Evidence map›Paper›PMID 36802703›Full record

ArticleCirculation2023

Multiancestry Genome-Wide Association Study of Aortic Stenosis Identifies Multiple Novel Loci in the Million Veteran Program.

Aeron M Small, Gina M Peloso, Jason Linefsky, Jayashri Aragam, Ashley Galloway, Vidisha Tanukonda, Lu-Chen Wang, Zhi Yu, Margaret Sunitha Selvaraj, Eric H Farber-Eger and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
14.7field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  4. medRxiv : the preprint server for health sciences · 2026
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  17. Lipoprotein(a) and panvascular disease.Lipids in health and disease · 2025
    Review
  18. Article
  19. Review
  20. Novel Circulating Biomarkers in Aortic Valve Stenosis.International journal of molecular sciences · 2025
    Review
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

26 authors at 15 institutions in 6 countries.

Aeron M Small *Cardiovascular Medicine Division, Department of Medicine, Brigham and Women's Hospital (A.M.S., C.J.O.), Harvard Medical School, Boston, MA.
Gina M Peloso *Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), Veterans Affairs, Boston Healthcare System (G.P., A.G., K.C.).ORCID 0000-0002-5355-8636
Jason LinefskyAtlanta Veterans Affairs Medical Center, DecaturGA (J.L., V.T., P.W.F.W.).
Jayashri AragamDepartment of Cardiology, Boston Veterans Affairs Healthcare System, West Roxbury, MA (A.M.S., J.A., C.J.O.).
Ashley GallowayMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), Veterans Affairs, Boston Healthcare System (G.P., A.G., K.C.).
Vidisha TanukondaAtlanta Veterans Affairs Medical Center, DecaturGA (J.L., V.T., P.W.F.W.).
Lu-Chen WangCardiovascular Research Center (L.-C.W., Z.Y., M.S.S., S.L., P.N.), Department of Medicine, Massachusetts General Hospital, Boston.ORCID 0000-0003-1475-4930
Zhi YuCardiovascular Research Center (L.-C.W., Z.Y., M.S.S., S.L., P.N.), Department of Medicine, Massachusetts General Hospital, Boston.ORCID 0000-0003-4810-3474
Margaret Sunitha SelvarajCardiovascular Research Center (L.-C.W., Z.Y., M.S.S., S.L., P.N.), Department of Medicine, Massachusetts General Hospital, Boston.
Eric H Farber-EgerVanderbilt Institute for Clinical and Translational Research (E.H.F.-E.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-0281-3796
Michael T BakerDepartment of Medicine (M.T.B., Q.S.W.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-7803-939X
Shefali Setia-VermaDepartments of Genetics (S.S.-V., M.R., D.J.R.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0001-5216-4670
Simon S K LeeThe Charles Bronfman Institute for Personalized Medicine (S.S.K.L., M.P., R.L.), Icahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0003-1874-2515
Michael PreussThe Charles Bronfman Institute for Personalized Medicine (S.S.K.L., M.P., R.L.), Icahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0001-5266-8465
Marylyn D RitchieDepartments of Genetics (S.S.-V., M.R., D.J.R.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0002-1208-1720
Scott M DamrauerSurgery (S.M.D.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0001-8009-1632
Daniel J RaderDepartments of Genetics (S.S.-V., M.R., D.J.R.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0002-9245-9876
Quinn S WellsDepartment of Medicine (M.T.B., Q.S.W.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-3899-0313
Ruth LoosThe Charles Bronfman Institute for Personalized Medicine (S.S.K.L., M.P., R.L.), Icahn School of Medicine at Mount Sinai, New York, NY.ORCID 0000-0002-8532-5087
Steven A LubitzCardiovascular Research Center (L.-C.W., Z.Y., M.S.S., S.L., P.N.), Department of Medicine, Massachusetts General Hospital, Boston.ORCID 0000-0002-9599-4866
George ThanassoulisDepartment of Medicine, Division of Experimental Medicine, McGill University Health Center, Montreal, Quebec, Canada (G.T.).ORCID 0000-0002-9930-7189
Kelly ChoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), Veterans Affairs, Boston Healthcare System (G.P., A.G., K.C.).
Peter W F WilsonAtlanta Veterans Affairs Medical Center, DecaturGA (J.L., V.T., P.W.F.W.).
VA Million Veteran Program
Pradeep Natarajan *Cardiovascular Research Center (L.-C.W., Z.Y., M.S.S., S.L., P.N.), Department of Medicine, Massachusetts General Hospital, Boston.ORCID 0000-0001-8402-7435
Christopher J O'Donnell *Cardiovascular Medicine Division, Department of Medicine, Brigham and Women's Hospital (A.M.S., C.J.O.), Harvard Medical School, Boston, MA.ORCID 0000-0002-2667-8624
Broad Institute · USUniversity of Pennsylvania · USBrigham and Women's Hospital · USDepartment of Veterans Affairs · AUEmory University · USIcahn School of Medicine at Mount Sinai · USVanderbilt University Medical Center · USBoston University · USMassachusetts General Hospital · USMcGill University Health Centre · CANovo Nordisk Foundation · DKPhiladelphia VA Medical Center · USTwitter (United States) · USVA Boston Healthcare System · USVeterans Health Administration · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
Understanding and preventing HLA-associated drug reactionsP50GM115305 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2015 to 2019
$13.0M
Polygenic Risk Scores for Diverse Populations - Bridging Research and Clinical CareR01HL151152 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Christy Leigh Avery, Jennifer Below · 2020 to 2026
$12.3M
The Genetic Epemiology of Multiple SclerosisR01NS032830 · NINDS · VANDERBILT UNIVERSITY · PI HAINES, JONATHAN L · 1995 to 2010
$8.9M
Epidemiologic Architecture for Genes Linked to Environment (EAGLE)U01HG004798 · NHGRI · VANDERBILT UNIVERSITY · PI CRAWFORD, DANA C · 2008 to 2013
$8.8M
Using genetic variation to study biology of blood lipids & coronary heart diseaseR01HL127564 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Pradeep Natarajan, Gina Marie Peloso · 2015 to 2026
$7.3M
VESPA: Vanderbilt Electronic Systems for Pharmacogenomic AssessmentRC2GM092618 · NIGMS · VANDERBILT UNIVERSITY · PI DENNY, JOSHUA C., RODEN, DAN M · 2009 to 2010
$6.4M
Clonal hematopoiesis in humans: determinants of development and progressionR01HL148050 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALLANTYNE, CHRISTIE MITCHELL, NATARAJAN, PRADEEP · 2019 to 2022
$5.9M
Enabling improved applicability and transferability of polygenic scores across populationsU01HG011719 · NHGRI · MASSACHUSETTS GENERAL HOSPITAL · PI Alicia Martin · 2021 to 2026
$5.5M
BLRD VA I01 BX004821CSRD VA IK2 CX001780NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NCRR NIH HHS S10 RR025141NCRR NIH HHS UL1 RR024975NHGRI NIH HHS T32 HG010464NHGRI NIH HHS U01 HG004798NHGRI NIH HHS U01 HG006378NHGRI NIH HHS U01 HG011719NHLBI NIH HHS R01 HL127564NHLBI NIH HHS R01 HL139731NHLBI NIH HHS R01 HL142711NHLBI NIH HHS R01 HL148050NHLBI NIH HHS R01 HL151152NHLBI NIH HHS R01 HL151283NHLBI NIH HHS U19 HL065962NICHD NIH HHS R01 HD074711NIGMS NIH HHS P50 GM115305NIGMS NIH HHS RC2 GM092618NIH HHS S10 OD017985NIH HHS S10 OD025092NINDS NIH HHS R01 NS032830
6 · The paper itself

