Key result
Genetic analyses identified 345 unique genomic loci jointly associated with neuroticism and coronary artery disease or cardiovascular risk factors, indicating substantial polygenic overlap.
Why the study?
Neuroticism is associated with poor health, CVD risk factors, and CAD, prompting investigation into their shared genetic architecture.
Observational (n=432,109)
Yes
There is significant polygenic overlap between neuroticism, coronary artery disease, and cardiovascular risk factors, suggesting a shared molecular genetic basis for their comorbidity.
Supports genetic overlap between neuroticism and CAD; hypothesis-generating without immediate clinical implications.
Neuroticism is associated with poor health, cardiovascular disease (CVD) risk factors and coronary artery disease (CAD). The conditional/conjunctional false discovery rate method (cond/conjFDR) was applied to genome wide association study (GWAS) summary statistics on neuroticism (n = 432,109), CAD (n = 184,305) and 12 CVD risk factors (n = 188,577-339,224) to investigate genetic overlap between neuroticism and CAD and CVD risk factors. CondFDR analyses identified 729 genomic loci associated with neuroticism after conditioning on CAD and CVD risk factors. The conjFDR analyses revealed 345 loci jointly associated with neuroticism and CAD (n = 30), body mass index (BMI) (n = 96) or another CVD risk factor (n = 1-60). Several loci were jointly associated with neuroticism and multiple CVD risk factors. Seventeen of the shared loci with CAD and 61 of the shared loci with BMI are novel for neuroticism. 21 of 30 (70%) neuroticism risk alleles were associated with higher CAD risk. Functional analyses of the genes mapped to the shared loci implicated cell division, nuclear receptor, elastic fiber formation as well as starch and sucrose metabolism pathways. Our results indicate polygenic overlap between neuroticism and CAD and CVD risk factors, suggesting that genetic factors may partly cause the comorbidity. This gives new insight into the shared molecular genetic basis of these conditions.
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Torgersen et al. (2021) conducted an observational in Neuroticism, Coronary Artery Disease, and Cardiovascular Risk Factors (n=432,109). Genetic variants associated with neuroticism vs. Unexposed/reference alleles was evaluated on Shared genetic loci between neuroticism and CAD/CVD risk factors. Genetic analyses identified 345 unique genomic loci jointly associated with neuroticism and coronary artery disease or cardiovascular risk factors, indicating substantial polygenic overlap.
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