A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy

Summary: Genetic factors related to pregnancy-related traits are understudied, especially in ancestrally diverse cohorts. To assess maternal contributions to hypertensive disorders of pregnancy (HDP), we performed a multi-ancestry genome-wide association study (GWAS) of HDP in data from the North Ca...

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Main Authors: Jasmine A. Mack, Adam Burkholder, Farida S. Akhtari, John S. House, Ulla Sovio, Gordon C.S. Smith, Charles P. Schmitt, David C. Fargo, Janet E. Hall, Alison A. Motsinger-Reif
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:HGG Advances
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666247724001258
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author Jasmine A. Mack
Adam Burkholder
Farida S. Akhtari
John S. House
Ulla Sovio
Gordon C.S. Smith
Charles P. Schmitt
David C. Fargo
Janet E. Hall
Alison A. Motsinger-Reif
author_facet Jasmine A. Mack
Adam Burkholder
Farida S. Akhtari
John S. House
Ulla Sovio
Gordon C.S. Smith
Charles P. Schmitt
David C. Fargo
Janet E. Hall
Alison A. Motsinger-Reif
author_sort Jasmine A. Mack
collection DOAJ
description Summary: Genetic factors related to pregnancy-related traits are understudied, especially in ancestrally diverse cohorts. To assess maternal contributions to hypertensive disorders of pregnancy (HDP), we performed a multi-ancestry genome-wide association study (GWAS) of HDP in data from the North Carolina-based Personalized Environment and Genes Study (PEGS) cohort with validation in the UK Biobank (UKBB). The GWAS revealed two maternal loci associated with HDP at the genome-wide significance level. The lead independent variants were rs114954125 on chromosome 2 (near LRP1B; odds ratio [OR] [95% confidence interval {CI}]): 2.96 [2.02–4.34]; p = 2.82 × 10−8) and rs61176331 on chromosome 3 (on RARB; OR (95% CI): 3.08 (2.12–4.48); p = 3.52 × 10−9). We validated the associations near RARB with a meta-analysis of PEGS and the UKBB. We also identified cis-expression quantitative trait loci in the candidate region associated with decreased RARB expression in macrophage cells exposed to Salmonella. Chromatin mapping in FUMA identified a significant interaction within chromosome 3’s enhancer and open chromatin regions, with strong effects observed for RARB and H3P10 gene regulation in mesendoderm cells, mesenchymal stem cells, and trophoblast-like stem cells. We applied existing polygenic scores (PGS) for preeclampsia and gestational hypertension and found that the scores were significantly associated with HDP in PEGS. The findings demonstrate the power of multi-ancestry studies for genetic discovery and highlight the relationship between immune response, regulation, and HDP and the utility of PGS for risk prediction. (PEGS is registered at ClinicalTrials.gov: NCT00341237.)
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spelling doaj-art-fe214fe7ea2846c3ac4af17ffeb4d26e2025-08-20T02:30:51ZengElsevierHGG Advances2666-24772025-01-016110038510.1016/j.xhgg.2024.100385A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancyJasmine A. Mack0Adam Burkholder1Farida S. Akhtari2John S. House3Ulla Sovio4Gordon C.S. Smith5Charles P. Schmitt6David C. Fargo7Janet E. Hall8Alison A. Motsinger-Reif9National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA; University of Cambridge, Department of Obstetrics and Gynaecology, Cambridge CB2 0SW, UKNational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USANational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USANational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USAUniversity of Cambridge, Department of Obstetrics and Gynaecology, Cambridge CB2 0SW, UKUniversity of Cambridge, Department of Obstetrics and Gynaecology, Cambridge CB2 0SW, UKNational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USANational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USANational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USANational Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA; Corresponding authorSummary: Genetic factors related to pregnancy-related traits are understudied, especially in ancestrally diverse cohorts. To assess maternal contributions to hypertensive disorders of pregnancy (HDP), we performed a multi-ancestry genome-wide association study (GWAS) of HDP in data from the North Carolina-based Personalized Environment and Genes Study (PEGS) cohort with validation in the UK Biobank (UKBB). The GWAS revealed two maternal loci associated with HDP at the genome-wide significance level. The lead independent variants were rs114954125 on chromosome 2 (near LRP1B; odds ratio [OR] [95% confidence interval {CI}]): 2.96 [2.02–4.34]; p = 2.82 × 10−8) and rs61176331 on chromosome 3 (on RARB; OR (95% CI): 3.08 (2.12–4.48); p = 3.52 × 10−9). We validated the associations near RARB with a meta-analysis of PEGS and the UKBB. We also identified cis-expression quantitative trait loci in the candidate region associated with decreased RARB expression in macrophage cells exposed to Salmonella. Chromatin mapping in FUMA identified a significant interaction within chromosome 3’s enhancer and open chromatin regions, with strong effects observed for RARB and H3P10 gene regulation in mesendoderm cells, mesenchymal stem cells, and trophoblast-like stem cells. We applied existing polygenic scores (PGS) for preeclampsia and gestational hypertension and found that the scores were significantly associated with HDP in PEGS. The findings demonstrate the power of multi-ancestry studies for genetic discovery and highlight the relationship between immune response, regulation, and HDP and the utility of PGS for risk prediction. (PEGS is registered at ClinicalTrials.gov: NCT00341237.)http://www.sciencedirect.com/science/article/pii/S2666247724001258hypertensive disorders of pregnancypolygenic scorespreeclampsiagestational hypertensiongenome-wide associateion study (GWAS)Personalized Environment and Genes Study (PEGS)
spellingShingle Jasmine A. Mack
Adam Burkholder
Farida S. Akhtari
John S. House
Ulla Sovio
Gordon C.S. Smith
Charles P. Schmitt
David C. Fargo
Janet E. Hall
Alison A. Motsinger-Reif
A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy
HGG Advances
hypertensive disorders of pregnancy
polygenic scores
preeclampsia
gestational hypertension
genome-wide associateion study (GWAS)
Personalized Environment and Genes Study (PEGS)
title A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy
title_full A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy
title_fullStr A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy
title_full_unstemmed A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy
title_short A multi-ancestry genome-wide association study identifies novel candidate loci in the RARB gene associated with hypertensive disorders of pregnancy
title_sort multi ancestry genome wide association study identifies novel candidate loci in the rarb gene associated with hypertensive disorders of pregnancy
topic hypertensive disorders of pregnancy
polygenic scores
preeclampsia
gestational hypertension
genome-wide associateion study (GWAS)
Personalized Environment and Genes Study (PEGS)
url http://www.sciencedirect.com/science/article/pii/S2666247724001258
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