Novel insight into the etiology of ischemic stroke gained by integrative transcriptome-wide association study.
Junghyun JungZeyun LuAdam J de SmithNicholas MancusoPublished in: medRxiv : the preprint server for health sciences (2023)
Stroke, characterized by sudden neurological deficits, is the second leading cause of death worldwide. Although genome-wide association studies (GWAS) have successfully identified many genomic regions associated with ischemic stroke (IS), the genes underlying risk and their regulatory mechanisms remain elusive. Here, we integrate a large-scale GWAS (N=1,296,908) for IS together with mRNA, splicing, enhancer RNA (eRNA) and protein expression data (N=11,588) from 50 tissues. We identify 136 genes/eRNA/proteins associated with IS risk across 54 independent genomic regions and find IS risk is most enriched for eQTLs in arterial and brain-related tissues. Focusing on IS-relevant tissues, we prioritize 9 genes/proteins using probabilistic fine-mapping TWAS analyses. In addition, we discover that blood cell traits, particularly reticulocyte cells, have shared genetic contributions with IS using TWAS-based pheWAS and genetic correlation analysis. Lastly, we integrate our findings with a large-scale pharmacological database and identify a secondary bile acid, deoxycholic acid, as a potential therapeutic component. Our work highlights IS risk genes/splicing-sites/enhancer activity/proteins with their phenotypic consequences using relevant tissues as well as identify potential therapeutic candidates for IS.
Keyphrases
- genome wide
- gene expression
- copy number
- atrial fibrillation
- transcription factor
- binding protein
- emergency department
- genome wide identification
- traumatic brain injury
- bioinformatics analysis
- dna methylation
- machine learning
- multiple sclerosis
- high resolution
- air pollution
- mesenchymal stem cells
- artificial intelligence
- oxidative stress
- genome wide association
- big data
- genome wide analysis
- subarachnoid hemorrhage
- stem cells
- electronic health record
- brain injury