Contribution of Common Genetic Variants to Risk of Early-Onset Ischemic Stroke
Por:
Jaworek, T, Xu, HC, Gaynor, BJ, Cole, JW, Rannikmae, K, Stanne, TM, Tomppo, L, Abedi, V, Amouyel, P, Armstrong, ND, Attia, J, Bell, S, Benavente, OR, Boncoraglio, GB, Butterworth, A, Carcel-Marquez, J, Chen, ZM, Chong, M, Cruchaga, C, Cushman, M, Danesh, J, Debette, S, Duggan, DJ, Durda, JP, Engstrom, G, Enzinger, C, Faul, JD, Fecteau, NS, Fernandez-Cadenas, I, Gieger, C, Giese, AK, Grewal, RP, Grittner, U, Havulinna, AS, Heitsch, L, Hochberg, MC, Holliday, E, Hu, J, Ilinca, A, Irvin, MR, Jackson, RD, Jacob, MA, Rabionet-Janssen R, Jimenez-Conde, J, Johnson, JA, Kamatani, Y, Kardia, SLR, Koido, M, Kubo, M, Lange, L, Lee, JM, Lemmens, R, Levi, CR, Li, J, Li, LM, Lin, K, Lopez, H, Luke, S, Maguire, J, McArdle, PF, McDonough, CW, Meschia, JF, Metso, T, Muller-Nurasyid, M, O'Connor, TD, O'Donnell, M, Peddareddygari, LR, Pera, J, Perry, JA, Peters, A, Putaala, J, Ray, D, Rexrode, K, Ribases, M, Rosand, J, Rothwell, PM, Rundek, T, Ryan, KA, Sacco, RL, Salomaa, V, Sanchez-Mora, C, Schmidt, R, Sharma, P, Slowik, A, Smith, JA, Smith, NL, Wassertheil-Smoller, S, Soderholm, M, Stine, OC, Strbian, D, Sudlow, CLM, Tatlisumak, T, Terao, C, Thijs, V, Torres-Aguila, NP, Tregouet, DA, Tuladhar, AM, Veldink, JH, Walters, RG, Weir, DR, Woo, D, Worrall, BB, Hong, CC, Ross, OA, Zand, R, de Leeuw, FE, Lindgren, AG, Pare, G, Anderson, CD, Markus, HS, Jern, C, Malik, R, Dichgans, M, Mitchell, BD and Kittner, SJ
Publicada:
18 oct 2022
Ahead of Print:
17 oct 2022
Categoría:
Neurology (clinical)
Resumen:
Background and Objectives Current genome-wide association studies of ischemic stroke have focused primarily on late-onset disease. As a complement to these studies, we sought to identify the contribution of common genetic variants to risk of early-onset ischemic stroke. Methods We performed a meta-analysis of genome-wide association studies of early-onset stroke (EOS), ages 18-59 years, using individual-level data or summary statistics in 16,730 cases and 599,237 nonstroke controls obtained across 48 different studies. We further compared effect sizes at associated loci between EOS and late-onset stroke (LOS) and compared polygenic risk scores (PRS) for venous thromboembolism (VTE) between EOS and LOS. Results We observed genome-wide significant associations of EOS with 2 variants in ABO, a known stroke locus. These variants tag blood subgroups O1 and A1, and the effect sizes of both variants were significantly larger in EOS compared with LOS. The odds ratio (OR) for rs529565, tagging O1, was 0.88 (95% confidence interval [CI]: 0.85-0.91) in EOS vs 0.96 (95% CI: 0.92-1.00) in LOS, and the OR for rs635634, tagging A1, was 1.16 (1.11-1.21) for EOS vs 1.05 (0.99-1.11) in LOS; p-values for interaction = 0.001 and 0.005, respectively. Using PRSs, we observed that greater genetic risk for VTE, another prothrombotic condition, was more strongly associated with EOS compared with LOS (p = 0.008). Discussion The ABO locus, genetically predicted blood group A, and higher genetic propensity for venous thrombosis are more strongly associated with EOS than with LOS, supporting a stronger role of prothrombotic factors in EOS.
