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Abstract
Integrating genetic information with metabolomics has provided new insights into genes affecting human metabolism. However, gene-metabolite integration has been primarily studied in individuals of European Ancestry, limiting the opportunity to leverage genomic diversity for discovery. In addition, these analyses have principally involved known metabolites, with the majority of the profiled peaks left unannotated. Here, we perform a whole genome association study of 2,291 metabolite peaks (known and unknown features) in 2,466 Black individuals from the Jackson Heart Study. We identify 519 locus-metabolite associations for 427 metabolite peaks and validate our findings in two multi-ethnic cohorts. A significant proportion of these associations are in ancestry specific alleles including findings in APOE, TTR and CD36. We leverage tandem mass spectrometry to annotate unknown metabolites, providing new insight into hereditary diseases including transthyretin amyloidosis and sickle cell disease. Our integrative omics approach leverages genomic diversity to provide novel insights into diverse cardiometabolic diseases.
Most studies of the genetics of the metabolome have been done in individuals of European descent. Here, the authors integrate genomics and metabolomics in Black individuals, highlighting the value of whole genome sequencing in diverse populations and linking circulating metabolites to human disease.
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1 Beth Israel Deaconess Medical Center, Harvard Medical School, Division of Cardiovascular Medicine, Boston, US (GRID:grid.239395.7) (ISNI:0000 0000 9011 8547)
2 Broad Institute of Harvard and MIT, Cambridge, US (GRID:grid.66859.34) (ISNI:0000 0004 0546 1623)
3 University of Mississippi Medical Center, Jackson, US (GRID:grid.410721.1) (ISNI:0000 0004 1937 0407)
4 University of Vermont, Department of Pathology Laboratory Medicine, Larner College of Medicine, Burlington, US (GRID:grid.59062.38) (ISNI:0000 0004 1936 7689)
5 The Lundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, The Institute for Translational Genomics and Population Sciences, Department of Pediatrics, Torrance, US (GRID:grid.513199.6)
6 Duke University Medical Center, Department of Medicine, Division of Cardiology, Duke Molecular Physiology Institute, Durham, US (GRID:grid.189509.c) (ISNI:0000000100241216)
7 University of Washington, Department of Biostatistics, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657)
8 University of Virginia, Center for Public Health Genomics, Charlottesville, US (GRID:grid.27755.32) (ISNI:0000 0000 9136 933X); University of Virginia, Division of Biostatistics and Epidemiology, Department of Public Health Sciences, Charlottesville, US (GRID:grid.27755.32) (ISNI:0000 0000 9136 933X)
9 Boston University School of Medicine and Boston Medical Center, Section of Cardiovascular Medicine, Boston, US (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558)
10 Columbia University Medical Center, New York, US (GRID:grid.239585.0) (ISNI:0000 0001 2285 2675)
11 University of Washington, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657)
12 New York Genome Center, New York, US (GRID:grid.429884.b) (ISNI:0000 0004 1791 0895)
13 University of Michigan, Ann Arbor, US (GRID:grid.214458.e) (ISNI:0000000086837370)
14 Broad Institute, Cambridge, US (GRID:grid.66859.34) (ISNI:0000 0004 0546 1623)
15 Cedars Sinai, Boston, US (GRID:grid.66859.34)
16 University of Pennsylvania, Children’s Hospital of Philadelphia, Philadelphia, US (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972)
