A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals

Abstract Serum bilirubin is associated with several clinical outcomes, including hypertension, type 2 diabetes (T2D), and drug metabolism. Here, we describe findings from our genome-wide association studies (GWAS) of serum (TBIL) using a generalized linear mixed model in West Africans (n = 1127), wi...

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Autores principales: Guanjie Chen, Adebowale Adeyemo, Jie Zhou, Ayo P. Doumatey, Amy R. Bentley, Kenneth Ekoru, Daniel Shriner, Charles N. Rotimi
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:054ecbf06a9d4a039ab5149e2fa661c42021-12-02T15:03:08ZA UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals10.1038/s41525-021-00208-62056-7944https://doaj.org/article/054ecbf06a9d4a039ab5149e2fa661c42021-06-01T00:00:00Zhttps://doi.org/10.1038/s41525-021-00208-6https://doaj.org/toc/2056-7944Abstract Serum bilirubin is associated with several clinical outcomes, including hypertension, type 2 diabetes (T2D), and drug metabolism. Here, we describe findings from our genome-wide association studies (GWAS) of serum (TBIL) using a generalized linear mixed model in West Africans (n = 1127), with adjustment for age, sex, body mass index, T2D, significant principal components of population structure, and cryptic relatedness. Genome-wide conditional analysis and CAVIARBF were used to fine map significant loci. The causal effect of TBIL on hypertension was assessed by Mendelian randomization (MR) using the GWAS findings as instrumental variables (IVs) in African Americans (n = 3,067). The SNP rs887829 (UGT1A1) was significantly associated with TBIL levels (effect allele (T) frequency = 0.49, β (SE) = 0.59 (0.04), p = 9.13 × 10−54). Genome-wide conditional analysis and regional fine mapping pointed to rs887829 as a possible causal variant with a posterior inclusion probability of 0.99. The T allele of rs887829 is associated with lower hepatic expression of UGT1A1. Using rs887829 as an IV, two-stage least-squares MR showed a causal effect of bilirubin on hypertension (β = −0.76, 95% CI [−1.52, −0.01], p = 0.0459). Our finding confirms that UGT1A1 influences bilirubin levels. Notably, lower TBIL is causally associated with the increased risk of hypertension.Guanjie ChenAdebowale AdeyemoJie ZhouAyo P. DoumateyAmy R. BentleyKenneth EkoruDaniel ShrinerCharles N. RotimiNature PortfolioarticleMedicineRGeneticsQH426-470ENnpj Genomic Medicine, Vol 6, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Genetics
QH426-470
spellingShingle Medicine
R
Genetics
QH426-470
Guanjie Chen
Adebowale Adeyemo
Jie Zhou
Ayo P. Doumatey
Amy R. Bentley
Kenneth Ekoru
Daniel Shriner
Charles N. Rotimi
A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals
description Abstract Serum bilirubin is associated with several clinical outcomes, including hypertension, type 2 diabetes (T2D), and drug metabolism. Here, we describe findings from our genome-wide association studies (GWAS) of serum (TBIL) using a generalized linear mixed model in West Africans (n = 1127), with adjustment for age, sex, body mass index, T2D, significant principal components of population structure, and cryptic relatedness. Genome-wide conditional analysis and CAVIARBF were used to fine map significant loci. The causal effect of TBIL on hypertension was assessed by Mendelian randomization (MR) using the GWAS findings as instrumental variables (IVs) in African Americans (n = 3,067). The SNP rs887829 (UGT1A1) was significantly associated with TBIL levels (effect allele (T) frequency = 0.49, β (SE) = 0.59 (0.04), p = 9.13 × 10−54). Genome-wide conditional analysis and regional fine mapping pointed to rs887829 as a possible causal variant with a posterior inclusion probability of 0.99. The T allele of rs887829 is associated with lower hepatic expression of UGT1A1. Using rs887829 as an IV, two-stage least-squares MR showed a causal effect of bilirubin on hypertension (β = −0.76, 95% CI [−1.52, −0.01], p = 0.0459). Our finding confirms that UGT1A1 influences bilirubin levels. Notably, lower TBIL is causally associated with the increased risk of hypertension.
format article
author Guanjie Chen
Adebowale Adeyemo
Jie Zhou
Ayo P. Doumatey
Amy R. Bentley
Kenneth Ekoru
Daniel Shriner
Charles N. Rotimi
author_facet Guanjie Chen
Adebowale Adeyemo
Jie Zhou
Ayo P. Doumatey
Amy R. Bentley
Kenneth Ekoru
Daniel Shriner
Charles N. Rotimi
author_sort Guanjie Chen
title A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals
title_short A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals
title_full A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals
title_fullStr A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals
title_full_unstemmed A UGT1A1 variant is associated with serum total bilirubin levels, which are causal for hypertension in African-ancestry individuals
title_sort ugt1a1 variant is associated with serum total bilirubin levels, which are causal for hypertension in african-ancestry individuals
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/054ecbf06a9d4a039ab5149e2fa661c4
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