Filiaciones:
Jaworek, T:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
Xu, HC:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
Gaynor, BJ:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
Cole, JW:
Univ Maryland, Dept Neurol, Diabet & Nutr, Baltimore, MD 21201 USA
VA Maryland Hlth Care Syst, Baltimore, MD USA
Rannikmae, K:
Univ Edinburgh, Usher Inst, Med Informat Ctr, Edinburgh, Midlothian, Scotland
Stanne, TM:
Univ Gothenburg, Sahlgrenska Acad, Inst Biomed, Dept Lab Med, Gothenburg, Sweden
Tomppo, L:
Helsinki Univ Hosp, Dept Neurol, Helsinki, Finland
Abedi, V:
Geisinger Hlth Syst, Dept Mol & Funct Genom, Danville, PA USA
Amouyel, P:
Univ Lille, LabEx DISTALZ, RID AGE Risk Factors & Mol Determinants Aging Rel, U1167, Lille, France
Inserm, U1167, Lille, France
Ctr Hosp Univ Lille, Lille, France
Inst Pasteur, Lille, France
Armstrong, ND:
Univ Alabama Birmingham, Dept Epidemiol, Birmingham, AL USA
Attia, J:
Univ Newcastle, Sch Med & Publ Hlth, Callaghan, NSW, Australia
Bell, S:
Univ Cambridge, Stroke Res Grp, Cambridge, England
Benavente, OR:
Univ British Columbia, Dept Neurol, Vancouver, BC, Canada
Boncoraglio, GB:
Fdn IRCCS Ist Neurol Carlo Besta, Dept Cerebrovasc Dis, Milan, Italy
Butterworth, A:
Univ Cambridge, Dept Clin Neurosci, British Heart Fdn Cardiovasc Epidemiol Unit, Cambridge, England
Univ Cambridge, Dept Publ Hlth & Primary Care, British Heart Fdn Ctr Res Excellence, Cambridge, England
Univ Cambridge, Natl Inst Hlth Res, Blood & Transplant Res Unit Donor Hlth & Genom, Cambridge, England
Univ Cambridge, Cambridge, England
Hlth Data Res UK Cambridge, Cambridge, England
Wellcome Genome Campus, Cambridge, England
Carcel-Marquez, J:
Biomed Res Inst St Pau IIB St Pau, Stroke Pharmacogen & Genet Grp, Barcelona, Spain
Chen, ZM:
Univ Oxford, Nuffield Dept Populat Hlth, MRC Populat Hlth Res Unit, Oxford, England
Chong, M:
McMaster Univ, DBCVS Res Inst, Dept Pathol & Mol Med, Populat Hlth Res Inst, Hamilton, ON, Canada
Thrombosis & Atherosclerosis Res Inst TaARI, Hamilton, ON, Canada
Cruchaga, C:
Washington Univ, Sch Med, Dept Psychiat, St Louis, MO USA
Cushman, M:
Univ Vermont, Larner Coll Med, Dept Med, Burlington, VT USA
Danesh, J:
Univ Cambridge, Dept Clin Neurosci, British Heart Fdn Cardiovasc Epidemiol Unit, Cambridge, England
Univ Cambridge, Dept Publ Hlth & Primary Care, British Heart Fdn Ctr Res Excellence, Cambridge, England
Univ Cambridge, Natl Inst Hlth Res, Blood & Transplant Res Unit Donor Hlth & Genom, Cambridge, England
Univ Cambridge, Cambridge, England
Hlth Data Res UK Cambridge, Cambridge, England
Wellcome Genome Campus, Cambridge, England
Wellcome Sanger Inst, Dept Human Genet, Hinxton, England
