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

Steinthorsdottir, VORCID logo; McGinnis, RORCID logo; Williams, NOORCID logo; Stefansdottir, L; Thorleifsson, G; Shooter, S; Fadista, J; Sigurdsson, JK; Auro, KM; Berezina, GORCID logo; +67 more...Borges, M; Bumpstead, S; Bybjerg-Grauholm, JORCID logo; Colgiu, I; Dolby, VA; Dudbridge, FORCID logo; Engel, SM; Franklin, CSORCID logo; Frigge, ML; Frisbaek, Y; Geirsson, RT; Geller, FORCID logo; Gretarsdottir, S; Gudbjartsson, DFORCID logo; Harmon, Q; Hougaard, DMORCID logo; Hegay, T; Helgadottir, AORCID logo; Hjartardottir, S; Jääskeläinen, TORCID logo; Johannsdottir, H; Jonsdottir, IORCID logo; Juliusdottir, T; Kalsheker, N; Kasimov, A; Kemp, JPORCID logo; Kivinen, KORCID logo; Klungsøyr, K; Lee, WK; Melbye, MORCID logo; Miedzybrodska, Z; Moffett, AORCID logo; Najmutdinova, D; Nishanova, F; Olafsdottir, T; Perola, M; Pipkin, FBORCID logo; Poston, L; Prescott, GORCID logo; Saevarsdottir, SORCID logo; Salimbayeva, D; Scaife, PJ; Skotte, LORCID logo; Staines-Urias, E; Stefansson, OAORCID logo; Sørensen, KM; Thomsen, LCV; Tragante, V; Trogstad, L; Simpson, NAORCID logo; FINNPEC Consortium; GOPEC Consortium; Aripova, T; Casas, JP; Dominiczak, AFORCID logo; Walker, JJORCID logo; Thorsteinsdottir, U; Iversen, AORCID logo; Feenstra, BORCID logo; Lawlor, DAORCID logo; Boyd, HAORCID logo; Magnus, P; Laivuori, HORCID logo; Zakhidova, N; Svyatova, GORCID logo; Stefansson, KORCID logo; Morgan, LORCID logo and 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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