A

X-chromosome and kidney function: evidence from a multi-trait genetic analysis of 908,697 individuals reveals sex-specific and sex-differential findings in genes regulated by androgen response elements

Nature Communications, vol. 15, pp. 586

Abstract

X-chromosomal genetic variants are understudied but can yield valuable insights into sexually dimorphic human traits and diseases. We performed a sex-stratified cross-ancestry X-chromosome-wide association meta-analysis of seven kidney-related traits (n = 908,697), identifying 23 loci genome-wide significantly associated with two of the traits: 7 for uric acid and 16 for estimated glomerular filtration rate (eGFR), including four novel eGFR loci containing the functionally plausible prioritized genes ACSL4, CLDN2, TSPAN6 and the female-specific DRP2. Further, we identified five novel sex-interactions, comprising male-specific effects at FAM9B and AR/EDA2R, and three sex-differential findings with larger genetic effect sizes in males at DCAF12L1 and MST4 and larger effect sizes in females at HPRT1. All prioritized genes in loci showing significant sex-interactions were located next to androgen response elements (ARE). Five ARE genes showed sex-differential expressions. This study contributes new insights into sex-dimorphisms of kidney traits along with new prioritized gene targets for further molecular research.

Authors 100

  1. Markus R. Scholz corresponding

    Leipzig University

    Affiliation as printed

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany. markus.scholz@imise.uni-leipzig.de

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany. markus.scholz@imise.uni-leipzig.de

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

  2. Leipzig University

    Affiliation as printed

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  3. Leipzig University

    Affiliation as printed

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  4. University of Freiburg · University Medical Center Freiburg

    Affiliation as printed

    Department of Medicine IV - Nephrology and Primary Care, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany

    Institute of Genetic Epidemiology, Department of Data Driven Medicine, Faculty of Medicine and Medical Center-University of Freiburg, Freiburg, Germany

    Institute of Genetic Epidemiology, Department of Data Driven Medicine, Faculty of Medicine and Medical Center–University of Freiburg, Freiburg, Germany

  5. Leipzig University

    Affiliation as printed

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  6. Universitätsmedizin Greifswald · Universität Greifswald · German Centre for Cardiovascular Research

    Affiliation as printed

    DZHK (German Center for Cardiovascular Research), partner site Greifswald, Greifswald, Germany

    Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany

    Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany

  7. Leipzig University

    Affiliation as printed

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  8. University of Freiburg · University Medical Center Freiburg

    Affiliation as printed

    Institute of Genetic Epidemiology, Department of Data Driven Medicine, Faculty of Medicine and Medical Center-University of Freiburg, Freiburg, Germany

    Institute of Genetic Epidemiology, Department of Data Driven Medicine, Faculty of Medicine and Medical Center–University of Freiburg, Freiburg, Germany

  9. University of Freiburg · University Medical Center Freiburg

    Affiliation as printed

    Institute of Genetic Epidemiology, Department of Data Driven Medicine, Faculty of Medicine and Medical Center-University of Freiburg, Freiburg, Germany

    Institute of Genetic Epidemiology, Department of Data Driven Medicine, Faculty of Medicine and Medical Center–University of Freiburg, Freiburg, Germany

  10. University Hospital Regensburg · University of Regensburg

    Affiliation as printed

    Department of Genetic Epidemiology, University of Regensburg, Regensburg, Germany

    Department of Nephrology, University Hospital Regensburg, Regensburg, Germany

  11. Universitätsmedizin Greifswald · Universität Greifswald · German Centre for Cardiovascular Research

    Affiliation as printed

    DZHK (German Center for Cardiovascular Research), partner site Greifswald, Greifswald, Germany

    Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany

  12. University of Utah

    Affiliation as printed

    Division of Nephrology and Hypertension, Department of Medicine, University of Utah, Salt Lake City, UT, USA

  13. University of Mississippi Medical Center

    Affiliation as printed

    Division of Nephrology, Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA

    Memory Impairment and Neurodegenerative Dementia (MIND) Center, University of Mississippi Medical Center, Jackson, MS, USA

