Evidence map›Paper›PMID 35922433›Full record

ArticleNature communications2022

Genome-wide associations of aortic distensibility suggest causality for aortic aneurysms and brain white matter hyperintensities.

Catherine M Francis, Matthias E Futschik, Jian Huang, Wenjia Bai, Muralidharan Sargurupremraj, Alexander Teumer, Monique M B Breteler, Enrico Petretto, Amanda S R Ho, Philippe Amouyel and 13 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. The genetics of the circle of Willis come full circle.European journal of human genetics : EJHG · 2026
    Article
  6. Review
  7. Unravelling the genetic architecture of cerebral small vessel disease in the context of stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Fusiform dilatation of the ascending aorta and outpouching of the left A2 anterior cerebral artery segment in COL4A1 -related disorder.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  13. Review
  14. Genetic Causes of Thoracic Aortic Aneurysm: A Review.Methodist DeBakey cardiovascular journal · 2026
    Review
  15. Article
  16. Review
  17. Observational
  18. Article
  19. Thoracic aortic aneurysm.Nature reviews. Disease primers · 2025
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 15 institutions in 9 countries.

Catherine M Francis *National Heart and Lung Institute, Imperial College London, Programme in Cardiovascular Genetics and Genomics, London, UK.ORCID 0000-0002-4370-9461
Matthias E Futschik *Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Jian Huang *Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Wenjia BaiDepartment of Brain Sciences, Imperial College London, London, UK.ORCID 0000-0003-2943-7698
Muralidharan SargurupremrajGlenn Biggs Institute for Alzheimer's & Neurodegenerative Diseases, University of Texas Health Sciences Center, San Antonio, TX, 78229, USA.
Alexander TeumerInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0002-8309-094X
Monique M B BretelerPopulation Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0002-0626-9305
Enrico PetrettoProgramme in Cardiovascular & Metabolic Disorders and Centre for Computational Biology, Duke-NUS Medical School, Singapore, 169857, Republic of Singapore.ORCID 0000-0003-2163-5921
Amanda S R HoComputational Biology Programme, Faculty of Science, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-2166-4503
Philippe AmouyelLabEx DISTALZ-U1167, RID-AGE-Risk Factors and Molecular Determinants of Aging-Related Diseases, University of Lille, Lille, France.ORCID 0000-0001-9088-234X
Stefan T EngelterDepartment of Neurology and Stroke Center, University Hospital and University of Basel, Petersgraben 4, CH - 4031, Basel, Switzerland.
Robin BülowDepartment of Radiology and Neuroradiology, University Medicine Greifswald, Greifswald, Germany.
Uwe VölkerDZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany.ORCID 0000-0002-5689-3448
Henry VölzkeInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Marcus DörrDZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany.ORCID 0000-0001-7471-475X
Mohammed-Aslam ImtiazPopulation Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
N Ahmad AzizPopulation Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0001-6184-458X
Valerie LohnerPopulation Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.ORCID 0000-0001-5589-9701
James S WareNational Heart and Lung Institute, Imperial College London, Programme in Cardiovascular Genetics and Genomics, London, UK.ORCID 0000-0002-6110-5880
Stephanie DebetteUniversity of Bordeaux, Inserm, Bordeaux Population Health Research Center, team VINTAGE, UMR 1219, 33000, Bordeaux, France.ORCID 0000-0001-8675-7968
Paul ElliottDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-7511-5684
Abbas DehghanDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK. a.dehghan@imperial.ac.uk.ORCID 0000-0001-6403-016X
Paul M MatthewsDepartment of Brain Sciences, Imperial College London, London, UK. p.matthews@imperial.ac.uk.ORCID 0000-0002-1619-8328
Universitätsmedizin Greifswald · DEGerman Center for Neurodegenerative Diseases · DEGuy's and St Thomas' NHS Foundation Trust · GBImperial College London · GBUniversité de Bordeaux · FRUniversity of Bonn · DEBritish Heart Foundation · GBChina Pharmaceutical University · CNInserm · FRMedical University of Białystok · PLMRC London Institute of Medical Sciences · GBNational University of Singapore · SGNIHR Imperial Biomedical Research Centre · GBUK Dementia Research Institute · GBUniversity of Basel · CH

Funding

British Heart Foundation FS/15/81/31817British Heart Foundation RE/18/4/34215Department of HealthMedical Research Council MC_PC_17114Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_U120085815Medical Research Council MC_UP_1102/20Medical Research Council MR/L01341X/1Medical Research Council MR/S019669/1
6 · The paper itself

Abstract

Aortic dimensions and distensibility are key risk factors for aortic aneurysms and dissections, as well as for other cardiovascular and cerebrovascular diseases. We present genome-wide associations of ascending and descending aortic distensibility and area derived from cardiac magnetic resonance imaging (MRI) data of up to 32,590 Caucasian individuals in UK Biobank. We identify 102 loci (including 27 novel associations) tagging genes related to cardiovascular development, extracellular matrix production, smooth muscle cell contraction and heritable aortic diseases. Functional analyses highlight four signalling pathways associated with aortic distensibility (TGF-β, IGF, VEGF and PDGF). We identify distinct sex-specific associations with aortic traits. We develop co-expression networks associated with aortic traits and apply phenome-wide Mendelian randomization (MR-PheWAS), generating evidence for a causal role for aortic distensibility in development of aortic aneurysms. Multivariable MR suggests a causal relationship between aortic distensibility and cerebral white matter hyperintensities, mechanistically linking aortic traits and brain small vessel disease.

Indexed as

Aortic AneurysmWhite MatterAortaFemaleGenome-Wide Association StudyHumansMalePhenomics

Identifiers

PMID35922433
PMCPMC9349177
OpenAlexW4289595359

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.