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Atrial fibrillation genetic risk differentiates cardioembolic stroke from other stroke subtypes

Authors :
Pulit, SL
Weng, L-C
McArdle, PF
Trinquart, L
Choi, SH
Mitchell, BD
Rosand, J
de Bakker, PIW
Benjamin, EJ
Ellinor, PT
Kittner, SJ
Lubitz, SA
Anderson, CD
Christophersen, IE
Rienstra, M
Roselli, C
Yin, X
Geelhoed, B
Barnard, J
Lin, H
Arking, DE
Smith, A
Albert, CM
Chaffin, M
Tucker, NR
Li, M
Klarin, D
Bihlmeyer, NA
Low, S-K
Weeke, PE
Mueller-Nurasyid, M
Smith, JG
Brody, JA
Niemeijer, MN
Doerr, M
Trompet, S
Huffman, J
Gustafsson, S
Schurmann, C
Kleber, ME
Lyytikainen, L-P
Seppala, I
Malik, R
Horimoto, ARVR
Perez, M
Sinisalo, J
Aeschbacher, S
Theriault, S
Yao, J
Radmanesh, F
Weiss, S
Teumer, A
Clauss, S
Deo, R
Rader, DJ
Shah, S
Sun, A
Hopewell, JC
Debette, S
Chauhan, G
Yang, Q
Worrall, BB
Pare, G
Kamatani, Y
Hagemeijer, YP
Verweij, N
Siland, JE
Kubo, M
Smith, JD
Van Wagoner, DR
Bis, JC
Perz, S
Psaty, BM
Ridker, PM
Magnani, JW
Harris, TB
Launer, LJ
Shoemaker, MB
Padmanabhan, S
Haessler, J
Bartz, TM
Waldenberger, M
Lichtner, P
Arendt, M
Krieger, JE
Kahonen, M
Risch, L
Mansur, AJ
Peters, A
Smith, BH
Lind, L
Scott, SA
Lu, Y
Bottinger, EB
Hernesniemi, J
Lindgren, CM
Wong, JA
Huang, J
Eskola, M
Morris, AP
Ford, I
Reiner, AP
Delgado, G
Chen, LY
Chen, Y-DI
Sandhu, RK
Boerwinkle, E
Eisele, L
Lannfelt, L
Rost, N
Taylor, KD
Campbell, A
Magnusson, PK
Porteous, D
Hocking, LJ
Vlachopoulou, E
Pedersen, NL
Nikus, K
Orho-Melander, M
Hamsten, A
Heeringa, J
Denny, JC
Kriebel, J
Darbar, D
Newton-Cheh, C
Shaffer, C
Macfarlane, PW
Heilmann, S
Almgren, P
Huang, PL
Sotoodehnia, N
Soliman, EZ
Uitterlinden, AG
Hofman, A
Franco, OH
Voelker, U
Joeckel, K-H
Sinner, MF
Lin, HJ
Guo, X
Dichgans, M
Ingelsson, E
Kooperberg, C
Melander, O
Loos, RJF
Laurikka, J
Conen, D
van der Harst, P
Lokki, M-L
Kathiresan, S
Pereira, A
Jukema, JW
Hayward, C
Rotter, J
Maerz, W
Lehtimaki, T
Stricker, BH
Chung, MK
Felix, SB
Gudnason, V
Alonso, A
Roden, DM
Kaeaeb, S
Chasman, D
Heckbert, SR
Tanaka, T
Lunetta, KL
Smoller, S
Sorkin, J
Wang, X
Selim, M
Pikula, A
Wolf, P
Seshadri, S
de Bakker, P
Rexrode, K
Chen, I
Luke, M
Sale, M
Lee, T-H
Chang, K-C
Elkind, M
Goldstein, L
James, ML
Breteler, M
O'Donnell, C
Leys, D
Carty, C
Kidwell, C
Olesen, J
Sharma, P
Rich, S
Tatlisumak, T
Happola, O
Bijlenga, P
Soriano, C
Giralt, E
Roquer, J
Jimenez-Conde, J
Cotlarcius, I
Hardy, J
Korostynski, M
Boncoraglio, G
Ballabio, E
Parati, E
Mateusz, A
Urbanik, A
Dziedzic, T
Jagiella, J
Gasowski, J
Wnuk, M
Olszanecki, R
Pera, J
Slowik, A
Juchniewicz, KJ
Levi, C
Nyquist, P
Cendes, I
Cabral, N
Franca, P
Goncalves, A
Keller, L
Crisby, M
Kostulas, K
Lemmens, R
Ahmadi, K
Opherk, C
Duering, M
Gonik, M
Staals, J
Burri, P
Sadr-Nabavi, A
Romero, J
Biffi, A
Anderson, C
Falcone, G
Brouwers, B
Du, R
Kourkoulis, C
Battey, T
Lubitz, S
Mueller-Myhsok, B
Meschia, J
Brott, T
Pichler, A
Enzinger, C
Schmidt, H
Schmidt, R
Seiler, S
Blanton, S
Yamada, Y
Bersano, A
Rundek, T
Sacco, R
Chan, Y-FY
Gschwendtner, A
Deng, Z
Barr, T
Gwinn, K
Corriveau, R
Singleton, A
Waddy, S
Launer, L
Chen, C
Le, KE
Lee, WL
Tan, EK
Olugbodi, A
Rothwell, P
Schilling, S
Mok, V
Lebedeva, E
Jern, C
Jood, K
Olsson, S
Kim, H
Lee, C
Kilarski, L
Markus, H
Peycke, J
Bevan, S
Sheu, W
Chiou, HY
Chern, J
Giraldo, E
Taqi, M
Jain, V
Lam, O
Howard, G
Woo, D
Kittner, S
Mitchell, B
Cole, J
O'Connell, J
Milewicz, D
Illoh, K
Worrall, B
Stine, C
Karaszewski, B
Werring, D
Sofat, R
Smalley, J
Lindgren, A
Hansen, B
Norrving, B
Smith, G
Jose Martin, J
Thijs, V
Klijn, K
van't Hof, F
Algra, A
Macleod, M
Perry, R
Arnett, D
Pezzini, A
Padovani, A
Cramer, S
Fisher, M
Saleheen, D
Broderick, J
Kissela, B
Doney, A
Sudlow, C
Rannikmae, K
Silliman, S
McDonough, C
Walters, M
Pedersen, A
Nakagawa, K
Chang, C
Dobbins, M
McArdle, P
Chang, Y-C
Brown, R
Brown, D
Holliday, E
Kalaria, R
Maguire, J
Attia, J
Farrall, M
Giese, A-K
Fornage, M
Majersik, J
Cushman, M
Keene, K
Bennett, S
Tirschwell, D
Psaty, B
Reiner, A
Longstreth, W
Spence, D
Montaner, J