17 Emory University, Atlanta, US (GRID:grid.189967.8) (ISNI:0000 0001 0941 6502)
18 University of Maryland, Baltimore, US (GRID:grid.411024.2) (ISNI:0000 0001 2175 4264)
19 University of Mississippi, Jackson, US (GRID:grid.251313.7) (ISNI:0000 0001 2169 2489)
20 National Institutes of Health, Bethesda, US (GRID:grid.94365.3d) (ISNI:0000 0001 2297 5165)
21 Johns Hopkins University, Baltimore, US (GRID:grid.21107.35) (ISNI:0000 0001 2171 9311)
22 University of Kentucky, Lexington, US (GRID:grid.266539.d) (ISNI:0000 0004 1936 8438)
23 Duke University, Durham, US (GRID:grid.26009.3d) (ISNI:0000 0004 1936 7961)
24 University of Alabama, Birmingham, US (GRID:grid.265892.2) (ISNI:0000000106344187)
25 Stanford University, Stanford, US (GRID:grid.168010.e) (ISNI:0000000419368956)
26 Medical College of Wisconsin, Milwaukee, US (GRID:grid.30760.32) (ISNI:0000 0001 2111 8460)
27 Providence Health Care, Medicine, Vancouver, US (GRID:grid.415289.3) (ISNI:0000 0004 0633 9101)
28 Baylor College of Medicine Human Genome Sequencing Center, Houston, US (GRID:grid.39382.33) (ISNI:0000 0001 2160 926X)
29 Cleveland Clinic, Cleveland, US (GRID:grid.239578.2) (ISNI:0000 0001 0675 4725)
30 Tempus, University of Colorado Anschutz Medical Campus, Aurora, US (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X)
31 Columbia University, New York, US (GRID:grid.21729.3f) (ISNI:0000000419368729)
32 The Emmes Corporation, LTRC, Rockville, US (GRID:grid.280434.9) (ISNI:0000 0004 0459 5494)
33 Cleveland Clinic, Quantitative Health Sciences, Cleveland, US (GRID:grid.239578.2) (ISNI:0000 0001 0675 4725)
34 Johns Hopkins University, Medicine, Baltimore, US (GRID:grid.21107.35) (ISNI:0000 0001 2171 9311)
35 National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, US (GRID:grid.94365.3d) (ISNI:0000 0001 2297 5165)
36 Boston University, Massachusetts General Hospital, Boston University School of Medicine, Boston, US (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
37 University of Pittsburgh, Pittsburgh, US (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000)
38 Fundação de Hematologia e Hemoterapia de Pernambuco - Hemope, Recife, Brazil (GRID:grid.21925.3d)
39 University of Washington, Cardiovascular Health Research Unit, Department of Medicine, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657)
40 University of Texas Rio Grande Valley School of Medicine, Human Genetics, Brownsville, US (GRID:grid.449717.8) (ISNI:0000 0004 5374 269X)
41 University of Utah, Obstetrics and Gynecology, Salt Lake City, US (GRID:grid.223827.e) (ISNI:0000 0001 2193 0096)
42 University of Texas Health at Houston, Houston, US (GRID:grid.267308.8) (ISNI:0000 0000 9206 2401)
43 Wake Forest Baptist Health, Department of Biochemistry, Winston-Salem, US (GRID:grid.412860.9) (ISNI:0000 0004 0459 1231)
44 National Jewish Health, National Jewish Health, Denver, US (GRID:grid.240341.0) (ISNI:0000 0004 0396 0728)
45 Medical College of Wisconsin, Pediatrics, Milwaukee, US (GRID:grid.30760.32) (ISNI:0000 0001 2111 8460)
46 University of Texas Health at Houston, Pediatrics, Houston, US (GRID:grid.267308.8) (ISNI:0000 0000 9206 2401)
47 University of California, San Francisco, San Francisco, US (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811)
48 Stanford University, Biomedical Data Science, Stanford, US (GRID:grid.168010.e) (ISNI:0000000419368956)
49 Brigham and Women’s Hospital, Brigham & Women’s Hospital, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
50 University of Colorado at Denver, Denver, US (GRID:grid.241116.1) (ISNI:0000000107903411)
51 Brigham & Women’s Hospital, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
