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. 2014 Jul 3;95(1):49-65.
doi: 10.1016/j.ajhg.2014.06.002. Epub 2014 Jun 26.

Effects of long-term averaging of quantitative blood pressure traits on the detection of genetic associations

Collaborators, Affiliations

Effects of long-term averaging of quantitative blood pressure traits on the detection of genetic associations

Santhi K Ganesh et al. Am J Hum Genet. .

Abstract

Blood pressure (BP) is a heritable, quantitative trait with intraindividual variability and susceptibility to measurement error. Genetic studies of BP generally use single-visit measurements and thus cannot remove variability occurring over months or years. We leveraged the idea that averaging BP measured across time would improve phenotypic accuracy and thereby increase statistical power to detect genetic associations. We studied systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), and pulse pressure (PP) averaged over multiple years in 46,629 individuals of European ancestry. We identified 39 trait-variant associations across 19 independent loci (p < 5 × 10(-8)); five associations (in four loci) uniquely identified by our LTA analyses included those of SBP and MAP at 2p23 (rs1275988, near KCNK3), DBP at 2q11.2 (rs7599598, in FER1L5), and PP at 6p21 (rs10948071, near CRIP3) and 7p13 (rs2949837, near IGFBP3). Replication analyses conducted in cohorts with single-visit BP data showed positive replication of associations and a nominal association (p < 0.05). We estimated a 20% gain in statistical power with long-term average (LTA) as compared to single-visit BP association studies. Using LTA analysis, we identified genetic loci influencing BP. LTA might be one way of increasing the power of genetic associations for continuous traits in extant samples for other phenotypes that are measured serially over time.

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Figures

Figure 1
Figure 1
LTA versus V1 SBP and DBP Residuals in the ARIC Cohort The final averaged residuals for LTA SBP and LTA DBP (n = 8,778) are plotted on the y axis against the corresponding V1 SBP and V1 DBP residuals on the x axis.
Figure 2
Figure 2
GWASs: –Log p Plots for LTA and V1 SBP and DBP Analyses GWAS –log p plots compare (A) LTA SBP and V1 SBP and (B) LTA DBP and V1 DBP. Regions containing one or more SNPs with p < 5 × 10−8 are in red, and suggestive associations (p < 5 × 10−7) are shown in blue.
Figure 3
Figure 3
–Log p Values of Association Tests for ATP2B1 in Chromosomal Region 12q21 Demonstrate Enrichment by LTA Plots of –log p values of association tests for LTA SBP are shown for (A) the 12q21 ATP2B1 region, known to be robustly associated with BP, and (B) the 2p23 KCNK3 region, which was identified in this study. Both regions demonstrated enrichment of the association signal by LTA. The results of the LTA SBP analysis are plotted in black, and the results of the corresponding V1 SBP analysis of the same individuals are plotted in blue.

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