  14. National University of Singapore · National University Health System

    Affiliation as printed

    Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore

  15. IRCCS Materno Infantile Burlo Garofolo

    Affiliation as printed

    Institute for Maternal and Child Health, IRCCS 'Burlo Garofolo', Trieste, Italy

  16. Washington University in St. Louis

    Affiliation as printed

    Division of Statistical Genomics, Department of Genetics, Washington University School of Medicine, St. Louis, MO, USA

  17. Institute of Genetics and Biophysics

    Affiliation as printed

    Institute of Genetics and Biophysics 'Adriano Buzzati-Traverso'-CNR, Naples, Italy

  18. Kyushu University · RIKEN Center for Integrative Medical Sciences

    Affiliation as printed

    Department of Ocular Pathology and Imaging Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

    Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences (IMS), Yokohama, Japan

  19. Norwegian University of Science and Technology · St Olav's University Hospital

    Affiliation as printed

    Department of Endocrinology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway

    K. G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health, Norwegian University of Science and Technology, Trondheim, Norway

  20. University of Washington

    Affiliation as printed

    Division of Nephrology, University of Washington, Seattle, WA, USA

    Kidney Research Institute, University of Washington, Seattle, WA, USA

  21. University of Washington

    Affiliation as printed

    Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA

    Department of Biostatistics, University of Washington, Seattle, WA, USA

  22. Institute of Genetics and Cancer · MRC Human Genetics Unit · University of Edinburgh

    Affiliation as printed

    Medical Research Council Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, EH4 2XU, UK

  23. German Cancer Research Center · Heidelberg University

    Affiliation as printed

    Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany

    Network Aging Research, Heidelberg University, Heidelberg, Germany

  24. Norwegian University of Science and Technology · University of Bristol · St Olav's University Hospital · MRC Integrative Epidemiology Unit

    Affiliation as printed

    Clinic of Thoracic and Occupational Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway

    K. G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health, Norwegian University of Science and Technology, Trondheim, Norway

    MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK

  25. University Hospital Regensburg · Leipzig University

    Affiliation as printed

    Institute of Clinical Chemistry and Laboratory Medicine, University Hospital Regensburg, Regensburg, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  26. University of North Carolina at Chapel Hill

    Affiliation as printed

    Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

  27. Institute of Genetics and Cancer · University of Edinburgh

    Affiliation as printed

    Centre for Genomic and Experimental Medicine, Institute of Genetics & Cancer, University of Edinburgh, Edinburgh, EH4 2XU, UK

  28. University of Edinburgh

    Affiliation as printed

    Centre for Global Health, Usher Institute, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland

  29. UNSW Sydney · The George Institute for Global Health

    Affiliation as printed

    The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia

  30. Brigham and Women's Hospital · Harvard University

    Affiliation as printed

    Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA, USA

    Harvard Medical School, Boston, MA, USA

  31. Singapore National Eye Center · Singapore Eye Research Institute

    Affiliation as printed

    Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore

  32. Singapore National Eye Center · Singapore Eye Research Institute

    Affiliation as printed

    Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore

  33. Karolinska Institutet

    Affiliation as printed

    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden

  34. National University of Singapore · Singapore National Eye Center · Singapore Eye Research Institute · Duke-NUS Medical School · National University Health System

    Affiliation as printed

    Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore

    Ophthalmology and Visual Sciences Academic Clinical Program (Eye ACP), Duke-NUS Medical School, Singapore, Singapore

    Singapore Eye Research Institute, Singapore National Eye Center, Singapore, Singapore

  35. Charles University · Thomayer University Hospital

    Affiliation as printed

    Center for Cardiovascular Prevention, Charles University in Prague, First Faculty of Medicine and Thomayer University Hospital, Prague, Czech Republic

    Department of Medicine II, Charles University in Prague, First Faculty of Medicine, Prague, Czech Republic

  36. University of Illinois Chicago

    Affiliation as printed

    Institute for Minority Health Research, University of Illinois at Chicago, Chicago, IL, USA

  37. Heidelberg University · Medizinische Fakultät Mannheim

    Affiliation as printed

    Vth Department of Medicine (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany

  38. University Hospital Leipzig · Leipzig University

    Affiliation as printed

    University Hospital for Children and Adolescents, Pediatric Research Unit, Medical Faculty, University Medical Center, University of Leipzig, Leipzig, Germany