52 University of Montreal, US, Montreal, Canada (GRID:grid.14848.31) (ISNI:0000 0001 2292 3357)
53 University of Mississippi, Medicine, Jackson, US (GRID:grid.251313.7) (ISNI:0000 0001 2169 2489)
54 Washington State University, Pullman, US (GRID:grid.30064.31) (ISNI:0000 0001 2157 6568)
55 University of California, Los Angeles, Los Angeles, US (GRID:grid.19006.3e) (ISNI:0000 0000 9632 6718)
56 Brigham & Women’s Hospital, Medicine, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
57 National Taiwan University, Taipei, China (GRID:grid.19188.39) (ISNI:0000 0004 0546 0241)
58 Division of Preventive Medicine, Brigham & Women’s Hospital, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
59 University of Virginia, Charlottesville, US (GRID:grid.27755.32) (ISNI:0000 0000 9136 933X)
60 National Taiwan University, National Taiwan University Hospital,, Taipei, China (GRID:grid.412094.a) (ISNI:0000 0004 0572 7815)
61 National Health Research Institute Taiwan, Miaoli County, China (GRID:grid.59784.37) (ISNI:0000000406229172)
62 Cleveland Clinic, Immunity and Immunology, Cleveland, US (GRID:grid.239578.2) (ISNI:0000 0001 0675 4725)
63 University of Vermont, Burlington, US (GRID:grid.59062.38) (ISNI:0000 0004 1936 7689)
64 Boston University, Biostatistics, Boston, US (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558)
65 University of Texas Rio Grande Valley School of Medicine, Brownsville, US (GRID:grid.449717.8) (ISNI:0000 0004 5374 269X)
66 University of Michigan, Internal Medicine, Ann Arbor, US (GRID:grid.214458.e) (ISNI:0000000086837370)
67 Vitalant Research Institute, San Francisco, California, US (GRID:grid.418404.d) (ISNI:0000 0004 0395 5996)
68 University of Illinois at Chicago, Chicago, US (GRID:grid.185648.6) (ISNI:0000 0001 2175 0319)
69 University of Chicago, Chicago, US (GRID:grid.170205.1) (ISNI:0000 0004 1936 7822)
70 Mayo Clinic, Health Quantitative Sciences Research, Rochester, US (GRID:grid.66875.3a) (ISNI:0000 0004 0459 167X)
71 Washington University in St Louis, Department of Medicine, Cardiovascular Division, St. Louis, US (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002)
72 University of Texas Health at Houston, Human Genetics Center, Department of Epidemiology, Human Genetics, and Environmental Sciences, Houston, US (GRID:grid.267308.8) (ISNI:0000 0000 9206 2401)
73 Vanderbilt University, Nashville, US (GRID:grid.152326.1) (ISNI:0000 0001 2264 7217)
74 University of Cincinnati, Cincinnati, US (GRID:grid.24827.3b) (ISNI:0000 0001 2179 9593)
75 University of North Carolina, Chapel Hill, US (GRID:grid.410711.2) (ISNI:0000 0001 1034 1720)
76 University of Texas Rio Grande Valley School of Medicine, Edinburg, US (GRID:grid.449717.8) (ISNI:0000 0004 5374 269X)
77 Washington University in St Louis, Genetics, St Louis, US (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002)
78 Brown University, Providence, US (GRID:grid.40263.33) (ISNI:0000 0004 1936 9094)
79 Harvard University, Channing Division of Network Medicine, Cambridge, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
80 Massachusetts General Hospital, Boston, US (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
81 Environment and Health, National Jewish Health, Center for Genes, Denver, US (GRID:grid.240341.0) (ISNI:0000 0004 0396 0728)
82 University of North Carolina, Epidemiology, Chapel Hill, US (GRID:grid.410711.2) (ISNI:0000 0001 1034 1720)
83 Washington University in St Louis, St Louis, US (GRID:grid.4367.6) (ISNI:0000 0001 2355 7002)
84 Fred Hutchinson Cancer Research Center, Seattle, US (GRID:grid.270240.3) (ISNI:0000 0001 2180 1622)
85 Icahn School of Medicine at Mount Sinai, New York, US (GRID:grid.59734.3c) (ISNI:0000 0001 0670 2351)
