Biobank-driven genomic discovery yields new insight into atrial fibrillation biology.

Biobank-driven genomic discovery yields new insight into atrial fibrillation biology.
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DOI:
10.1038/s41588-018-0171-3
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发表时间:
2018-09
期刊:
影响因子:
30.8
通讯作者:
Willer CJ
Willer CJ
中科院分区:
生物学1区
文献类型:
--
作者:
Nielsen JB;Thorolfsdottir RB;Fritsche LG;Zhou W;Skov MW;Graham SE;Herron TJ;McCarthy S;Schmidt EM;Sveinbjornsson G;Surakka I;Mathis MR;Yamazaki M;Crawford RD;Gabrielsen ME;Skogholt AH;Holmen OL;Lin M;Wolford BN;Dey R;Dalen H;Sulem P;Chung JH;Backman JD;Arnar DO;Thorsteinsdottir U;Baras A;O'Dushlaine C;Holst AG;Wen X;Hornsby W;Dewey FE;Boehnke M;Kheterpal S;Mukherjee B;Lee S;Kang HM;Holm H;Kitzman J;Shavit JA;Jalife J;Brummett CM;Teslovich TM;Carey DJ;Gudbjartsson DF;Stefansson K;Abecasis GR;Hveem K;Willer CJ

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To identify genetic variation underlying atrial fibrillation, the most common cardiac arrhythmia, we performed a genome-wide association study of > 1,000,000 people, including 60,620 atrial fibrillation cases and 970,216 controls. We identified 142 independent risk variants at 111 loci and prioritized 151 functional candidate genes likely to be involved in atrial fibrillation. Many of the identified risk variants fall near genes where more deleterious mutations have been reported to cause serious heart defects in humans (GATA4, MYH6, NKX2–5, PITX2, TBX5), or near genes important for striated muscle function and integrity (for example, CFL2 MYH7, PKP2, RBM20, SGCG, SSPN). Pathway and functional enrichment analyses also suggested that many of the putative atrial fibrillation genes act via cardiac structural remodeling, potentially in the form of an ‘atrial cardiomyopathy’, either during fetal heart development or as a response to stress in the adult heart.
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