Fernandez-Cadenas, I
Langefeld, C
Bushnell, C
Heitsch, L
Lee, J-M
Sheth, K
Pulit, SL
Weng, L-C
McArdle, PF
Trinquart, L
Choi, SH
Mitchell, BD
Rosand, J
de Bakker, PIW
Benjamin, EJ
Ellinor, PT
Kittner, SJ
Lubitz, SA
Anderson, CD
Christophersen, IE
Rienstra, M
Roselli, C
Yin, X
Geelhoed, B
Barnard, J
Lin, H
Arking, DE
Smith, A
Albert, CM
Chaffin, M
Tucker, NR
Li, M
Klarin, D
Bihlmeyer, NA
Low, S-K
Weeke, PE
Mueller-Nurasyid, M
Smith, JG
Brody, JA
Niemeijer, MN
Doerr, M
Trompet, S
Huffman, J
Gustafsson, S
Schurmann, C
Kleber, ME
Lyytikainen, L-P
Seppala, I
Malik, R
Horimoto, ARVR
Perez, M
Sinisalo, J
Aeschbacher, S
Theriault, S
Yao, J
Radmanesh, F
Weiss, S
Teumer, A
Clauss, S
Deo, R
Rader, DJ
Shah, S
Sun, A
Hopewell, JC
Debette, S
Chauhan, G
Yang, Q
Worrall, BB
Pare, G
Kamatani, Y
Hagemeijer, YP
Verweij, N
Siland, JE
Kubo, M
Smith, JD
Van Wagoner, DR
Bis, JC
Perz, S
Psaty, BM
Ridker, PM
Magnani, JW
Harris, TB
Launer, LJ
Shoemaker, MB
Padmanabhan, S
Haessler, J
Bartz, TM
Waldenberger, M
Lichtner, P
Arendt, M
Krieger, JE
Kahonen, M
Risch, L
Mansur, AJ
Peters, A
Smith, BH
Lind, L
Scott, SA
Lu, Y
Bottinger, EB
Hernesniemi, J
Lindgren, CM
Wong, JA
Huang, J
Eskola, M
Morris, AP
Ford, I
Reiner, AP
Delgado, G
Chen, LY
Chen, Y-DI
Sandhu, RK
Boerwinkle, E
Eisele, L
Lannfelt, L
Rost, N
Taylor, KD
Campbell, A
Magnusson, PK
Porteous, D
Hocking, LJ
Vlachopoulou, E
Pedersen, NL
Nikus, K
Orho-Melander, M
Hamsten, A
Heeringa, J
Denny, JC
Kriebel, J
Darbar, D
Newton-Cheh, C
Shaffer, C
Macfarlane, PW
Heilmann, S
Almgren, P
Huang, PL
Sotoodehnia, N
Soliman, EZ
Uitterlinden, AG
Hofman, A
Franco, OH
Voelker, U
Joeckel, K-H
Sinner, MF
Lin, HJ
Guo, X
Dichgans, M
Ingelsson, E
Kooperberg, C
Melander, O
Loos, RJF
Laurikka, J
Conen, D
van der Harst, P
Lokki, M-L
Kathiresan, S
Pereira, A
Jukema, JW
Hayward, C
Rotter, J
Maerz, W
Lehtimaki, T
Stricker, BH
Chung, MK
Felix, SB
Gudnason, V
Alonso, A
Roden, DM
Kaeaeb, S
Chasman, D
Heckbert, SR
Tanaka, T
Lunetta, KL
Smoller, S
Sorkin, J
Wang, X
Selim, M
Pikula, A
Wolf, P
Seshadri, S
de Bakker, P
Rexrode, K
Chen, I
Luke, M
Sale, M
Lee, T-H
Chang, K-C
Elkind, M
Goldstein, L
James, ML
Breteler, M
O'Donnell, C
Leys, D
Carty, C
Kidwell, C
Olesen, J
Sharma, P
Rich, S
Tatlisumak, T
Happola, O
Bijlenga, P
Soriano, C
Giralt, E
Roquer, J
Jimenez-Conde, J
Cotlarcius, I
Hardy, J
Korostynski, M
Boncoraglio, G
Ballabio, E
Parati, E
Mateusz, A
Urbanik, A
Dziedzic, T
Jagiella, J
Gasowski, J
Wnuk, M
Olszanecki, R
Pera, J
Slowik, A
Juchniewicz, KJ
Levi, C
Nyquist, P
Cendes, I
Cabral, N
Franca, P
Goncalves, A
Keller, L
Crisby, M
Kostulas, K
Lemmens, R
Ahmadi, K
Opherk, C
Duering, M
Gonik, M
Staals, J
Burri, P
Sadr-Nabavi, A
Romero, J
Biffi, A
Anderson, C
Falcone, G
Brouwers, B
Du, R
Kourkoulis, C
Battey, T
Lubitz, S
Mueller-Myhsok, B
Meschia, J
Brott, T
Pichler, A
Enzinger, C
Schmidt, H
Schmidt, R
Seiler, S
Blanton, S
Yamada, Y
Bersano, A
Rundek, T
Sacco, R
Chan, Y-FY
Gschwendtner, A
Deng, Z
Barr, T
Gwinn, K
Corriveau, R
Singleton, A
Waddy, S
Launer, L
Chen, C
Le, KE
Lee, WL
Tan, EK
Olugbodi, A
Rothwell, P
Schilling, S
Mok, V
Lebedeva, E
Jern, C
Jood, K
Olsson, S
Kim, H
Lee, C
Kilarski, L
Markus, H
Peycke, J
Bevan, S
Sheu, W
Chiou, HY
Chern, J
Giraldo, E
Taqi, M
Jain, V
Lam, O
Howard, G
Woo, D
Kittner, S
Mitchell, B
Cole, J
O'Connell, J
Milewicz, D
Illoh, K
Worrall, B
Stine, C
Karaszewski, B
Werring, D
Sofat, R
Smalley, J
Lindgren, A
Hansen, B
Norrving, B
Smith, G
Jose Martin, J
Thijs, V
Klijn, K
van't Hof, F
Algra, A
Macleod, M
Perry, R
Arnett, D
Pezzini, A
Padovani, A
Cramer, S
Fisher, M
Saleheen, D
Broderick, J
Kissela, B
Doney, A
Sudlow, C
Rannikmae, K
Silliman, S
McDonough, C
Walters, M
Pedersen, A
Nakagawa, K
Chang, C
Dobbins, M
McArdle, P
Chang, Y-C
Brown, R
Brown, D
Holliday, E
Kalaria, R
Maguire, J
Attia, J
Farrall, M
Giese, A-K
Fornage, M
Majersik, J
Cushman, M
Keene, K
Bennett, S
Tirschwell, D
Psaty, B
Reiner, A
Longstreth, W
Spence, D
Montaner, J
Fernandez-Cadenas, I
Langefeld, C
Bushnell, C
Heitsch, L
Lee, J-M
Sheth, K
Publication Year :
2018