86 Boston Children’s Hospital, Harvard Medical School, Department of Psychiatry, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
87 University of Texas Rio Grande Valley School of Medicine, San Antonio, US (GRID:grid.215352.2) (ISNI:0000000121845633)
88 University of Colorado Anschutz Medical Campus, Aurora, US (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X)
89 Obstetrics and Gynecology, Mass General Brigham, Boston, US (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
90 University of Calgary, Medicine, Calgary, Canada (GRID:grid.22072.35) (ISNI:0000 0004 1936 7697)
91 University of Maryland, Genetics, Philadelphia, US (GRID:grid.22072.35)
92 Yale University, Department of Chronic Disease Epidemiology, New Haven, US (GRID:grid.47100.32) (ISNI:0000000419368710)
93 Tulane University, New Orleans, US (GRID:grid.265219.b) (ISNI:0000 0001 2217 8588)
94 University of Washington, Epidemiology, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657)
95 Wake Forest Baptist Health, Winston-Salem, US (GRID:grid.412860.9) (ISNI:0000 0004 0459 1231)
96 Brigham & Women’s Hospital, Channing Division of Network Medicine, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
97 University of Iowa, Iowa City, US (GRID:grid.214572.7) (ISNI:0000 0004 1936 8294)
98 National Health Research Institute Taiwan, Miaoli County, China (GRID:grid.59784.37) (ISNI:0000000406229172); Institute of Population Health Sciences, NHRI, National Health Research Institute Taiwan, Miaoli County, China (GRID:grid.459786.1) (ISNI:0000 0000 9248 0590)
99 Tri-Service General Hospital National Defense Medical Center, Taipei, China (GRID:grid.278244.f) (ISNI:0000 0004 0638 9360)
100 Blood Works Northwest, Seattle, US (GRID:grid.278244.f)
101 Taichung Veterans General Hospital Taiwan, Taichung City, China (GRID:grid.410764.0) (ISNI:0000 0004 0573 0731)
102 DIvision of Endocrinology, Diabetes and Metabolism, Oklahoma State University Medical Center, Internal Medicine, Columbus, US (GRID:grid.475558.e) (ISNI:0000 0004 0448 1278)
103 Blood Works Northwest, Research Institute, Seattle, US (GRID:grid.94365.3d)
104 University of Michigan, Biostatistics, Ann Arbor, US (GRID:grid.214458.e) (ISNI:0000000086837370)
105 Albert Einstein College of Medicine, New York, US (GRID:grid.251993.5) (ISNI:0000000121791997)
106 Harvard University, Cambridge, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
107 McGill University, Montréal, QC, Montreal, Canada (GRID:grid.14709.3b) (ISNI:0000 0004 1936 8649)
108 University of Colorado at Denver, Epidemiology, Aurora, US (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X)
109 Blood Works Northwest, Medicine, Seattle, US (GRID:grid.430503.1)
110 Loyola University, Public Health Sciences, Maywood, US (GRID:grid.164971.c) (ISNI:0000 0001 1089 6558)
111 Harvard School of Public Health, Biostats, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
112 University of Colorado at Denver, Medicine, Aurora, US (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X)
113 Lundquist Institute, Torrance, US (GRID:grid.513199.6)
114 Boston University, University of Massachusetts Chan Medical School, Worcester, US (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558)
115 Harvard School of Public Health, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
116 Brown University, Epidemiology and Medicine, Providence, US (GRID:grid.40263.33) (ISNI:0000 0004 1936 9094)
117 Stanford University, Cardiovascular Institute, Stanford, US (GRID:grid.168010.e) (ISNI:0000000419368956)
118 The Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, US (GRID:grid.59734.3c) (ISNI:0000 0001 0670 2351)
