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Klarin D, Verma SS, Judy R, Dikilitas O, Wolford BN, Paranjpe I, Levin MG, Pan C, Tcheandjieu C, Spin JM, Lynch J, Assimes TL, Åldstedt Nyrønning L, Mattsson E, Edwards TL, Denny J, Larson E, Lee MTM, Carrell D, Zhang Y, Jarvik GP, Gharavi AG, Harley J, Mentch F, Pacheco JA, Hakonarson H, Skogholt AH, Thomas L, Gabrielsen ME, Hveem K, Nielsen JB, Zhou W, Fritsche L, Huang J, Natarajan P, Sun YV, DuVall SL, Rader DJ, Cho K, Chang KM, Wilson PWF, O'Donnell CJ, Kathiresan S, Scali ST, Berceli SA, Willer C, Jones GT, Bown MJ, Nadkarni G, Kullo IJ, Ritchie M, Damrauer SM, Tsao PS. Genetic Architecture of Abdominal Aortic Aneurysm in the Million Veteran Program. Circulation 2020; 142:1633-1646. [PMID: 32981348 PMCID: PMC7580856 DOI: 10.1161/circulationaha.120.047544] [Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Supplemental Digital Content is available in the text. Abdominal aortic aneurysm (AAA) is an important cause of cardiovascular mortality; however, its genetic determinants remain incompletely defined. In total, 10 previously identified risk loci explain a small fraction of AAA heritability.
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Affiliation(s)
- Derek Klarin
- Malcolm Randall VA Medical Center, Gainesville, FL (D.K., S.T.S., S.A.B.).,Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville (D.K., S.T.S., S.A.B.).,Center for Genomic Medicine (D.K., W.Z., P.N.), Massachusetts General Hospital, Harvard Medical School, Boston.,Program in Medical and Population Genetics (D.K.), Broad Institute of MIT and Harvard, Cambridge, MA
| | - Shefali Setia Verma
- Department of Genetics (S.S.V., M.R.), Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | - Renae Judy
- Department of Surgery (R.J., S.M.D.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.,Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA (R.J., M.G.L., K.-M.C., S.M.D.)
| | - Ozan Dikilitas
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (O.D., I.J.K.)
| | - Brooke N Wolford
- Department of Computational Medicine and Bioinformatics (B.N.W., C.W.), University of Michigan Medical School, Ann Arbor
| | - Ishan Paranjpe
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY (I.P., G.N.)
| | - Michael G Levin
- Division of Cardiovascular Medicine (M.G.L.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.,Department of Medicine (M.G.L., D.J.R., K.-M.C.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.,Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA (R.J., M.G.L., K.-M.C., S.M.D.)
| | - Cuiping Pan
- Palo Alto Epidemiology Research and Information Center for Genomics (C.P.), CA
| | - Catherine Tcheandjieu
- VA Palo Alto Health Care System (C.T., J.M.S., T.L.A., P.S.T.), CA.,Division of Cardiovascular Medicine, Department of Medicine (C.T., J.M.S., T.L.A., P.S.T.), Stanford University School of Medicine, CA.,Department of Pediatric Cardiology (C.T.), Stanford University School of Medicine, CA
| | - Joshua M Spin
- VA Palo Alto Health Care System (C.T., J.M.S., T.L.A., P.S.T.), CA.,Division of Cardiovascular Medicine, Department of Medicine (C.T., J.M.S., T.L.A., P.S.T.), Stanford University School of Medicine, CA
| | - Julie Lynch
- Edith Nourse VA Medical Center, Bedford, MA (J.L.).,VA Informatics and Computing Infrastructure, VA Salt Lake City Health Care System, UT (J.L., S.L.D.)
