Title The genetic architecture of sporadic and multiple consecutive miscarriage
Authors Laisk, Triin
Soares, Ana Luiza G.
Ferreira, Teresa
Painter, Jodie N.
Censin, Jenny C.
Laber, Samantha
Bacelis, Jonas
Chen, Chia-Yen
Lepamets, Maarja
Lin, Kuang
Liu, Siyang
Millwood, Iona Y.
Ramu, Avinash
Southcombe, Jennifer
Andersen, Marianne S.
Yang, Ling
Becker, Christian M.
Borglum, Anders D.
Gordon, Scott D.
Bybjerg-Grauholm, Jonas
Helgeland, Oyvind
Hougaard, David M.
Jin, Xin
Johansson, Stefan
Juodakis, Julius
Kartsonaki, Christiana
Kukushkina, Viktorija
Lind, Penelope A.
Metspalu, Andres
Montgomery, Grant W.
Morris, Andrew P.
Mors, Ole
Mortensen, Preben B.
Njolstad, Pal R.
Nordentoft, Merete
Nyholt, Dale R.
Lippincott, Margaret
Seminara, Stephanie
Salumets, Andres
Snieder, Harold
Zondervan, Krina
Werge, Thomas
Chen, Zhengming
Conrad, Donald F.
Jacobsson, Bo
Li, Liming
Martin, Nicholas G.
Neale, Benjamin M.
Nielsen, Rasmus
Walters, Robin G.
Granne, Ingrid
Medland, Sarah E.
Maegi, Reedik
Lawlor, Deborah A.
Lindgren, Cecilia M.
Affiliation Univ Tartu, Inst Clin Med, Dept Obstet & Gynecol, Tartu, Estonia
Univ Tartu, Inst Genom, Estonian Genome Ctr, Tartu, Estonia
Competence Ctr Hlth Technol, Tartu, Estonia
Univ Bristol, MRC Integrated Epidemiol Unit, Bristol, Avon, England
Univ Bristol, Bristol Med Sch, Populat Hlth Sci, Bristol, Avon, England
Univ Oxford, Big Data Inst, Li Ka Shing Ctr Hlth Hlth Informat & Discovery, Oxford, England
QIMR Berghofer Med Res Inst, Herston, Qld, Australia
Univ Oxford, Wellcome Ctr Human Genet, Oxford, England
Sahlgrens Univ Hosp, Dept Obstet & Gynecol, Gothenburg, Sweden
Massachusetts Gen Hosp, Analyt & Translat Genet Unit, Boston, MA 02114 USA
Massachusetts Gen Hosp, Psychiat & Neurodev Genet Unit, Boston, MA 02114 USA
Broad Inst MIT & Harvard, Cambridge, MA 02142 USA
Univ Tartu, Inst Mol & Cell Biol, Tartu, Estonia
Univ Oxford, Nuffield Dept Populat Hlth, Clin Trial Serv Unit, Oxford, England
Univ Oxford, Nuffield Dept Populat Hlth, Epidemiol Studies Unit CTSU, Oxford, England
BGI Shenzhen, Shenzhen 518083, Guangdong, Peoples R China
Univ Copenhagen, Dept Biol, Bioinformat Ctr, DK-2200 Copenhagen, Denmark
Univ Oxford, Med Res Council, Populat Hlth Res Unit PHRU, Oxford, England
Washington Univ, Dept Genet, St Louis, MO 63110 USA
Univ Oxford, Nuffield Dept Womens & Reprod Hlth, Oxford, England
Odense Univ Hosp, Dept Endocrinol, Odense, Denmark
Lundbeck Fdn Initiat Integrat Psychiat Res, iPSYCH, Aarhus, Denmark
Aarhus Univ, Dept Biomed, iSEQ, Aarhus, Denmark
Aarhus Univ, Ctr Integrat Sequencing, iSEQ, Aarhus, Denmark
Aarhus Univ, Ctr Genom & Personalized Med, Aarhus, Denmark
Univ Hosp, Aarhus, Denmark
Statens Serum Inst, Dept Congenital Disorders, Copenhagen, Denmark
Norwegian Inst Publ Hlth, Dept Genet & Bioinformat, Hlth Data & Digitalisat, Oslo, Norway
Univ Bergen, Dept Clin Sci, KG Jebsen Ctr Diabet Res, N-5020 Bergen, Norway
South China Univ Technol, Sch Med, Guangzhou 510006, Guangdong, Peoples R China