119 Boston University, Boston, US (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558)
120 Ohio State University, Division of Pulmonary, Critical Care and Sleep Medicine, Columbus, US (GRID:grid.261331.4) (ISNI:0000 0001 2285 7943)
121 Harvard University, Massachusetts General Hospital, Broad Institute, Boston, US (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
122 George Washington University, cardiology, Washington, US (GRID:grid.253615.6) (ISNI:0000 0004 1936 9510)
123 Brown University, Epidemiology, Providence, US (GRID:grid.40263.33) (ISNI:0000 0004 1936 9094)
124 University of Washington, Department of Genome Sciences, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657)
125 RTI International, Boston, US (GRID:grid.62562.35) (ISNI:0000000100301493)
126 Massachusetts General Hospital, Medicine, Boston, US (GRID:grid.32224.35) (ISNI:0000 0004 0386 9924)
127 University of Arizona, Tucson, US (GRID:grid.134563.6) (ISNI:0000 0001 2168 186X)
128 Stanford University, Center For Sleep Sciences and Medicine, Palo Alto, US (GRID:grid.168010.e) (ISNI:0000000419368956)
129 National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, US (GRID:grid.420089.7) (ISNI:0000 0000 9635 8082)
130 Oklahoma Medical Research Foundation, Genes and Human Disease, Oklahoma City, US (GRID:grid.274264.1) (ISNI:0000 0000 8527 6890)
131 Government of Samoa, Ministry of Health, Apia, Samoa (GRID:grid.21107.35)
132 Howard University, Washington, US (GRID:grid.257127.4) (ISNI:0000 0001 0547 4545)
133 University at Buffalo, Buffalo, US (GRID:grid.273335.3) (ISNI:0000 0004 1936 9887)
134 University of Pennsylvania, Division of Sleep Medicine/Department of Medicine, Philadelphia, US (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972)
135 Stanford University, Stanford Cardiovascular Institute, Stanford, US (GRID:grid.240952.8) (ISNI:0000000087342732)
136 University of Minnesota, Minneapolis, US (GRID:grid.17635.36) (ISNI:0000000419368657)
137 RTI International, Biostatistics and Epidemiology Division, Research Triangle Park, US (GRID:grid.62562.35) (ISNI:0000000100301493)
138 Boston University, Department of Biostatistics, Boston, US (GRID:grid.189504.1) (ISNI:0000 0004 1936 7558)
139 Fred Hutchinson Cancer Research Center, Fred Hutch and UW, Seattle, US (GRID:grid.270240.3) (ISNI:0000 0001 2180 1622)
140 Johns Hopkins University, Cardiology/Medicine, Baltimore, US (GRID:grid.21107.35) (ISNI:0000 0001 2171 9311)
141 University of Colorado at Denver, Medicine, Denver, US (GRID:grid.241116.1) (ISNI:0000000107903411)
142 University of Colorado at Denver, CCPM, Denver, US (GRID:grid.241116.1) (ISNI:0000000107903411)
143 University of North Carolina, Genetics, Chapel Hill, US (GRID:grid.410711.2) (ISNI:0000 0001 1034 1720)
144 Northwestern University, Chicago, US (GRID:grid.16753.36) (ISNI:0000 0001 2299 3507)
145 University of Washington, Fred Hutchinson Cancer Research Center, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657)
146 Lutia I Puava Ae Mapu I Fagalele, Apia, Samoa (GRID:grid.34477.33)
147 University of Ottawa, Sleep Research Unit, University of Ottawa Institute for Mental Health Research, Ottawa, Canada (GRID:grid.28046.38) (ISNI:0000 0001 2182 2255)
148 Blood Works Northwest, Seattle, US (GRID:grid.241116.1)
149 Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo, Brazil (GRID:grid.11899.38) (ISNI:0000 0004 1937 0722)
150 University of Maryland, Pathology, Seattle, US (GRID:grid.21729.3f)
151 Lundquist Institute, TGPS, Torrance, US (GRID:grid.513199.6)
152 Harvard University, Division of Hematology/Oncology, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