  39. Vanderbilt University · VA Tennessee Valley Healthcare System · Vanderbilt University Medical Center

    Affiliation as printed

    Department of Veteran's Affairs, Tennessee Valley Healthcare System (626)/Vanderbilt University, Nashville, TN, USA

    Division of Epidemiology, Department of Medicine, Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN, USA

  40. Universitätsmedizin Greifswald · Universität Greifswald · German Centre for Cardiovascular Research

    Affiliation as printed

    DZHK (German Center for Cardiovascular Research), partner site Greifswald, Greifswald, Germany

    Department of Anatomy and Cell Biology, University Medicine Greifswald, Greifswald, Germany

  41. VA Boston Healthcare System

    Affiliation as printed

    Massachusetts Veterans Epidemiology Research and Information Center, VA Cooperative Studies Program, VA Boston Healthcare System, Boston, MA, USA

  42. Vanderbilt University · Vanderbilt University Medical Center

    Affiliation as printed

    Biomedical Laboratory Research and Development, Tennessee Valley Healthcare System (626)/Vanderbilt University, Nashville, TN, USA

    Division of Quantitative Sciences, Department of Obstetrics & Gynecology, Vanderbilt Genetics Institute, Vanderbilt Epidemiology Center, Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA

  43. Brigham and Women's Hospital

    Affiliation as printed

    Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA, USA

  44. QIMR Berghofer Medical Research Institute

    Affiliation as printed

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

  45. deCODE Genetics (Iceland) · University of Iceland

    Affiliation as printed

    Iceland School of Engineering and Natural Sciences, University of Iceland, Reykjavik, Iceland

    deCODE Genetics/Amgen, Inc., Reykjavik, Iceland

  46. Norwegian University of Science and Technology · St Olav's University Hospital

    Affiliation as printed

    Department of Clinical and Molecular Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway

    Department of Nephrology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway

  47. Centre Hospitalier de l’Université de Montréal · Medpharmgene (Canada)

    Affiliation as printed

    Medpharmgene, Montreal, QC, Canada

    Montreal University Hospital Research Center, CHUM, Montréal, QC, Canada

  48. University Medical Center Groningen · University of Groningen

    Affiliation as printed

    Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands

  49. Institute of Genetics and Cancer · MRC Human Genetics Unit · University of Edinburgh

    Affiliation as printed

    Medical Research Council Human Genetics Unit, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, EH4 2XU, UK

  50. University of Regensburg

    Affiliation as printed

    Department of Genetic Epidemiology, University of Regensburg, Regensburg, Germany

  51. Vanderbilt University · VA Tennessee Valley Healthcare System · Vanderbilt University Medical Center

    Affiliation as printed

    Department of Veteran's Affairs, Tennessee Valley Healthcare System (626)/Vanderbilt University, Nashville, TN, USA

    Division of Epidemiology, Department of Medicine, Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN, USA

    Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN, USA

  52. German Cancer Research Center

    Affiliation as printed

    Division of Clinical Epidemiology and Aging Research, German Cancer Research Center (DKFZ), Heidelberg, Germany

  53. deCODE Genetics (Iceland)

    Affiliation as printed

    deCODE Genetics/Amgen, Inc., Reykjavik, Iceland

  54. Tampere University · University of Tampere

    Affiliation as printed

    Tampere Centre for Skills Training and Simulation, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

  55. Norwegian University of Science and Technology

    Affiliation as printed

    K. G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, Faculty of Medicine and Health, Norwegian University of Science and Technology, Trondheim, Norway

  56. Leipzig University

    Affiliation as printed

    Institute for Laboratory Medicine, University of Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  57. Beijing Tongren Hospital · Capital Medical University · Heidelberg University · Institute of Molecular and Clinical Ophthalmology Basel · Medizinische Fakultät Mannheim

    Affiliation as printed

    Beijing Institute of Ophthalmology, Key Laboratory of Ophthalmology and Visual Sciences, Beijing Tongren Hospital, Capital Medical University, Beijing, China

    Department of Ophthalmology, Medical Faculty Mannheim, University Heidelberg, Mannheim, Germany

    Institute of Molecular and Clinical Ophthalmology, Basel, Switzerland

    Privatpraxis Prof Jonas und Dr Panda-Jonas, Heidelberg, Germany

  58. University of Edinburgh

    Affiliation as printed

    Centre for Global Health, Usher Institute, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland

  59. RIKEN Center for Integrative Medical Sciences · The University of Tokyo

    Affiliation as printed

    Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences (IMS), Yokohama, Japan

    Laboratory of Complex Trait Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan

  60. Broad Institute · Harvard University · RIKEN Center for Integrative Medical Sciences

    Affiliation as printed

    Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA

    Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences (IMS), Yokohama, Japan

    Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA

  61. Affiliation as printed

    Finnish Medicines Agency, Kuopio, Finland

  62. Agency for Science, Technology and Research · National University of Singapore · National University Health System · Genome Institute of Singapore

    Affiliation as printed

    Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore

    Genome Institute of Singapore, Agency for Science Technology and Research, Singapore, Singapore

  63. University Hospital Leipzig · Leipzig University

    Affiliation as printed

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

    University Hospital for Children and Adolescents, Pediatric Research Unit, Medical Faculty, University Medical Center, University of Leipzig, Leipzig, Germany

  64. Heidelberg University · Medizinische Fakultät Mannheim

    Affiliation as printed

    SYNLAB MVZ Humangenetik Mannheim, Mannheim, Germany

    Vth Department of Medicine (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany

  65. Helmholtz Munich · University Hospital Leipzig · Leipzig University

    Affiliation as printed

    Helmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum München at the University of Leipzig and University Hospital Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

    University Hospital for Children and Adolescents, Pediatric Research Unit, Medical Faculty, University Medical Center, University of Leipzig, Leipzig, Germany

  66. Leipzig University

    Affiliation as printed

    Department of Medicine, University of Leipzig, Leipzig, Germany

  67. Charles University · Thomayer University Hospital

    Affiliation as printed

    Center for Cardiovascular Prevention, Charles University in Prague, First Faculty of Medicine and Thomayer University Hospital, Prague, Czech Republic

  68. Loyola University Chicago

    Affiliation as printed

    Department of Public Health Sciences, Loyola University Chicago, Maywood, IL, USA

    Division of Nephrology and Hypertension, Loyola University Chicago, Chicago, IL, USA

  69. Heidelberg University · Medizinische Fakultät Mannheim

    Affiliation as printed

    Vth Department of Medicine (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany

  70. University of Helsinki · The University of Texas Rio Grande Valley · Finnish Institute for Health and Welfare

    Affiliation as printed

    Department of Human Genetics and South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley School of Medicine, Brownsville, TX, USA

    Finnish Institute for Health and Welfare, Helsinki, Finland

    Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, Helsinki, Finland

  71. Tampere University · Tampere University Hospital · University of Tampere

    Affiliation as printed

    Department of Clinical Physiology, Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

    Department of Clinical Physiology, Tampere University Hospital, Tampere, Finland

  72. University of Colorado Anschutz · University of Colorado Denver

    Affiliation as printed

    Division of Biomedical Informatics and Personalized Medicine, School of Medicine, University of Colorado Denver-Anschutz Medical Campus, Aurora, CO, USA

  73. University of Illinois Chicago

    Affiliation as printed

    Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA

  74. Tampere University · Fimlab (Finland) · University of Tampere

    Affiliation as printed

    Department of Clinical Chemistry, Fimlab Laboratories, and The Wellbeing Services County of Pirkanmaa, Tampere, Finland

    Department of Clinical Chemistry, Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

  75. National University of Singapore · National University Health System

    Affiliation as printed

    Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore

  76. University of North Carolina at Chapel Hill

    Affiliation as printed

    Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

  77. Agency for Science, Technology and Research · National University of Singapore · National University Health System · Genome Institute of Singapore

    Affiliation as printed

    Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore

    Genome Institute of Singapore, Agency for Science Technology and Research, Singapore, Singapore

  78. Leipzig University

    Affiliation as printed

    Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany

    LIFE Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany

  79. Tampere University · Fimlab (Finland) · University of Tampere

    Affiliation as printed

    Department of Clinical Chemistry, Fimlab Laboratories, and The Wellbeing Services County of Pirkanmaa, Tampere, Finland

    Department of Clinical Chemistry, Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

