Trans-ancestry meta-analyses identify rare and common variants associated with blood pressure and hypertension

METASTROKE Consortium, EchoGen Consortium, GIANT Consortium, EPIC-InterAct Consortium, LifeLines Cohort Study, Wellcome Trust Case Control Consortium, Understanding Society Scientific Group, EPIC-CVD Consortium, CHD Exome+ Consortium, T2D-Genes Consortium, GoT2D Genes Consortium, ExomeBP Consortium, The CHD Exome+ Consortium, Generation Scotland, CHARGE-Heart Failure Consortium, Praveen Surendran, Fotios Drenos, Robin Young, Helen Warren, James P. CookAlisa K. Manning, Niels Grarup, Xueling Sim, Daniel R. Barnes, Kate Witkowska, James R. Staley, Vinicius Tragante, Taru Tukiainen, Hanieh Yaghootkar, Nicholas Masca, Daniel F. Freitag, Teresa Ferreira, Olga Giannakopoulou, Andrew Tinker, Magdalena Harakalova, Evelin Mihailov, Chunyu Liu, Aldi T. Kraja, Sune Fallgaard Nielsen, Asif Rasheed, Maria Samuel, Wei Zhao, Lori L. Bonnycastle, Anne U. Jackson, Narisu Narisu, Amy J. Swift, Lorraine Southam, Jonathan Marten, Jeroen R. Huyghe, Alena Stančáková, Cristiano Fava, Therese Ohlsson, Angela Matchan, Kathleen E. Stirrups, Jette Bork-Jensen, Anette P. Gjesing, Jukka Kontto, Markus Perola, Susan Shaw-Hawkins, Louise A. Donnelly, Stephen Burgess, John M. Connell, Alex S. F. Doney, Andrew D. Morris, Colin N. A. Palmer, Joanna M. M. Howson (Lead / Corresponding author), Patricia B. Munroe (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

208 Citations (Scopus)


High blood pressure is a major risk factor for cardiovascular disease and premature death. However, there is limited knowledge on specific causal genes and pathways. To better understand the genetics of blood pressure, we genotyped 242,296 rare, low-frequency and common genetic variants in up to 192,763 individuals and used ∼155,063 samples for independent replication. We identified 30 new blood pressure- or hypertension-associated genetic regions in the general population, including 3 rare missense variants in RBM47, COL21A1 and RRAS with larger effects (>1.5 mm Hg/allele) than common variants. Multiple rare nonsense and missense variant associations were found in A2ML1, and a low-frequency nonsense variant in ENPEP was identified. Our data extend the spectrum of allelic variation underlying blood pressure traits and hypertension, provide new insights into the pathophysiology of hypertension and indicate new targets for clinical intervention.

Original languageEnglish
Pages (from-to)1151-1161
Number of pages14
JournalNature Genetics
Issue number10
Early online date12 Sept 2016
Publication statusPublished - Oct 2016


  • Genome-wide association studies
  • Hypertension
  • Population genetics


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