153 Harvard Medical School, Genetics, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
154 Harvard Medical School, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
155 Université Laval, Quebec City, Canada (GRID:grid.23856.3a) (ISNI:0000 0004 1936 8390)
156 Emory University, Pediatrics, Atlanta, US (GRID:grid.189967.8) (ISNI:0000 0001 0941 6502)
157 Emory University, Human Genetics, Atlanta, US (GRID:grid.189967.8) (ISNI:0000 0001 0941 6502)
158 Vanderbilt University, Medicine/Cardiology, Nashville, US (GRID:grid.152326.1) (ISNI:0000 0001 2264 7217)
159 UMass Memorial Medical Center, Worcester, Massachusetts, US (GRID:grid.416999.a) (ISNI:0000 0004 0591 6261)
160 University of Saskatchewan, Saskatoon, Canada (GRID:grid.25152.31) (ISNI:0000 0001 2154 235X)
161 Wake Forest Baptist Health, Biostatistical Sciences, Winston-Salem, US (GRID:grid.412860.9) (ISNI:0000 0004 0459 1231)
162 University of Colorado at Denver, Genomic Cardiology, Aurora, US (GRID:grid.430503.1) (ISNI:0000 0001 0703 675X)
163 Brigham & Women’s Hospital, Channing Department of Medicine, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
164 Stanford University, Genetics, Stanford, US (GRID:grid.168010.e) (ISNI:0000000419368956)
165 Cancer Prevention Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, US (GRID:grid.270240.3) (ISNI:0000 0001 2180 1622)
166 University of Pennsylvania, Genetics, Philadelphia, US (GRID:grid.25879.31) (ISNI:0000 0004 1936 8972)
167 University of Alabama, Biostatistics, Birmingham, US (GRID:grid.265892.2) (ISNI:0000000106344187)
168 University of Southern California, USC Methylation Characterization Center, University of Southern California, California, US (GRID:grid.42505.36) (ISNI:0000 0001 2156 6853)
169 Brigham & Women’s Hospital, Mass General Brigham, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
170 University of Pittsburgh, Department of Human Genetics, Pittsburgh, US (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000)
171 Brigham & Women’s Hospital, Channing Division of Network Medicine, Department of Medicine, Boston, US (GRID:grid.62560.37) (ISNI:0000 0004 0378 8294)
172 Indiana University, Epidemiology, Indianapolis, US (GRID:grid.257413.6) (ISNI:0000 0001 2287 3919)
173 Henry Ford Health System, Detroit, US (GRID:grid.239864.2) (ISNI:0000 0000 8523 7701)
174 University of Pittsburgh, Medicine, Pittsburgh, US (GRID:grid.21925.3d) (ISNI:0000 0004 1936 9000)
175 University of Michigan, Department of Epidemiology, Ann Arbor, US (GRID:grid.214458.e) (ISNI:0000000086837370)
176 Case Western Reserve University, Department of Population and Quantitative Health Sciences, Cleveland, US (GRID:grid.67105.35) (ISNI:0000 0001 2164 3847)
177 University of California, San Francisco, US (GRID:grid.266102.1) (ISNI:0000 0001 2297 6811)
178 Pennington Biomedical Research Center, Human Genomic Laboratory, Baton Rouge, US (GRID:grid.250514.7) (ISNI:0000 0001 2159 6024)
179 University of South Carolina, Department of Exercise Science, Columbia, US (GRID:grid.254567.7) (ISNI:0000 0000 9075 106X)
180 UT Southwestern Medical Center, Department of Medicine, Dallas, US (GRID:grid.267313.2) (ISNI:0000 0000 9482 7121)
181 Broad Institute of Harvard and MIT, Cambridge, US (GRID:grid.66859.34) (ISNI:0000 0004 0546 1623); Massachusetts General Hospital, Harvard Medical School, Cardiovascular Research Center, Boston, US (GRID:grid.38142.3c) (ISNI:000000041936754X)
182 Beth Israel Deaconess Medical Center, Harvard Medical School, Division of Cardiovascular Medicine, Boston, US (GRID:grid.239395.7) (ISNI:0000 0000 9011 8547); Broad Institute of Harvard and MIT, Cambridge, US (GRID:grid.66859.34) (ISNI:0000 0004 0546 1623)