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.

Details

Title
Whole Genome Association Study of the Plasma Metabolome Identifies Metabolites Linked to Cardiometabolic Disease in Black Individuals
Author
Tahir, Usman A. 1 ; Katz, Daniel H. 1 ; Avila-Pachecho, Julian 2   VIAFID ORCID Logo  ; Bick, Alexander G. 2   VIAFID ORCID Logo  ; Pampana, Akhil 2   VIAFID ORCID Logo  ; Robbins, Jeremy M. 1 ; Yu, Zhi 2   VIAFID ORCID Logo  ; Chen, Zsu-Zsu 1 ; Benson, Mark D. 1 ; Cruz, Daniel E. 1 ; Ngo, Debby 1 ; Deng, Shuliang 1 ; Shi, Xu 1 ; Zheng, Shuning 1 ; Eisman, Aaron S. 1   VIAFID ORCID Logo  ; Farrell, Laurie 1 ; Hall, Michael E. 3 ; Correa, Adolfo 3   VIAFID ORCID Logo  ; Tracy, Russell P. 4   VIAFID ORCID Logo  ; Durda, Peter 4 ; Taylor, Kent D. 5 ; Liu, Yongmei 6 ; Johnson, W. Craig 7   VIAFID ORCID Logo  ; Guo, Xiuqing 5   VIAFID ORCID Logo  ; Yao, Jie 5 ; Chen, Yii-Der Ida 5 ; Manichaikul, Ani W. 8 ; Ruberg, Frederick L. 9 ; Blaner, William S. 10   VIAFID ORCID Logo  ; Jain, Deepti 11 ; Abe, Namiko 12 ; Abecasis, Gonçalo 13 ; Aguet, Francois 14 ; Albert, Christine 15 ; Almasy, Laura 16 ; Alonso, Alvaro 17 ; Ament, Seth 18 ; Anderson, Peter 11 ; Anugu, Pramod 19 ; Applebaum-Bowden, Deborah 20 ; Ardlie, Kristin 14 ; Arking, Dan 21 ; Arnett, Donna K. 22 ; Ashley-Koch, Allison 23 ; Aslibekyan, Stella 24 ; Assimes, Tim 25 ; Auer, Paul 26 ; Avramopoulos, Dimitrios 21 ; Ayas, Najib 27 ; Balasubramanian, Adithya 28 ; Barnard, John 29 ; Barnes, Kathleen 30 ; Barr, R. Graham 31 ; Barron-Casella, Emily 21 ; Barwick, Lucas 32 ; Beaty, Terri 21 ; Beck, Gerald 33 ; Becker, Diane 34 ; Becker, Lewis 21 ; Beer, Rebecca 35 ; Beitelshees, Amber 18 ; Benjamin, Emelia 36 ; Benos, Takis 37 ; Bezerra, Marcos 38 ; Bielak, Larry 13 ; Bis, Joshua 39 ; Blackwell, Thomas 13 ; Blangero, John 40 ; Blue, Nathan 41 ; Boerwinkle, Eric 42 ; Bowden, Donald W. 43 ; Bowler, Russell 44 ; Brody, Jennifer 11 ; Broeckel, Ulrich 45 ; Broome, Jai 11 ; Brown, Deborah 46 ; Bunting, Karen 12 ; Burchard, Esteban 47 ; Bustamante, Carlos 48 ; Buth, Erin 7 ; Cade, Brian 49 ; Cardwell, Jonathan 50 ; Carey, Vincent 51 ; Carrier, Julie 52 ; Carson, April 53 ; Carty, Cara 54 ; Casaburi, Richard 55 ; Romero, Juan P. Casas 51 ; Casella, James 21 ; Castaldi, Peter 56 ; Chaffin, Mark 14 ; Chang, Christy 18 ; Chang, Yi-Cheng 57 ; Chasman, Daniel 58 ; Chavan, Sameer 50 ; Chen, Bo-Juen 12 ; Chen, Wei-Min 59 ; Cho, Michael 51 ; Choi, Seung Hoan 14 ; Chuang, Lee-Ming 60 ; Chung, Mina 29 ; Chung, Ren-Hua 61 ; Comhair, Suzy 62 ; Conomos, Matthew 7 ; Cornell, Elaine 63 ; Crandall, Carolyn 55 ; Crapo, James 