| | - Themistocles L Assimes
- VA Palo Alto Health Care System (C.T., J.M.S., T.L.A., P.S.T.), CA.,Division of Cardiovascular Medicine, Department of Medicine (C.T., J.M.S., T.L.A., P.S.T.), Stanford University School of Medicine, CA
| | - Linn Åldstedt Nyrønning
- Department of Vascular Surgery, St. Olavs Hospital, Trondheim, Norway (L.Å.N., E.M.).,Department of Circulation and Medical Imaging (L.Å.N., E.M.), Norwegian University of Science and Technology, Trondheim, Norway
| | - Erney Mattsson
- Department of Vascular Surgery, St. Olavs Hospital, Trondheim, Norway (L.Å.N., E.M.).,Department of Circulation and Medical Imaging (L.Å.N., E.M.), Norwegian University of Science and Technology, Trondheim, Norway
| | - Todd L Edwards
- Division of Epidemiology, Department of Medicine, Vanderbilt-Ingram Cancer Center (T.L.E.), Vanderbilt University Medical Center, Nashville, TN.,Vanderbilt Genetics Institute (T.L.E., J.D.), Vanderbilt University Medical Center, Nashville, TN
| | - Josh Denny
- Vanderbilt Genetics Institute (T.L.E., J.D.), Vanderbilt University Medical Center, Nashville, TN.,Department of Biomedical Informatics (J.D., E.L., D.C.), Vanderbilt University Medical Center, Nashville, TN.,Kaiser Permanente Washington Health Research Institute, Seattle (J.D., E.L., D.C.)
| | - Eric Larson
- Department of Biomedical Informatics (J.D., E.L., D.C.), Vanderbilt University Medical Center, Nashville, TN.,Kaiser Permanente Washington Health Research Institute, Seattle (J.D., E.L., D.C.).,Departments of Medicine and Health Services (E.L.), University of Washington, Seattle
| | - Ming Ta Michael Lee
- Genomic Medicine Institute, Geisinger Health System, Danville, PA (M.T.M.L., Y.Z.)
| | - David Carrell
- Department of Biomedical Informatics (J.D., E.L., D.C.), Vanderbilt University Medical Center, Nashville, TN.,Kaiser Permanente Washington Health Research Institute, Seattle (J.D., E.L., D.C.)
| | - Yanfei Zhang
- Genomic Medicine Institute, Geisinger Health System, Danville, PA (M.T.M.L., Y.Z.)
| | - Gail P Jarvik
- Division of Medical Genetics, Departments of Medicine and Genome Sciences (G.P.J.), University of Washington, Seattle
| | - Ali G Gharavi
- Division of Nephrology and Center for Precision Medicine and Genomics, Columbia University, New York, NY (A.G.G.)
| | - John Harley
- Center for Autoimmune Genomics and Etiology (CAGE), Cincinnati Children's Hospital Medical Center, OH (J.H.).,Department of Pediatrics, University of Cincinnati College of Medicine, OH (J.H.).,US Department of Veterans Affairs, Cincinnati, OH (J.H.)
| | - Frank Mentch
- Center for Applied Genomics, The Children's Hospital of Philadelphia, PA (F.M., H.H.)
| | - Jennifer A Pacheco
- Center for Genetic Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (J.A.P.)
| | - Hakon Hakonarson
- Department of Pediatrics (H.H.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.,Center for Applied Genomics, The Children's Hospital of Philadelphia, PA (F.M., H.H.)
| | - Anne Heidi Skogholt
- Faculty of Medicine and Health Sciences (A.H.S., L.T., M.E.G., K.H., J.B.N.), Norwegian University of Science and Technology, Trondheim, Norway
| | - Laurent Thomas
- Faculty of Medicine and Health Sciences (A.H.S., L.T., M.E.G., K.H., J.B.N.), Norwegian University of Science and Technology, Trondheim, Norway.,Department of Clinical and Molecular Medicine (L.T.), Norwegian University of Science and Technology, Trondheim, Norway
| | - Maiken Elvestad Gabrielsen
- Faculty of Medicine and Health Sciences (A.H.S., L.T., M.E.G., K.H., J.B.N.), Norwegian University of Science and Technology, Trondheim, Norway
| | - Kristian Hveem
- Faculty of Medicine and Health Sciences (A.H.S., L.T., M.E.G., K.H., J.B.N.), Norwegian University of Science and Technology, Trondheim, Norway
| | - Jonas Bille Nielsen
- Faculty of Medicine and Health Sciences (A.H.S., L.T., M.E.G., K.H., J.B.N.), Norwegian University of Science and Technology, Trondheim, Norway.,K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Department of Epidemiology Research, Statens Serum Institute, Copenhagen, Denmark (J.B.N.)
