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Differences in Common Genetic Predisposition to Ischemic Stroke by Age and Sex.


Type

Article

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Authors

Rutten-Jacobs, Loes CA 
Holliday, Elizabeth G 
Malik, Rainer 
Sudlow, Cathie 

Abstract

BACKGROUND AND PURPOSE: Evidence from epidemiological studies points to differences in factors predisposing to stroke by age and sex. Whether these arise because of different genetic influences remained untested. Here, we use data from 4 genome-wide association data sets to study the relationship between genetic influence on stroke with both age and sex. METHODS: Using genomic-relatedness-matrix restricted maximum likelihood methods, we performed 4 analyses: (1) we calculated the genetic correlation between groups divided by age and (2) by sex, (3) we calculated the heritability of age-at-stroke-onset, and (4) we evaluated the evidence that heritability of stroke is greater in women than in men. RESULTS: We found that genetic factors influence age at stroke onset (h2 [SE]=18.0 [6.8]; P=0.0038), with a trend toward a stronger influence in women (women: h2 [SE]=21.6 [3.5]; Men: h2 [SE]=13.9 [2.8]). Although a moderate proportion of genetic factors was shared between sexes (rG [SE]=0.68 [0.16]) and between younger and older cases (rG [SE]=0.70 [0.17]), there was evidence to suggest that there are genetic susceptibility factors that are specific to sex (P=0.037) and to younger or older groups (P=0.056), particularly for women (P=0.0068). Finally, we found a trend toward higher heritability of stroke in women although this was not significantly greater than in men (P=0.084). CONCLUSIONS: Our results indicate that there are genetic factors that are either unique to or have a different effect between younger and older age groups and between women and men. Performing large, well-powered genome-wide association study analyses in these groups is likely to uncover further associations.

Description

Keywords

epidemiologic studies, genetics, genome-wide association study, sex, stroke, Adult, Aged, Aged, 80 and over, Aging, Brain Ischemia, Cohort Studies, Female, Genetic Predisposition to Disease, Genome-Wide Association Study, Humans, Male, Middle Aged, Sex Characteristics, Stroke

Journal Title

Stroke

Conference Name

Journal ISSN

0039-2499
1524-4628

Volume Title

46

Publisher

Ovid Technologies (Wolters Kluwer Health)
Sponsorship
Funding for genotyping, and initial analysis of stroke samples was provided by Wellcome Trust Case Control Consortium-2. Funding information on the ASGC and Milano studies is available in their original manuscripts.13, 26 MT is supported by a project grant from the Stroke Association (TSA 2013/01). LR-J is supported by programme grant funding from the British Heart Foundation / Stroke Association (TSA/BHF 2010/01). Hugh Markus is supported by an NIHR Senior Investigator award. Hugh Markus and Steve Bevan are supported by the NIHR Cambridge University Hospitals Comprehensive Biomedical Research Centre. Peter Rothwell holds NIHR and Wellcome Trust Senior Investigator Awards. Cathie Sudlow is supported by UK Biobank and the Scottish Funding Council. CML’s research is supported by the National Institute for Health Research Biomedical Research Centre (BRC) based at Guy's and St Thomas' NHS Foundation Trust and King's College London, and the BRC for Mental Health at South London and Maudsley NHS Foundation Trust and King’s College London.