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Genome sequencing unveils a regulatory landscape of platelet reactivity
Journal article   Open access   Peer reviewed

Genome sequencing unveils a regulatory landscape of platelet reactivity

Ali R Keramati, Ming-Huei Chen, Benjamin A T Rodriguez, Lisa R Yanek, Arunoday Bhan, Brady J Gaynor, Kathleen Ryan, Jennifer A Brody, Xue Zhong, Qiang Wei, …
Nature communications, Vol.12(1), pp.3626-3626
06/15/2021
DOI: 10.1038/s41467-021-23470-9
PMCID: PMC8206369
PMID: 34131117
url
https://doi.org/10.1038/s41467-021-23470-9View
Published (Version of record) Open Access

Abstract

Platelet aggregation at the site of atherosclerotic vascular injury is the underlying pathophysiology of myocardial infarction and stroke. To build upon prior GWAS, here we report on 16 loci identified through a whole genome sequencing (WGS) approach in 3,855 NHLBI Trans-Omics for Precision Medicine (TOPMed) participants deeply phenotyped for platelet aggregation. We identify the RGS18 locus, which encodes a myeloerythroid lineage-specific regulator of G-protein signaling that co-localizes with expression quantitative trait loci (eQTL) signatures for RGS18 expression in platelets. Gene-based approaches implicate the SVEP1 gene, a known contributor of coronary artery disease risk. Sentinel variants at RGS18 and PEAR1 are associated with thrombosis risk and increased gastrointestinal bleeding risk, respectively. Our WGS findings add to previously identified GWAS loci, provide insights regarding the mechanism(s) by which genetics may influence cardiovascular disease risk, and underscore the importance of rare variant and regulatory approaches to identifying loci contributing to complex phenotypes.
Phenotype Base Sequence Blood Platelets - metabolism Chromosome Mapping Genome-Wide Association Study GTP-Binding Proteins HEK293 Cells Humans K562 Cells Platelet Aggregation Platelet Function Tests Polymorphism, Single Nucleotide Quantitative Trait Loci Receptors, Cell Surface - genetics RGS Proteins - genetics RGS Proteins - metabolism Thrombosis - genetics Whole Genome Sequencing

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