44 ; Cupples, L. Adrienne 64 ; Curran, Joanne 65 ; Curtis, Jeffrey 66 ; Custer, Brian 67 ; Damcott, Coleen 18 ; Darbar, Dawood 68 ; David, Sean 69 ; Davis, Colleen 11 ; Daya, Michelle 50 ; de Andrade, Mariza 70 ; Fuentes, Lisa de las 71 ; de Vries, Paul 72 ; DeBaun, Michael 73 ; Deka, Ranjan 74 ; DeMeo, Dawn 51 ; Devine, Scott 18 ; Dinh, Huyen 28 ; Doddapaneni, Harsha 28 ; Duan, Qing 75 ; Dugan-Perez, Shannon 28 ; Duggirala, Ravi 76 ; Dutcher, Susan K. 77 ; Eaton, Charles 78 ; Ekunwe, Lynette 19 ; El Boueiz, Adel 79 ; Ellinor, Patrick 80 ; Emery, Leslie 11 ; Erzurum, Serpil 29 ; Farber, Charles 59 ; Farek, Jesse 28 ; Fingerlin, Tasha 81 ; Flickinger, Matthew 13 ; Fornage, Myriam 42 ; Franceschini, Nora 82 ; Frazar, Chris 11 ; Fu, Mao 18 ; Fullerton, Stephanie M. 11 ; Fulton, Lucinda 83 ; Gabriel, Stacey 14 ; Gan, Weiniu 35 ; Gao, Shanshan 50 ; Gao, Yan 19 ; Gass, Margery 84 ; Geiger, Heather 12 ; Gelb, Bruce 85 ; Geraci, Mark 37 ; Germer, Soren 12 ; Ghosh, Auyon 51 ; Gibbs, Richard 28 ; Gignoux, Chris 25 ; Gladwin, Mark 37 ; Glahn, David 86 ; Gogarten, Stephanie 11 ; Gong, Da-Wei 18 ; Goring, Harald 87 ; Graw, Sharon 88 ; Gray, Kathryn J. 89 ; Grine, Daniel 50 ; Gross, Colin 13 ; Gu, C. Charles 83 ; Guan, Yue 18 ; Gupta, Namrata 14 ; Haessler, Jeff 84 ; Han, Yi 28 ; Hanly, Patrick 90 ; Harris, Daniel 91 ; Hawley, Nicola L. 92 ; He, Jiang 93 ; Heavner, Ben 7 ; Heckbert, Susan 94 ; Hernandez, Ryan 47 ; Herrington, David 95 ; Hersh, Craig 96 ; Hidalgo, Bertha 24 ; Hixson, James 42 ; Hobbs, Brian 51 ; Hokanson, John 50 ; Hong, Elliott 18 ; Hoth, Karin 97 ; Hsiung, Chao 98 ; Hu, Jianhong 28 ; Hung, Yi-Jen 99 ; Huston, Haley 100 ; Hwu, Chii Min 101 ; Irvin, Marguerite Ryan 24 ; Jackson, Rebecca 102 ; Jaquish, Cashell 35 ; Johnsen, Jill 103 ; Johnson, Andrew 35 ; Johnston, Rich 17 ; Jones, Kimberly 21 ; Kang, Hyun Min 104 ; Kaplan, Robert 105 ; Kardia, Sharon 13 ; Kelly, Shannon 47 ; Kenny, Eimear 85 ; Kessler, Michael 18 ; Khan, Alyna 11 ; Khan, Ziad 28 ; Kim, Wonji 106 ; Kimoff, John 107 ; Kinney, Greg 108 ; Konkle, Barbara 109 ; Kooperberg, Charles 84 ; Kramer, Holly 110 ; Lange, Christoph 111 ; Lange, Ethan 50 ; Lange, Leslie 112 ; Laurie, Cathy 11 ; Laurie, Cecelia 11 ; LeBoff, Meryl 51 ; Lee, Jiwon 51 ; Lee, Sandra 28 ; Lee, Wen-Jane 101 ; LeFaive, Jonathon 13 ; Levine, David 11 ; Levy, Dan 35 ; Lewis, Joshua 18 ; Li, Xiaohui 113 ; Li, Yun 75 ; Lin, Henry 113 ; Lin, Honghuang 114 ; Lin, Xihong 115 ; Liu, Simin 116 ; Liu, Yu 117 ; Loos, Ruth J. F. 118 ; Lubitz, Steven 80 ; Lunetta, Kathryn 119 ; Luo, James 35 ; Magalang, Ulysses 120 ; Mahaney, Michael 