Haukeland Hosp, Dept Med Genet, N-5021 Bergen, Norway
Univ Gothenburg, Sahlgrenska Acad, Inst Clin Sci, Dept Obstet & Gynecol, Gothenburg, Sweden
Univ Queensland, St Lucia, Qld, Australia
Univ Liverpool, Dept Biostat, Liverpool, Merseyside, England
Aarhus Univ Hosp Psychiat, Psychosis Res Unit, Psychiat, Aarhus, Denmark
Aarhus Univ, Natl Ctr Register Based Res, Aarhus, Denmark
Haukeland Hosp, Dept Pediat, Bergen, Norway
Copenhagen Univ Hosp, Mental Hlth Ctr Copenhagen, Mental Hlth Serv Capital Reg Denmark, Copenhagen, Denmark
Queensland Univ Technol, Fac Hlth, Sch Biomed Sci, Brisbane, Qld, Australia
Massachusetts Gen Hosp, Reprod Endocrine Unit, Boston, MA 02114 USA
Univ Tartu, Inst Bio & Translat Med, Tartu, Estonia
Univ Helsinki, Dept Obstet & Gynecol, Helsinki, Finland
Helsinki Univ Hosp, Helsinki, Finland
Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol, Groningen, Netherlands
Mental Hlth Serv Copenhagen, Inst Biol Psychiat, MHC Sct Hans, Roskilde, Denmark
Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark
Peking Univ, Hlth Sci Ctr, Dept Epidemiol & Biostat, Beijing, Peoples R China
Univ Calif Berkeley, Dept Integrat Biol, Berkeley, CA 94720 USA
Univ Copenhagen, Ctr GeoGenet, Nat Hist Museum Denmark, Copenhagen, Denmark
Bristol Natl Inst Hlth Res, Biomed Res Ctr, Bristol, Avon, England
Broad Inst, Program Med & Populat Genet, Boston, MA 02142 USA
Keywords GENOME-WIDE ASSOCIATION
BODY-MASS INDEX
MENDELIAN RANDOMIZATION
PREGNANCY LOSS
RISK
METAANALYSIS
VARIANTS
TERMINOLOGY
STILLBIRTH
REGRESSION
Issue Date 25-Dec-2020
Publisher NATURE COMMUNICATIONS
Abstract Miscarriage is a common, complex trait affecting similar to 15% of clinically confirmed pregnancies. Here we present the results of large-scale genetic association analyses with 69,054 cases from five different ancestries for sporadic miscarriage, 750 cases of European ancestry for multiple (>= 3) consecutive miscarriage, and up to 359,469 female controls. We identify one genome-wide significant association (rs146350366, minor allele frequency (MAF) 1.2%, P=3.2 x 10(-8), odds ratio (OR)=1.4) for sporadic miscarriage in our European ancestry meta-analysis and three genome-wide significant associations for multiple consecutive miscarriage (rs7859844, MAF=6.4%, P=1.3 x 10(-8), OR=1.7; rs143445068, MAF=0.8%, P=5.2 x 10(-9), OR=3.4; rs183453668, MAF=0.5%, P=2.8 x 10(-8), OR=3.8). We further investigate the genetic architecture of miscarriage with biobank-scale Mendelian randomization, heritability, and genetic correlation analyses. Our results show that miscarriage etiopathogenesis is partly driven by genetic variation potentially related to placental biology, and illustrate the utility of large-scale biobank data for understanding this pregnancy complication.
URI http://hdl.handle.net/20.500.11897/599922
ISSN 2041-1723
DOI 10.1038/s41467-020-19742-5
Indexed SCI(E)
Appears in Collections: 医学部待认领

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