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  • 1
    In: Nature Genetics, Springer Science and Business Media LLC, Vol. 55, No. 7 ( 2023-07), p. 1106-1115
    Abstract: The current understanding of the genetic determinants of thoracic aortic aneurysms and dissections (TAAD) has largely been informed through studies of rare, Mendelian forms of disease. Here, we conducted a genome-wide association study (GWAS) of TAAD, testing ~25 million DNA sequence variants in 8,626 participants with and 453,043 participants without TAAD in the Million Veteran Program, with replication in an independent sample of 4,459 individuals with and 512,463 without TAAD from six cohorts. We identified 21 TAAD risk loci, 17 of which have not been previously reported. We leverage multiple downstream analytic methods to identify causal TAAD risk genes and cell types and provide human genetic evidence that TAAD is a non-atherosclerotic aortic disorder distinct from other forms of vascular disease. Our results demonstrate that the genetic architecture of TAAD mirrors that of other complex traits and that it is not solely inherited through protein-altering variants of large effect size.
    Type of Medium: Online Resource
    ISSN: 1061-4036 , 1546-1718
    RVK:
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1494946-5
    SSG: 12
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  • 2
    In: Arteriosclerosis, Thrombosis, and Vascular Biology, Ovid Technologies (Wolters Kluwer Health), Vol. 43, No. Suppl_1 ( 2023-05)
    Abstract: Aneurysmal diseases of the aorta are among the most morbid cardiovascular diseases without effective medical therapies. Many genetic and environmental factors have been linked to thoracic and abdominal aortic aneurysmal disease; however, there is little data identifying shared and distinct genetic factors underlying aortic aneurysmal disease. In both diseases, degeneration of the medial smooth muscle layer leads to dilation of the vessel and predisposition to and rupture. Whether there are common and distinct genetic factors that function within the vasculature to predispose to aortic aneurysms is unknown. We utilized structural equation modeling to identify a common genetic signature associated with cardiovascular diseases and traits including: abdominal aortic aneurysms (AAA), thoracic aortic aneurysms (TAA), thoracic aortic diameter, peripheral arterial disease (PAD), and coronary artery disease (CAD) as a means to identify novel targets to study. We identified that AAA displays a positive genetic correlation with TAA as well as CAD and PAD. We then constructed a structural equation model that contained four novel factors: 1. Atherosclerotic factor, 2. Aneurysmal factor, 3. AAA-specific factor, 4. Aortic dimension factor. We identified that the atherosclerotic factor explained a large amount of genetic variance in CAD and PAD as well as a modest amount of variance in AAA. GWAS of the ‘atherosclerotic factor’ identified loci implicated in lipid homeostasis and inflammation. The ‘aneurysmal factor’ explained a large amount of genetic variance in TAA and aortic dimension as well as a modest amount in AAA. Notably GWAS for the ‘aneurysmal factor’ identified loci enriched in ECM components and smooth muscle contractile genes. Finally, we identified a factor explained the ‘residual’ genetic heritability underlying AAA. GWAS for this ‘residual factor’ identified a smaller number of hits enriched in matrix metalloprotease biology. Taken together, this study has highlighted the shared and distinct hereditability underlying aortic aneurysmal phenotypes and highlights a novel strategy for prioritizing loci for future study.
    Type of Medium: Online Resource
    ISSN: 1079-5642 , 1524-4636
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 1494427-3
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