Abstract

backgroundCalcific aortic stenosis (CAS) is the most common valvular heart disease in older adults and has no effective preventive therapies. Genome-wide association studies (GWAS) can identify genes influencing disease and may help prioritize therapeutic targets for CAS.

methodsWe performed a GWAS and gene association study of 14 451 patients with CAS and 398 544 controls in the Million Veteran Program. Replication was performed in the Million Veteran Program, Penn Medicine Biobank, Mass General Brigham Biobank, BioVU, and BioMe, totaling 12 889 cases and 348 094 controls. Causal genes were prioritized from genome-wide significant variants using polygenic priority score gene localization, expression quantitative trait locus colocalization, and nearest gene methods. CAS genetic architecture was compared with that of atherosclerotic cardiovascular disease. Causal inference for cardiometabolic biomarkers in CAS was performed using Mendelian randomization and genome-wide significant loci were characterized further through phenome-wide association study.

resultsWe identified 23 genome-wide significant lead variants in our GWAS representing 17 unique genomic regions. Of the 23 lead variants, 14 were significant in replication, representing 11 unique genomic regions. Five replicated genomic regions were previously known risk loci for CAS (

conclusionsWe performed a multiancestry GWAS in CAS and identified 6 novel genomic regions in the disease. Secondary analyses highlighted the roles of lipid metabolism, inflammation, cellular senescence, and adiposity in the pathobiology of CAS and clarified the shared and differential genetic architectures of CAS with atherosclerotic cardiovascular diseases.

Indexed as

Aortic Valve StenosisVeteransAgedAlpha-Ketoglutarate-Dependent Dioxygenase FTOAortic ValveCalcinosisCholesterolCytoskeletal ProteinsGenetic Predisposition to DiseaseGenome-Wide Association StudyGlycoproteinsHumansLipoprotein(a)Lipoproteins, LDLNuclear ProteinsObesityAlpha-Ketoglutarate-Dependent Dioxygenase FTOCDAN1 protein, humanCEP85L protein, humanCholesterolCytoskeletal ProteinsFTO protein, humanGlycoproteinsLipoprotein(a)Lipoproteins, LDLNuclear ProteinsOncogene Proteins, FusionTranscription Factorsaortic valve stenosisgenome-wide association studygenomicslipoprotein(a)

Identifiers

PMID36802703
PMCPMC10806851
OpenAlexW4321374003

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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.