Genetic investigation of fibromuscular dysplasia identifies risk loci and shared genetics with common cardiovascular diseases.

Adrien Georges, Min-Lee Yang, Takiy-Eddine Berrandou, Mark K Bakker, Ozan Dikilitas, Soto Romuald Kiando, Lijiang Ma, Benjamin A Satterfield, Sebanti Sengupta, Mengyao Yu, Jean-François Deleuze, Delia Dupré, Kristina L Hunker, Sergiy Kyryachenko, Lu Liu, Ines Sayoud-Sadeg, Laurence Amar, Chad M Brummett, Dawn M Coleman, Valentina d'Escamard, Peter de Leeuw, Natalia Fendrikova-Mahlay, Daniella Kadian-Dodov, Jun Z Li, Aurélien Lorthioir, Marco Pappaccogli, Aleksander Prejbisz, Witold Smigielski, James C Stanley, Matthew Zawistowski, Xiang Zhou, Sebastian Zöllner, Philippe Amouyel, Marc L De Buyzere, Stéphanie Debette, Piotr Dobrowolski, Wojciech Drygas, Heather L Gornik, Jeffrey W Olin, Jerzy Piwonski, Ernst R Rietzschel, Ynte M Ruigrok, Miikka Vikkula, Ewa Warchol Celinska, Andrzej Januszewicz, Iftikhar J Kullo, Michel Azizi, Xavier Jeunemaitre, Alexandre Persu, Jason C Kovacic, Santhi K Ganesh, Nabila Bouatia-Naji

Journal: Nature communications 2021;12(1):6031

PMID: 34654805

Abstract

Fibromuscular dysplasia (FMD) is an arteriopathy associated with hypertension, stroke and myocardial infarction, affecting mostly women. We report results from the first genome-wide association meta-analysis of six studies including 1556 FMD cases and 7100 controls. We find an estimate of SNP-based heritability compatible with FMD having a polygenic basis, and report four robustly associated loci (PHACTR1, LRP1, ATP2B1, and LIMA1). Transcriptome-wide association analysis in arteries identifies one additional locus (SLC24A3). We characterize open chromatin in arterial primary cells and find that FMD associated variants are located in arterial-specific regulatory elements. Target genes are broadly involved in mechanisms related to actin cytoskeleton and intracellular calcium homeostasis, central to vascular contraction. We find significant genetic overlap between FMD and more common cardiovascular diseases and traits including blood pressure, migraine, intracranial aneurysm, and coronary artery disease.

© 2021. The Author(s).

Address: PARCC, INSERM, Université de Paris, F-750015, Paris, France.; Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.; Department of Human Genetics, University of Michigan Medical School, Ann Arbor, MI, USA.; Department of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht University, Utrecht, The Netherlands.; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, 55902, USA.; Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.; Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.; Centre National de Recherche en Génomique Humaine, Institut de Génomique, CEA and Fondation Jean Dausset-CEPH, Evry, France.; PARCC, INSERM, Université de Paris, F-750015, Paris, France.; Hypertension Unit, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, F-75015, Paris, France.; Department of Anesthesiology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.; Vascular Surgery Section, Department of Surgery, Michigan Medicine, University of Michigan, Ann Arbor, MI, 48109, USA.; Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.; Department of Internal Medicine, Division of General Internal Medicine, Section Vascular Medicine, Maastricht University Medical Centre, Maastricht University, Maastricht, the Netherlands.; CARIM School for Cardiovascular Diseases, Maastricht University Medical Centre, Maastricht University, Maastricht, the Netherlands.; Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.; Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R, Kravis Center for Cardiovascular Health Icahn School of Medicine at Mount Sinai, New York, NY, USA.; Department of Human Genetics, University of Michigan Medical School, Ann Arbor, MI, USA.; Division of Cardiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 1200, Brussels, Belgium.; Division of Internal Medicine and Hypertension Unit, Department of Medical Sciences, University of Turin, Turin, Italy.; Department of Hypertension, National Institute of Cardiology, Warsaw, Poland.; Department of Demography, University of Lodz, Lodz, Poland.; Department of Biostatistics and Center for Statistical Genetics, University of Michigan School of Public Health, Ann Arbor, MI, USA.; Univ. Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1167 - RID-AGE - Labex DISTALZ - Risk factors and molecular determinants of aging-related disease, F-59000, Lille, France.; Department of Cardiovascular Diseases, Ghent University and Ghent University Hospital, Ghent, Belgium.; Department of Neurology, Bordeaux University Hospital, Inserm U1219, Bordeaux, France.; Department of Epidemiology, Cardiovascular Disease Prevention, and Health Promotion, National Institute of Cardiology, Warsaw, Poland.; Human Molecular Genetics, de Duve Institute, Université Catholique de Louvain, 1200, Brussels, Belgium.; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, 55902, USA.; Gonda Vascular Center, Mayo Clinic, Rochester, MN, 55902, USA.; Hypertension Unit, Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, F-75015, Paris, France.; Université de Paris, Inserm, Centre d'Investigation Clinique 1418, F-75006, Paris, France.; PARCC, INSERM, Université de Paris, F-750015, Paris, France.; Department of Genetics, Assistance-Publiques-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, F-75015, Paris, France.; Division of Cardiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, 1200, Brussels, Belgium.; Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, 1200, Brussels, Belgium.; Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R, Kravis Center for Cardiovascular Health Icahn School of Medicine at Mount Sinai, New York, NY, USA.; Victor Chang Cardiac Research Institute, Darlinghurst, NSW, Australia.; St. Vincent's Clinical School, University of New South Wales, Sydney, NSW, Australia.; Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA. [email protected].; Department of Human Genetics, University of Michigan Medical School, Ann Arbor, MI, USA. [email protected].; PARCC, INSERM, Université de Paris, F-750015, Paris, France. [email protected].
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