Genetic predisposition to hypertension is associated with preeclampsia in European and Central Asian women.

Steinthorsdottir, ValgerdurORCID logo; McGinnis, RalphORCID logo; Williams, Nicholas OORCID logo; Stefansdottir, Lilja; Thorleifsson, Gudmar; Shooter, Scott; Fadista, João; Sigurdsson, Jon K; Auro, Kirsi M; Berezina, GalinaORCID logo; +67 more...Borges, Maria-Carolina; Bumpstead, Suzannah; Bybjerg-Grauholm, JonasORCID logo; Colgiu, Irina; Dolby, Vivien A; Dudbridge, FrankORCID logo; Engel, Stephanie M; Franklin, Christopher SORCID logo; Frigge, Michael L; Frisbaek, Yr; Geirsson, Reynir T; Geller, FrankORCID logo; Gretarsdottir, Solveig; Gudbjartsson, Daniel FORCID logo; Harmon, Quaker; Hougaard, David MichaelORCID logo; Hegay, Tatyana; Helgadottir, AnnaORCID logo; Hjartardottir, Sigrun; Jääskeläinen, TiinaORCID logo; Johannsdottir, Hrefna; Jonsdottir, IngileifORCID logo; Juliusdottir, Thorhildur; Kalsheker, Noor; Kasimov, Abdumadjit; Kemp, John PORCID logo; Kivinen, KatjaORCID logo; Klungsøyr, Kari; Lee, Wai K; Melbye, MadsORCID logo; Miedzybrodska, Zosia; Moffett, AshleyORCID logo; Najmutdinova, Dilbar; Nishanova, Firuza; Olafsdottir, Thorunn; Perola, Markus; Pipkin, Fiona BroughtonORCID logo; Poston, Lucilla; Prescott, GordonORCID logo; Saevarsdottir, SaedisORCID logo; Salimbayeva, Damilya; Scaife, Paula Juliet; Skotte, LineORCID logo; Staines-Urias, Eleonora; Stefansson, Olafur AORCID logo; Sørensen, Karina Meden; Thomsen, Liv Cecilie Vestrheim; Tragante, Vinicius; Trogstad, Lill; Simpson, Nigel ABORCID logo; FINNPEC Consortium; GOPEC Consortium; Aripova, Tamara; Casas, Juan P; Dominiczak, Anna FORCID logo; Walker, James JORCID logo; Thorsteinsdottir, Unnur; Iversen, Ann-CharlotteORCID logo; Feenstra, BjarkeORCID logo; Lawlor, Deborah AORCID logo; Boyd, Heather AllisonORCID logo; Magnus, Per; Laivuori, HanneleORCID logo; Zakhidova, Nodira; Svyatova, GulnaraORCID logo; Stefansson, KariORCID logo; and Morgan, LindaORCID logo FINNPEC Consortium, GOPEC Consortium; (2020) Genetic predisposition to hypertension is associated with preeclampsia in European and Central Asian women. Nature communications, 11 (1). 5976-. ISSN 2041-1723 DOI: 10.1038/s41467-020-19733-6
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Preeclampsia is a serious complication of pregnancy, affecting both maternal and fetal health. In genome-wide association meta-analysis of European and Central Asian mothers, we identify sequence variants that associate with preeclampsia in the maternal genome at ZNF831/20q13 and FTO/16q12. These are previously established variants for blood pressure (BP) and the FTO variant has also been associated with body mass index (BMI). Further analysis of BP variants establishes that variants at MECOM/3q26, FGF5/4q21 and SH2B3/12q24 also associate with preeclampsia through the maternal genome. We further show that a polygenic risk score for hypertension associates with preeclampsia. However, comparison with gestational hypertension indicates that additional factors modify the risk of preeclampsia.


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