  80. Karolinska Institutet

    Affiliation as printed

    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden

  81. QIMR Berghofer Medical Research Institute

    Affiliation as printed

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

  82. The University of Tokyo

    Affiliation as printed

    Laboratory of Clinical Genome Sequencing, Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan

  83. Amsterdam Neuroscience · Amsterdam Public Health · GGZ inGeest · Amsterdam University Medical Centers

    Affiliation as printed

    Department of Psychiatry, Amsterdam Public Health and Amsterdam Neuroscience, Amsterdam UMC/Vrije Universiteit and GGZ inGeest, Amsterdam, the Netherlands

  84. Tampere University · Fimlab (Finland) · University of Tampere

    Affiliation as printed

    Department of Clinical Chemistry, Fimlab Laboratories, and The Wellbeing Services County of Pirkanmaa, Tampere, Finland

    Department of Clinical Chemistry, Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

  85. Tampere University · Fimlab (Finland) · University of Tampere

    Affiliation as printed

    Department of Clinical Chemistry, Fimlab Laboratories, and The Wellbeing Services County of Pirkanmaa, Tampere, Finland

    Department of Clinical Chemistry, Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

  86. The University of Queensland

    Affiliation as printed

    University of Queensland, Brisbane, QLD, Australia

  87. Leiden University Medical Center

    Affiliation as printed

    Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands

    Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands

  88. University of Virginia

    Affiliation as printed

    Center for Public Health Genomics, University of Virginia, Charlottesville, Charlottesville, VA, USA

  89. University of Graz · Medical University of Graz · Heidelberg University · Synlab (Germany) · Medizinische Fakultät Mannheim

    Affiliation as printed

    Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University Graz, Graz, Austria

    Synlab Academy, Synlab Holding Deutschland GmbH, Augsburg, Germany

    Vth Department of Medicine (Nephrology, Hypertensiology, Rheumatology, Endocrinology, Diabetology), Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Germany

  90. Universitätsmedizin Greifswald · Universität Greifswald · German Centre for Cardiovascular Research

    Affiliation as printed

    DZHK (German Center for Cardiovascular Research), partner site Greifswald, Greifswald, Germany

    Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany

  91. Tampere University · Tampere University Hospital · University of Tampere

    Affiliation as printed

    Department of Cardiology, Finnish Cardiovascular Research Center - Tampere, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland

    Department of Cardiology, Heart Center, Tampere University Hospital, Tampere, Finland

  92. University Medical Center Groningen · University of Groningen

    Affiliation as printed

    Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands

  93. Leiden University Medical Center

    Affiliation as printed

    Department of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands

  94. RIKEN Center for Integrative Medical Sciences · The University of Tokyo · The University of Osaka

    Affiliation as printed

    Department of Genome Informatics, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan

    Department of Statistical Genetics, Osaka University Graduate School of Medicine, Osaka, Japan

    Laboratory for Systems Genetics, RIKEN Center for Integrative Medical Sciences (IMS), Yokohama, Japan

  95. National University Hospital of Iceland

    Affiliation as printed

    Department of Clinical Biochemistry, Landspitali University Hospital, Reykjavik, Iceland

  96. University Medical Center Groningen · University of Groningen

    Affiliation as printed

    Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Department of Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands

  97. Amsterdam Neuroscience · Amsterdam Public Health · GGZ inGeest · Amsterdam University Medical Centers

    Affiliation as printed

    Department of Psychiatry, Amsterdam Public Health and Amsterdam Neuroscience, Amsterdam UMC/Vrije Universiteit and GGZ inGeest, Amsterdam, the Netherlands

  98. University of Helsinki · Finnish Institute for Health and Welfare

    Affiliation as printed

    Finnish Institute for Health and Welfare, Helsinki, Finland

    Research Program for Clinical and Molecular Metabolism, Faculty of Medicine, University of Helsinki, Helsinki, Finland

  99. Human Technopole · University of Edinburgh

    Affiliation as printed

    Biostatistics Unit - Population and Medical Genomics Programme, Genomics Research Centre, Human Technopole Palazzo Italia, Viale Rita Levi‑Montalcini, 1, 20157, Milan, Italy

    Centre for Global Health, Usher Institute, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, Scotland

  100. University of Split

    Affiliation as printed

    University of Split Medical School, Split, Croatia

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References 68