Debette, S:
Univ Bordeaux, Inserm Bordeux Populat Hlth Res Ctr, UMR 1219, Bordeaux, France
Bordeaux Univ Hosp, Inst Neurodegenerat Dis, Dept Neurol, Bordeaux, France
Duggan, DJ:
Affiliate City Hope, Translat Genom Res Inst, Quantitat Med & Syst Biol Div, Phoenix, AZ USA
Durda, JP:
Univ Vermont, Larner Coll Med, Dept Med, Burlington, VT USA
Univ Vermont, Larner Coll Med, Lab Clin Biochem Res, Burlington, VT USA
Lab Clin Biochem Res, Malmo, Sweden
Engstrom, G:
Dept Clin Sci, Malmo, Sweden
Enzinger, C:
Med Univ Graz, Dept Neurol, Graz, Austria
Faul, JD:
Univ Michigan, Inst Social Res, Survey Res Ctr, Ann Arbor, MI USA
Fecteau, NS:
Univ Maryland, Dept Neurol, Diabet & Nutr, Baltimore, MD 21201 USA
Fernandez-Cadenas, I:
Biomed Res Inst St Pau IIB St Pau, Stroke Pharmacogen & Genet Grp, Barcelona, Spain
Fundacio Docencia & Recerca MutuaTerrassa, Stroke Pharmacogen & Genet, Terrassa, Spain
Gieger, C:
Helmholtz Zentrum Munchen German Res Ctr Environm, Unit Mol Epidemiol, Neuherberg, Germany
Helmholtz Zentrum Munchen German Res Ctr Environm, Inst Epidemiol, Neuherberg, Germany
Giese, AK:
Univ Klinikum Hamburg Eppendorf, Kopf & Neurozentrum, Klin & Poliklin Neurol, Hamburg, Germany
Grewal, RP:
St Francis Med Ctr, Neurosci Inst, Trenton, NJ USA
Grittner, U:
Charite Univ Med Ctr, Dept Biostat & Clin Epidemiol, Berlin, Germany
Havulinna, AS:
Natl Inst Hlth & Welf, Helsinki, Finland
Heitsch, L:
Washington Univ, Sch Med, Dept Neurol, St Louis, MO USA
Washington Univ, Sch Med, Dept Emergency Med, St Louis, MO USA
Hochberg, MC:
Univ Maryland, Div Rheumatol & Clin Immunol, Baltimore, MD 21201 USA
Univ Maryland, Dept Med, Dept Epidemiol & Publ Hlth, Baltimore, MD 21201 USA
Holliday, E:
Univ Newcastle, Sch Med & Publ Hlth, Callaghan, NSW, Australia
Hu, J:
Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA
Ilinca, A:
Lund Univ, Dept Clin Sci, Neurol, Lund, Sweden
Skane Univ Hosp, Dept Neurol & Rehabil Med, Lund, Sweden
Irvin, MR:
Univ Alabama Birmingham, Dept Epidemiol, Birmingham, AL USA
Jackson, RD:
Ohio State Univ, Dept Internal Med, Div Endocrinol Diabet & Metab, Columbus, OH USA
Jacob, MA:
Radboud Univ Nijmegen Med Ctr, Donders Med Ctr Neurosci, Dept Neurol, Nijmegen, Netherlands
Rabionet-Janssen R:
Univ Barcelona, Inst Biomed IBUB, Dept Genet Microbiol & Stat, Barcelona, Spain
Inst Recerca St Joan de Deu, Esplugas de Llobregat, Spain
Univ Autonoma Barcelona, Ctr Invest Biomed Red CIBERER, Barcelona, Spain
Jimenez-Conde, J:
Univ Autonoma Barcelona, Inst Hosp Mar Invest Med, Dept Neurol, Neurovasc Res Grp, Barcelona, Spain
Johnson, JA:
Univ Florida, Coll Pharm, Dept Pharmacotherapy & Translat Res, Gainesville, FL USA
