Key result
Genetic variants in NOS3, COL4A1, and DYRK1A linked to ~5% higher stroke risk.
Why the study?
Genetic loci associated with stroke risk require further identification and validation across diverse populations.
Are specific genetic variants in NOS3, COL4A1, and DYRK1A associated with an increased risk of stroke?
Meta-Analysis (n=896,016)
Yes
Are specific genetic variants in NOS3, COL4A1, and DYRK1A associated with an increased risk of stroke?
Odds Ratio: 1.05 (95% CI 1.04–1.07)
p-value: p=2.2E-8
Identifies three novel genetic loci associated with stroke risk, implicating the nitric oxide synthase pathway and its effect on blood pressure.
May refine polygenic stroke risk models; leaves open causal validation and therapeutic translation.
We conducted a European-only and transancestral genome-wide association meta-analysis in 72,147 stroke patients and 823,869 controls using data from UK Biobank (UKB) and the MEGASTROKE consortium. We identified an exonic polymorphism in NOS3 (rs1799983, p.Glu298Asp; p = 2.2E-8, odds ratio [OR] = 1.05, 95% confidence interval [CI] = 1.04-1.07) and variants in an intron of COL4A1 (rs9521634; p = 3.8E-8, OR = 1.04, 95% CI = 1.03-1.06) and near DYRK1A (rs720470; p = 6.1E-9, OR = 1.05, 95% CI = 1.03-1.07) at genome-wide significance for stroke. Effect sizes of known stroke loci were highly correlated between UKB and MEGASTROKE. Using Mendelian randomization, we further show that genetic variation in the nitric oxide synthase-nitric oxide pathway in part affects stroke risk via variation in blood pressure. Ann Neurol 2018;84:934-939.
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Malik et al. (2018) conducted a meta-analysis in stroke (n=896,016). Genetic variants in NOS3, COL4A1, and DYRK1A vs. Controls was evaluated on stroke (OR 1.05, 95% CI 1.04-1.07, p=2.2E-8). Genetic variants in NOS3 (OR 1.05; 95% CI 1.04-1.07), COL4A1, and DYRK1A were identified as novel loci associated with stroke at genome-wide significance.
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