Evidence map›Paper›PMID 40255156›Full record

SynthesisCirculation. Genomic and precision medicine2025

Dissecting the Genetic Architecture of Intracranial Aneurysms.

Shaunak S Adkar, Julie Lynch, Ryan B Choi, Tanmoy Roychowdhury, Renae L Judy, Kaavya Paruchuri, Dong-Chuan Go, Sharika Bamezai, John Cabot, Sabina Sorondo and 11 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Circulation. Genomic and precision medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

21 authors.

Shaunak S AdkarDivision of Vascular Surgery, Department of Surgery (S.S.A., J.C., S. Sorondo, N.J.L., D.K.), Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0002-8893-2413
Julie LynchVA Salt Lake City Healthcare System, UT. (J.L.).ORCID 0000-0003-0108-2127
Ryan B ChoiStanford University School of Medicine, Palo Alto, CA (R.B.C.).
Tanmoy RoychowdhuryDepartment of Biology and Koita Centre for Digital Health, Trivedi School of Biosciences, Ashoka University, Sonepat, India (T.R.).
Renae L JudyDepartment of Surgery (R.L.J.), University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0003-0915-2222
Kaavya ParuchuriDepartment of Medicine (K.P., P.N.), Massachusetts General Hospital, Boston.ORCID 0000-0003-1228-1674
Dong-Chuan GoDivision of Medical Genetics, Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston (D.-C.G., D.M.M.).ORCID 0000-0002-7402-3104
Sharika BamezaiStanford Cardiovascular Institute, Stanford University, CA (S.S.A., S.B., J.C., S. Sorondo. P.T., N.J.L.).
John CabotDivision of Vascular Surgery, Department of Surgery (S.S.A., J.C., S. Sorondo, N.J.L., D.K.), Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0002-0029-0699
Sabina SorondoDivision of Vascular Surgery, Department of Surgery (S.S.A., J.C., S. Sorondo, N.J.L., D.K.), Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0001-8056-0259
Michael G LevinDivision of Cardiovascular Medicine, Department of Medicine (M.G.L.), University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0002-9937-9932
Dianna M MilewiczDivision of Medical Genetics, Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston (D.-C.G., D.M.M.).ORCID 0000-0002-7806-0068
Cristen J WillerDivision of Cardiology, Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor (C.J.W.).
Pradeep NatarajanDepartment of Medicine (K.P., P.N.), Massachusetts General Hospital, Boston.ORCID 0000-0001-8402-7435
Saiju PyarajanCenter for Data and Computational Sciences, VA Boston Health Care System, MA (S.P.).ORCID 0000-0002-9047-3762
Kyong-Mi ChangDivision of Gastroenterology and Hepatology, Department of Medicine (K.-M.C.), University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0001-6811-9364
Scott DamrauerDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery (S.D.), University of Pennsylvania Perelman School of Medicine, Philadelphia.ORCID 0000-0001-8009-1632
Phil TsaoDepartment of Medicine (P.T., N.J.L.), Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0001-7274-9318
Stephen SkirbollDepartment of Neurosurgery (S. Skirboll), Stanford University School of Medicine, Palo Alto, CA.ORCID 0009-0003-5663-0554
Nicholas J Leeper *Division of Vascular Surgery, Department of Surgery (S.S.A., J.C., S. Sorondo, N.J.L., D.K.), Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0002-0905-2806
Derek Klarin *Division of Vascular Surgery, Department of Surgery (S.S.A., J.C., S. Sorondo, N.J.L., D.K.), Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0002-4636-5780

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
T32 Training Program in Mechanisms and Innovation in Vascular DiseaseT32HL098049 · NHLBI · STANFORD UNIVERSITY · PI Nicholas James Leeper, Philip S Tsao · 2010 to 2026
$6.3M
Clonal expansion, resistance to efferocytosis and innate immunity in atherosclerosisR35HL144475 · NHLBI · STANFORD UNIVERSITY · PI LEEPER, NICHOLAS JAMES · 2019 to 2024
$5.1M
American Heart Association-American Stroke Association 23SCEFIA1153369BLRD VA I01 BX003362BLRD VA IK2 BX005759CSRD VA IK2 CX001780NHLBI NIH HHS R35 HL144475NHLBI NIH HHS T32 HL098049NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

backgroundThe genetic risk of intracranial aneurysm (IA) development has been ascribed to the genetic risk of smoking exposure and hypertension. The relationship of IA to other cardiovascular traits and the contribution of IA risk loci to aberrant gene programs within cerebrovascular cell types remains unclear.

methodsWe performed a genome-wide association study in the Million Veteran Program and Finnish cohort study testing association of roughly 25 million DNA variants with unruptured IA (4694 cases and 877 091 controls) in individuals of European, African, and Hispanic ancestries. Meta-analysis with publicly available summary statistics generated a final cohort of 15 438 cases and 1 183 973 controls. We constructed a cerebrovascular single-nuclear RNA sequencing data set and integrated IA summary statistics to prioritize candidate causal cell types. We constructed a polygenic risk score to identify patients at risk of developing IA.

resultsWe identified 5 novel associations with IA, increasing the number of known susceptibility loci to 22. At these susceptibility loci, we prioritized 17 candidate causal genes. We found a significant positive genetic correlation of IA with coronary artery disease and abdominal aortic aneurysm. Integration of an IA gene set with cerebrovascular single-nuclear RNA sequencing data revealed a significant association with pericytes and smooth muscle cells. Finally, a polygenic risk score was significantly associated with IA across European (odds ratio, 1.87 [95% CI, 1.61-2.17];

conclusionsHere, we identify 5 novel loci associated with IA. Integration of summary statistics with cerebrovascular single-nuclear RNA sequencing reveals an association of cell types involved in matrix production. We validated a polygenic risk score that predicts IA, controlling for demographic variables including smoking status and blood pressure. Our findings suggest that a deficit in matrix production may drive IA pathogenesis independent of hypertension and smoking.

Indexed as

Genetic Predisposition to DiseaseIntracranial AneurysmAgedFemaleFinlandGenome-Wide Association StudyHumansMaleMiddle AgedMultifactorial InheritancePolymorphism, Single NucleotideRisk Factorsaortic aneurysmgenetic risk scoregenome-wide association studyhypertensionintracranial aneurysm

Identifiers

PMID40255156
PMCPMC12173771

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.