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Genome-wide association study of intracranial aneurysms identifies 17 risk loci and genetic overlap with clinical risk factors

  • HUNT All-In Stroke
  • , China Kadoorie Biobank Collaborative Group
  • , BioBank Japan Project Consortium
  • , The ICAN Study Group
  • , CADISP Group
  • , Genetics and Observational Subarachnoid Haemorrhage (GOSH) Study Investigators
  • , International Stroke Genetics Consortium (ISGC)
  • Utrecht University
  • University of Geneva
  • L'institut du Thorax
  • Nantes University Hospital
  • University College London
  • Technical University of Munich
  • RIKEN
  • The University of Tokyo
  • Kyushu University
  • University of Oxford
  • Peking University
  • McGill University
  • Jewish General Hospital
  • University of Edinburgh
  • UK Biobank
  • University College London Hospitals NHS Foundation Trust
  • Université Paris Cité
  • Centre Hospitalier Sainte-Anne
  • CHU de Brest
  • Sorbonne Université
  • CHU de Rennes
  • University of Oslo
  • Norwegian University of Science and Technology
  • University of Michigan, Ann Arbor
  • National Institute of Public Health and the Environment
  • Dortmund University of Applied Sciences and Arts
  • University of Duisburg-Essen
  • Zurich University of Applied Sciences
  • Swiss Institute of Bioinformatics
  • Chinese Academy of Medical Sciences
  • China National Center for Food Safety Risk Assessment

Research output: Contribution to journalArticlepeer-review

248 Scopus citations

Abstract

Rupture of an intracranial aneurysm leads to subarachnoid hemorrhage, a severe type of stroke. To discover new risk loci and the genetic architecture of intracranial aneurysms, we performed a cross-ancestry, genome-wide association study in 10,754 cases and 306,882 controls of European and East Asian ancestry. We discovered 17 risk loci, 11 of which are new. We reveal a polygenic architecture and explain over half of the disease heritability. We show a high genetic correlation between ruptured and unruptured intracranial aneurysms. We also find a suggestive role for endothelial cells by using gene mapping and heritability enrichment. Drug-target enrichment shows pleiotropy between intracranial aneurysms and antiepileptic and sex hormone drugs, providing insights into intracranial aneurysm pathophysiology. Finally, genetic risks for smoking and high blood pressure, the two main clinical risk factors, play important roles in intracranial aneurysm risk, and drive most of the genetic correlation between intracranial aneurysms and other cerebrovascular traits.

Original languageEnglish
Pages (from-to)1303-1313
Number of pages11
JournalNature Genetics
Volume52
Issue number12
DOIs
StatePublished - Dec 2020

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