@article{57d9212a0d4440d5b3f11974cfbf726b,
title = "Genome-wide association and Mendelian randomisation analysis provide insights into the pathogenesis of heart failure",
abstract = "Heart failure (HF) is a leading cause of morbidity and mortality worldwide. A small proportion of HF cases are attributable to monogenic cardiomyopathies and existing genome-wide association studies (GWAS) have yielded only limited insights, leaving the observed heritability of HF largely unexplained. We report results from a GWAS meta-analysis of HF comprising 47,309 cases and 930,014 controls. Twelve independent variants at 11 genomic loci are associated with HF, all of which demonstrate one or more associations with coronary artery disease (CAD), atrial fibrillation, or reduced left ventricular function, suggesting shared genetic aetiology. Functional analysis of non-CAD-associated loci implicate genes involved in cardiac development (MYOZ1, SYNPO2L), protein homoeostasis (BAG3), and cellular senescence (CDKN1A). Mendelian randomisation analysis supports causal roles for several HF risk factors, and demonstrates CAD-independent effects for atrial fibrillation, body mass index, and hypertension. These findings extend our knowledge of the pathways underlying HF and may inform new therapeutic strategies.",
keywords = "RISK, EPIDEMIOLOGY, METAANALYSIS, DISEASE, LOCI, HYPERTENSION, IMPUTATION, RESOURCE, CATALOG, OBESITY",
author = "{Regeneron Genetics Ctr} and Sonia Shah and Albert Henry and Carolina Roselli and Honghuang Lin and Gardar Sveinbjornsson and Ghazaleh Fatemifar and Hedman, {Asa K.} and Wilk, {Jemma B.} and Morley, {Michael P.} and Chaffin, {Mark D.} and Anna Helgadottir and Niek Verweij and Abbas Dehghan and Peter Almgren and Charlotte Andersson and Aragam, {Krishna G.} and Johan Arnlov and Backman, {Joshua D.} and Biggs, {Mary L.} and Bloom, {Heather L.} and Jeffrey Brandimarto and Brown, {Michael R.} and Leonard Buckbinder and Carey, {David J.} and Chasman, {Daniel I.} and Xing Chen and Xu Chen and Jonathan Chung and William Chutkow and Cook, {James P.} and Delgado, {Graciela E.} and Spiros Denaxas and Doney, {Alexander S.} and Marcus Doerr and Dudley, {Samuel C.} and Dunn, {Michael E.} and Gunnar Engstrom and Tonu Esko and Felix, {Stephan B.} and Chris Finan and Ian Ford and Mohsen Ghanbari and Sahar Ghasemi and Vilmantas Giedraitis and Franco Giulianini and Gottdiener, {John S.} and {van der Harst}, Pim and Voors, {Adriaan A.} and Zhao, {Jing Hua} and Asselbergs, {Folkert W.}",
year = "2020",
month = jan,
day = "9",
doi = "10.1038/s41467-019-13690-5",
language = "English",
volume = "11",
journal = "Nature Communications",
issn = "2041-1723",
publisher = "Nature Publishing Group",
number = "1",
}