| | - Wei Zhou
- Center for Genomic Medicine (D.K., W.Z., P.N.), Massachusetts General Hospital, Harvard Medical School, Boston.,Stanley Center for Psychiatric Research (W.Z.), Broad Institute of MIT and Harvard, Cambridge, MA.,Analytic and Translational Genetics Unit (W.Z.), Massachusetts General Hospital, Boston
| | - Lars Fritsche
- Department of Biostatistics (L.F.), University of Michigan Medical School, Ann Arbor
| | - Jie Huang
- Boston VA Healthcare System, MA (J.H., P.N., K.C., C.J.O.)
| | - Pradeep Natarajan
- Center for Genomic Medicine (D.K., W.Z., P.N.), Massachusetts General Hospital, Harvard Medical School, Boston.,Department of Medicine (P.N.), Massachusetts General Hospital, Harvard Medical School, Boston.,Cardiovascular Research Center (P.N.), Massachusetts General Hospital, Boston.,Boston VA Healthcare System, MA (J.H., P.N., K.C., C.J.O.)
| | - Yan V Sun
- Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA (Y.V.S.).,Atlanta VA Health Care System, Decatur, GA (Y.V.S., P.W.F.W.)
| | - Scott L DuVall
- VA Informatics and Computing Infrastructure, VA Salt Lake City Health Care System, UT (J.L., S.L.D.).,Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City (S.L.D.)
| | - Daniel J Rader
- Department of Medicine (M.G.L., D.J.R., K.-M.C.), Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | - Kelly Cho
- Boston VA Healthcare System, MA (J.H., P.N., K.C., C.J.O.)
| | - Kyong-Mi Chang
- Department of Medicine (M.G.L., D.J.R., K.-M.C.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.,Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA (R.J., M.G.L., K.-M.C., S.M.D.)
| | - Peter W F Wilson
- Atlanta VA Health Care System, Decatur, GA (Y.V.S., P.W.F.W.).,Emory Clinical Cardiovascular Research Institute, Atlanta, GA (P.W.F.W.)
| | - Christopher J O'Donnell
- Boston VA Healthcare System, MA (J.H., P.N., K.C., C.J.O.).,Cardiovascular Medicine Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA (C.J.O.)
| | | | - Salvatore T Scali
- Malcolm Randall VA Medical Center, Gainesville, FL (D.K., S.T.S., S.A.B.).,Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville (D.K., S.T.S., S.A.B.)
| | - Scott A Berceli
- Malcolm Randall VA Medical Center, Gainesville, FL (D.K., S.T.S., S.A.B.).,Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville (D.K., S.T.S., S.A.B.)
| | - Cristen Willer
- Department of Computational Medicine and Bioinformatics (B.N.W., C.W.), University of Michigan Medical School, Ann Arbor.,Department of Internal Medicine, Division of Cardiology (C.W.), University of Michigan Medical School, Ann Arbor.,Department of Human Genetics (C.W.), University of Michigan Medical School, Ann Arbor
| | - Gregory T Jones
- Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, New Zealand (G.T.J.)
| | - Matthew J Bown
- Department of Cardiovascular Sciences and NIHR Leicester Biomedical Research Centre, University of Leicester, United Kingdom (M.J.B.)
| | - Girish Nadkarni
- Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY (I.P., G.N.)
| | - Iftikhar J Kullo
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN (O.D., I.J.K.)
| | - Marylyn Ritchie
- Department of Genetics (S.S.V., M.R.), Perelman School of Medicine, University of Pennsylvania, Philadelphia
| | - Scott M Damrauer
- Department of Surgery (R.J., S.M.D.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.,Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA (R.J., M.G.L., K.-M.C., S.M.D.)
| | - Philip S Tsao
- VA Palo Alto Health Care System (C.T., J.M.S., T.L.A., P.S.T.), CA.,Division of Cardiovascular Medicine, Department of Medicine (C.T., J.M.S., T.L.A., P.S.T.), Stanford University School of Medicine, CA
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