Cardio-oncology & other

Polygenic prediction of preeclampsia and gestational hypertension

Nat MedPublished Genome-wide association study

Authors' conclusion

Collectively, these findings provide mechanistic insights into the hypertensive disorders of pregnancy and have the potential to advance pregnancy risk stratification.

Study context

Population
Pregnant individuals; preeclampsia and gestational hypertension cases and controls
Outcome
Association of maternal DNA sequence variants with preeclampsia and gestational hypertension
Methodological detailsmulti-ancestry meta-analysis, discovery and follow-up cohorts, multitrait analysis
  • Multi-ancestry meta-analysis
  • Discovery and follow-up cohorts
  • Multitrait analysis

Pooled result

As reported in the abstract

Loci associated with preeclampsia/eclampsia and/or gestational hypertension
Independent loci identified
18
New loci (e.g. MTHFR-CLCN6, WNT3A, NPR3, PGR, RGL3)
12
Loci identified in multitrait analysis (PLCE1, FURIN)
2
Preeclampsia: cases / controls
20,064 / 703,117
Gestational hypertension: cases / controls
11,027 / 412,788

Further pooled results

Genome-wide polygenic risk scores

Predicted preeclampsia/eclampsia and gestational hypertension in external cohorts, independent of clinical risk factors
Reclassified eligibility for low-dose aspirin to prevent preeclampsia

Original publication

Polygenic prediction of preeclampsia and gestational hypertension. Nat Med. Published 29 May 2023. doi:10.1038/s41591-023-02374-9

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