Univ Florida, Coll Pharm, Ctr Pharmacogen, Gainesville, FL USA
Univ Florida, Coll Med, Div Cardiovasc Med, Gainesville, FL USA
Kamatani, Y:
Univ Tokyo, Inst Med Sci, Lab Complex Trait Genom, Tokyo, Japan
Kardia, SLR:
Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI USA
Kubo, M:
Univ Tokyo, Inst Med Sci, Grad Sch Frontier Sci, Tokyo, Japan
Univ Tokyo, Inst Med Sci, Dept Canc Biol, Tokyo, Japan
RIKEN Ctr Integrat Med Sci, Dept Canc Biol, Yokohama, Kanagawa, Japan
RIKEN Ctr Integrat Med Sci, Yokohama, Kanagawa, Japan
Lee, JM:
Washington Univ, Sch Med, Dept Neurol, St Louis, MO USA
Lemmens, R:
KU Leuven Univ Leuven, VIB Ctr Brain & Dis Res, Dept Neurosci, Expt Neurol, Leuven, Belgium
Univ Hosp Leuven, Dept Neurol, Leuven, Belgium
Levi, CR:
Hunter Med Res Inst, John Hunter Hosp, Newcastle, NSW, Australia
Li, J:
Geisinger Hlth Syst, Dept Mol & Funct Genom, Danville, PA USA
Li, LM:
Univ Colorado Denver, Dept Med, Anschutz Med Campus, Aurora, CO USA
Peking Univ, Dept Epidemiol & Biostat, Peking Univ Hlth Sci Ctr, Beijing, Peoples R China
Lopez, H:
Univ Maryland, Dept Neurol, Diabet & Nutr, Baltimore, MD 21201 USA
Luke, S:
Mayo Clin, Dept Neurol, Jacksonville, FL USA
Maguire, J:
Univ Technol Sydney, Sch Nursing & Midwifery, Fac Hlth, Sydney, NSW, Australia
McArdle, PF:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
McDonough, CW:
Univ Florida, Coll Pharm, Dept Pharmacotherapy & Translat Res, Gainesville, FL USA
Univ Florida, Coll Pharm, Ctr Pharmacogen, Gainesville, FL USA
Meschia, JF:
Mayo Clin, Dept Neurol, Jacksonville, FL USA
Metso, T:
Helsinki Univ Cent Hosp, Dept Neurol, Helsinki, Finland
Muller-Nurasyid, M:
German Res Ctr Environm Hlth, Helmholtz Zentrum Munchen, Inst Genet Epidemiol, Neuherberg, Germany
O'Connor, TD:
Univ Maryland, Inst Genome Sci, Baltimore, MD 21201 USA
O'Donnell, M:
Natl Univ Ireland, Hlth Res Board Clin Res Facil Geata Eolais, Galway, Ireland
Peddareddygari, LR:
St Francis Med Ctr, Neurosci Inst, Trenton, NJ USA
Perry, JA:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
Peters, A:
Helmholtz Zentrum Munchen German Res Ctr Environm, Inst Epidemiol, Neuherberg, Germany
Ludwig Maximilians Univ Munchen, Inst Med Informat Sci Biometry & Epidemiol, Munich, Germany
Putaala, J:
Helsinki Univ Hosp, Dept Neurol, Helsinki, Finland
Jagiellonian Univ, Dept Neurol, Krakow, Poland
Ray, D:
Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
Rexrode, K:
Harvard Med Sch, Brigham & Womens Hosp, Div Womens Hlth, Boston, MA USA
Ribases, M:
Univ Autonoma Barcelona, Vall dHebron Res Inst VHIR, Grp Psychiat Mental Hlth & Addict, Psychiat Genet Unit, Barcelona, Spain
Inst Salud Carlos III, Biomed Network Res Ctr Mental Hlth CIBERSAM, Madrid, Spain