Abstract

OBJECTIVE: We sought to assess whether genetic risk factors for atrial fibrillation (AF) can explain cardioembolic stroke risk. METHODS: We evaluated genetic correlations between a previous genetic study of AF and AF in the presence of cardioembolic stroke using genome-wide genotypes from the Stroke Genetics Network (N = 3,190 AF cases, 3,000 cardioembolic stroke cases, and 28,026 referents). We tested whether a previously validated AF polygenic risk score (PRS) associated with cardioembolic and other stroke subtypes after accounting for AF clinical risk factors. RESULTS: We observed a strong correlation between previously reported genetic risk for AF, AF in the presence of stroke, and cardioembolic stroke (Pearson r = 0.77 and 0.76, respectively, across SNPs with p < 4.4 × 10-4 in the previous AF meta-analysis). An AF PRS, adjusted for clinical AF risk factors, was associated with cardioembolic stroke (odds ratio [OR] per SD = 1.40, p = 1.45 × 10-48), explaining ∼20% of the heritable component of cardioembolic stroke risk. The AF PRS was also associated with stroke of undetermined cause (OR per SD = 1.07, p = 0.004), but no other primary stroke subtypes (all p > 0.1). CONCLUSIONS: Genetic risk of AF is associated with cardioembolic stroke, independent of clinical risk factors. Studies are warranted to determine whether AF genetic risk can serve as a biomarker for strokes caused by AF.

Details

Database :
OAIster
Publication Type :
Electronic Resource
Accession number :
edsoai.on1315677968
Document Type :
Electronic Resource