the central role of nonhigh-density lipoprotein cholesterol in AAA and identified the opportunity for repurposing of proprotein convertase, subtilisin/kexin-type 9 (PCSK9) inhibitors. This was supported by a study demonstrating that PCSK9 loss of function prevented the development of AAA in a preclinical mouse model.

U2 - 10.1038/s41588-023-01510-y

DO - 10.1038/s41588-023-01510-y

M3 - Journal article

C2 - 37845353

AN - SCOPUS:85174309497

VL - 55

SP - 1831

EP - 1842

JO - Nature Genetics

JF - Nature Genetics

SN - 1061-4036

ER -

ID: 371694753