65 ; Make, Barry 21 ; Manning, Alisa 121 ; Manson, JoAnn 51 ; Martin, Lisa 122 ; Marton, Melissa 12 ; Mathai, Susan 50 ; Mathias, Rasika 21 ; May, Susanne 7 ; McArdle, Patrick 18 ; McDonald, Merry-Lynn 24 ; McFarland, Sean 106 ; McGarvey, Stephen 123 ; McGoldrick, Daniel 124 ; McHugh, Caitlin 7 ; McNeil, Becky 125 ; Mei, Hao 19 ; Meigs, James 126 ; Menon, Vipin 28 ; Mestroni, Luisa 88 ; Metcalf, Ginger 28 ; Meyers, Deborah A. 127 ; Mignot, Emmanuel 128 ; Mikulla, Julie 35 ; Min, Nancy 19 ; Minear, Mollie 129 ; Minster, Ryan L. 37 ; Mitchell, Braxton D. 18 ; Moll, Matt 56 ; Momin, Zeineen 28 ; Montasser, May E. 18 ; Montgomery, Courtney 130 ; Muzny, Donna 28 ; Mychaleckyj, Josyf C. 59 ; Nadkarni, Girish 85 ; Naik, Rakhi 21 ; Naseri, Take 131 ; Nekhai, Sergei 132 ; Nelson, Sarah C. 7 ; Neltner, Bonnie 50 ; Nessner, Caitlin 28 ; Nickerson, Deborah 124 ; Nkechinyere, Osuji 28 ; North, Kari 75 ; O’Connell, Jeff 18 ; O’Connor, Tim 18 ; Ochs-Balcom, Heather 133 ; Okwuonu, Geoffrey 28 ; Pack, Allan 134 ; Paik, David T. 135 ; Palmer, Nicholette 43 ; Pankow, James 136 ; Papanicolaou, George 35 ; Parker, Cora 137 ; Peloso, Gina 138 ; Peralta, Juan Manuel 76 ; Perez, Marco 25 ; Perry, James 18 ; Peters, Ulrike 139 ; Peyser, Patricia 13 ; Phillips, Lawrence S. 17 ; Pleiness, Jacob 13 ; Pollin, Toni 18 ; Post, Wendy 140 ; Becker, Julia Powers 141 ; Boorgula, Meher Preethi 50 ; Preuss, Michael 85 ; Psaty, Bruce 11 ; Qasba, Pankaj 35 ; Qiao, Dandi 51 ; Qin, Zhaohui 17 ; Rafaels, Nicholas 142 ; Raffield, Laura 143 ; Rajendran, Mahitha 28 ; Ramachandran, Vasan S. 119 ; Rao, D. C. 83 ; Rasmussen-Torvik, Laura 144 ; Ratan, Aakrosh 59 ; Redline, Susan 56 ; Reed, Robert 18 ; Reeves, Catherine 12 ; Regan, Elizabeth 44 ; Reiner, Alex 145 ; Reupena, Muagututiâ€ã Sefuiva 146 ; Rice, Ken 11 ; Robillard, Rebecca 147 ; Robine, Nicolas 12 ; Roselli, Carolina 14 ; Ruczinski, Ingo 21 ; Runnels, Alexi 12 ; Russell, Pamela 50 ; Ruuska, Sarah 148 ; Sabino, Ester Cerdeira 149 ; Saleheen, Danish 31 ; Salimi, Shabnam 150 ; Salvi, Sejal 28 ; Salzberg, Steven 21 ; Sandow, Kevin 151 ; Sankaran, Vijay G. 152 ; Santibanez, Jireh 28 ; Schwander, Karen 83 ; Schwartz, David 50 ; Sciurba, Frank 37 ; Seidman, Christine 153 ; Seidman, Jonathan 154 ; Sériès, Frédéric 155 ; Sheehan, Vivien 156 ; Sherman, Stephanie L. 157 ; Shetty, Amol 18 ; Shetty, Aniket 50 ; Sheu, Wayne Hui-Heng 101 ; Shoemaker, M. Benjamin 158 ; Silver, Brian 159 ; Silverman, Edwin 51 ; Skomro, Robert 160 ; Smith, Albert Vernon 13 ; Smith, Jennifer 13 ; Smith, Josh 11 ; Smith, Nicholas 94 ; Smith, Tanja 12 ; Smoller, Sylvia 105 ; Snively, Beverly 161 ; Snyder, Michael 25 ; Sofer, Tamar 51 ; Sotoodehnia, Nona 11 ; Stilp, Adrienne M. 11 ; Storm, Garrett 162 ; Streeten, Elizabeth 18 ; Su, Jessica Lasky 163 ; Sung, Yun Ju 83 ; Sylvia, Jody 51 ; Szpiro, Adam 11 ; Taliun, Daniel 13 ; Tang, Hua 164 ; Taub, Margaret 21 ; Taylor, Matthew 88 ; Taylor, Simeon 18 ; Telen, Marilyn 23 ; Thornton, Timothy A. 11 ; Threlkeld, Machiko 124 ; Tinker, Lesley 165 ; Tirschwell, David 11 ; Tishkoff, Sarah 166 ; Tiwari, Hemant 167 ; Tong, Catherine 7 ; Tsai, Michael 136 ; Vaidya, Dhananjay 21 ; Van Den Berg, David 168 ; VandeHaar, Peter 13 ; Vrieze, Scott 136 ; Walker, Tarik 50 ; Wallace, Robert 97 ; Walts, Avram 50 ; Wang, Fei Fei 11 ; Wang, Heming 169 ; Wang, Jiongming 13 ; Watson, Karol 55 ; Watt, Jennifer 28 ; Weeks, Daniel E. 170 ; Weinstock, Joshua 104 ; Weir, Bruce 11 ; Weiss, Scott T. 171 ; Weng, Lu-Chen 80 ; Wessel, Jennifer 172 ; Willer, Cristen 66 ; Williams, Kayleen 7 ; Williams, L. Keoki 173 ; Wilson, Carla 51 ; Winterkorn, Lara 12 ; Wong, Quenna 11 ; Wu, Joseph 135 ; Xu, Huichun 18 ; Yanek, Lisa 21 ; Yang, Ivana 50 ; Yu, Ketian 13 ; Zekavat, Seyedeh Maryam 14 ; Zhang, Yingze 174 ; Zhao, Snow Xueyan 44 ; Zhao, Wei 175 ; Zhu, Xiaofeng 176 ; Ziv, Elad 177 ; Zody, Michael 12 ; Zoellner, Sebastian 13 ; Bouchard, Claude 178   VIAFID ORCID Logo  ; Sarzynski, Mark A. 179   VIAFID ORCID Logo  ; Rich, Stephen S. 8   VIAFID ORCID Logo  ; Rotter, Jerome I. 5 ; Wang, Thomas J. 180 ; Wilson, James G. 1 ; Clish, Clary B. 2   VIAFID ORCID Logo  ; Natarajan, Pradeep 181 ; Gerszten, Robert E. 182   VIAFID ORCID Logo 

 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) 
 University of Mississippi Medical Center, Jackson, US (GRID:grid.410721.1) (ISNI:0000 0004 1937 0407) 
 University of Vermont, Department of Pathology Laboratory Medicine, Larner College of Medicine, Burlington, US (GRID:grid.59062.38) (ISNI:0000 0004 1936 7689) 
 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) 
 Duke University Medical Center, Department of Medicine, Division of Cardiology, Duke Molecular Physiology Institute, Durham, US (GRID:grid.189509.c) (ISNI:0000000100241216) 
 University of Washington, Department of Biostatistics, Seattle, US (GRID:grid.34477.33) (ISNI:0000000122986657) 
 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) 
 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) 
Publication year
2022
Publication date
2022
Publisher
Nature Publishing Group
e-ISSN
20411723
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2705219702
Copyright
© The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.