Univ Barcelona, Fac Biol, Dept Genet Microbiol & Stat, Barcelona, Spain
Rosand, J:
Massachusetts Gen Hosp, McCance Ctr Brain Hlth, Boston, MA USA
MGH, Ctr Genom Med, Boston, MA USA
MGH, Dept Neurol, Boston, MA USA
Broad Inst, Program Med & Populat Genet, Cambridge, MA USA
Rothwell, PM:
Univ Oxford, Nuffield Dept Clin Neurosci, Oxford, England
Rundek, T:
Univ Miami, Miller Sch Med, Dept Neurol, Coral Gables, FL 33124 USA
Univ Miami, Miller Sch Med, Evelin F McKnight Brain Inst, Coral Gables, FL 33124 USA
Ryan, KA:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
Sacco, RL:
Univ Miami, Miller Sch Med, Dept Neurol, Coral Gables, FL 33124 USA
Univ Miami, Miller Sch Med, Evelin F McKnight Brain Inst, Coral Gables, FL 33124 USA
Salomaa, V:
Natl Inst Hlth & Welf, Helsinki, Finland
Sanchez-Mora, C:
Univ Autonoma Barcelona, Vall dHebron Res Inst VHIR, Grp Psychiat Mental Hlth & Addict, Psychiat Genet Unit, Barcelona, Spain
Hosp Univ Vall dHebron, Dept Psychiat, Barcelona, Spain
Schmidt, R:
Med Univ Graz, Dept Neurol, Graz, Austria
Sharma, P:
Royal Holloway Univ London, Inst Cardiovasc Res, London, England
Ashford & St Peters Hosp, Surrey, England
Slowik, A:
Jagiellonian Univ, Dept Neurol, Krakow, Poland
Smith, JA:
Dept Clin Sci, Malmo, Sweden
Smith, NL:
Univ Washington, Grp Hlth Cooperat, Grp Hlth Res Inst, Seattle, WA USA
Univ Washington, Dept Epidemiol, Seattle, WA USA
VA Off Res & Dev, Seattle Epidemiol Res & Informat Ctr, Seattle, WA USA
Wassertheil-Smoller, S:
Albert Einstein Coll Med, Dept Epidemiol & Populat Hlth, New York, NY USA
Soderholm, M:
Dept Clin Sci, Malmo, Sweden
Lund Univ, Dept Clin Sci, Neurol, Lund, Sweden
Strbian, D:
Helsinki Univ Hosp, Dept Neurol, Helsinki, Finland
Sudlow, CLM:
Univ Edinburgh, Usher Inst, Med Informat Ctr, Edinburgh, Midlothian, Scotland
Hlth Data Res UK, BHF Data Sci Ctr, London, England
Tatlisumak, T:
Helsinki Univ Hosp, Dept Neurol, Helsinki, Finland
Sahlgrens Univ Hosp, Reg Vastra Gotaland, Dept Neurol, Gothenburg, Sweden
Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci & Physiol, Dept Clin Neurosci, Gothenburg, Sweden
Terao, C:
RIKEN Ctr Integrat Med Sci, Yokohama, Kanagawa, Japan
Thijs, V:
Univ Melbourne, Florey Inst Neurosci & Mental Hlth, Stroke Theme, Melbourne, Vic, Australia
Austin Hlth, Dept Neurol, Heidelberg, Vic, Australia
Torres-Aguila, NP:
Biomed Res Inst St Pau IIB St Pau, Stroke Pharmacogen & Genet Grp, Barcelona, Spain
Tregouet, DA:
Univ Bordeaux, Inserm Bordeux Populat Hlth Res Ctr, UMR 1219, Bordeaux, France
Tuladhar, AM:
Radboud Univ Nijmegen Med Ctr, Donders Med Ctr Neurosci, Dept Neurol, Nijmegen, Netherlands
Veldink, JH:
Univ Utrecht, Univ Med Ctr Utrecht, Brain Ctr, Dept Neurol, Utrecht, Netherlands
Walters, RG:
Univ Oxford, Nuffield Dept Populat Hlth, MRC Populat Hlth Res Unit, Oxford, England
Weir, DR:
Dept Clin Sci, Malmo, Sweden
Woo, D:
Univ Cincinnati, Coll Med, Dept Neurol & Rehabil Med, Cincinnati, OH 45221 USA
Worrall, BB:
Univ Virginia, Sch Med, Dept Neurol, Charlottesville, VA USA
Univ Virginia, Sch Med, Dept Publ Hlth Sci, Charlottesville, VA USA
Hong, CC:
Univ Maryland, Sch Med, Dept Med, Baltimore, MD USA
Ross, OA:
Mayo Clin, Dept Neurol, Jacksonville, FL USA
Zand, R:
Geisinger Hlth Syst, Dept Mol & Funct Genom, Danville, PA USA
de Leeuw, FE:
Radboud Univ Nijmegen Med Ctr, Donders Med Ctr Neurosci, Dept Neurol, Nijmegen, Netherlands
Lindgren, AG:
Lund Univ, Dept Clin Sci, Neurol, Lund, Sweden
Skane Univ Hosp, Neurol Sect, Lund, Sweden
Pare, G:
McMaster Univ, DBCVS Res Inst, Dept Pathol & Mol Med, Populat Hlth Res Inst, Hamilton, ON, Canada
Thrombosis & Atherosclerosis Res Inst TaARI, Hamilton, ON, Canada
Anderson, CD:
Harvard Med Sch, Brigham & Womens Hosp, Dept Med, Boston, MA USA
Harvard Med Sch, Brigham & Womens Hosp, Dept Neurol, Boston, MA USA
Massachusetts Gen Hosp, McCance Ctr Brain Hlth, Boston, MA USA
Broad Inst MIT & Harvard, Program Med & Populat Genet, Cambridge, MA USA
Markus, HS:
Univ Cambridge, Stroke Res Grp, Cambridge, England
Jern, C:
Univ Gothenburg, Sahlgrenska Acad, Inst Biomed, Dept Lab Med, Gothenburg, Sweden
Sahlgrens Univ Hosp, Reg Vastra Gotaland, Dept Clin Genet & Genom, Gothenburg, Sweden
Malik, R:
Ludwig Maximilians Univ Munchen, Univ Hosp, Inst Stroke & Dementia Res ISD, Munich, Germany
Dichgans, M:
Ludwig Maximilians Univ Munchen, Univ Hosp, Inst Stroke & Dementia Res ISD, Munich, Germany
Munich Cluster Syst Neurol SyNergy, Munich, Germany
German Ctr Neurodegenerat Dis DZNE, Munich, Germany
Mitchell, BD:
Univ Maryland, Sch Med, Div Endocrinol, Baltimore, MD 21201 USA
Vet Adm Med Ctr, Geriatr Res & Educ Clin Ctr, Baltimore, MD USA
Kittner, SJ:
Univ Maryland, Dept Neurol, Diabet & Nutr, Baltimore, MD 21201 USA
Vet Adm Med Ctr, Geriatr Res & Educ Clin Ctr, Baltimore, MD USA
Univ Helsinki, Helsinki, Finland.
Hunter Med Res Inst, Newcastle, NSW, Australia.
Ohio State Univ, Ctr Clin & Translat Sci, Columbus, OH USA.
Univ Newcastle, Newcastle, NSW, Australia.
Univ Newcastle, Prior Res Ctr Stroke & Brain Injury, Newcastle, NSW, Australia.
Johannes Gutenberg Univ Mainz, Univ Med Ctr, Inst Med Biostat Epidemiol & Informat IMBEI, Mainz, Germany.
Ludwig Maximilians Univ Munchen, Dept Med 1, Munich, Germany.
Green Submitted, Green Accepted, Bronze
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