Nature Communications (Aug 2023)

Genetic insights into resting heart rate and its role in cardiovascular disease

  • Yordi J. van de Vegte,
  • Ruben N. Eppinga,
  • M. Yldau van der Ende,
  • Yanick P. Hagemeijer,
  • Yuvaraj Mahendran,
  • Elias Salfati,
  • Albert V. Smith,
  • Vanessa Y. Tan,
  • Dan E. Arking,
  • Ioanna Ntalla,
  • Emil V. Appel,
  • Claudia Schurmann,
  • Jennifer A. Brody,
  • Rico Rueedi,
  • Ozren Polasek,
  • Gardar Sveinbjornsson,
  • Cecile Lecoeur,
  • Claes Ladenvall,
  • Jing Hua Zhao,
  • Aaron Isaacs,
  • Lihua Wang,
  • Jian’an Luan,
  • Shih-Jen Hwang,
  • Nina Mononen,
  • Kirsi Auro,
  • Anne U. Jackson,
  • Lawrence F. Bielak,
  • Linyao Zeng,
  • Nabi Shah,
  • Maria Nethander,
  • Archie Campbell,
  • Tuomo Rankinen,
  • Sonali Pechlivanis,
  • Lu Qi,
  • Wei Zhao,
  • Federica Rizzi,
  • Toshiko Tanaka,
  • Antonietta Robino,
  • Massimiliano Cocca,
  • Leslie Lange,
  • Martina Müller-Nurasyid,
  • Carolina Roselli,
  • Weihua Zhang,
  • Marcus E. Kleber,
  • Xiuqing Guo,
  • Henry J. Lin,
  • Francesca Pavani,
  • Tessel E. Galesloot,
  • Raymond Noordam,
  • Yuri Milaneschi,
  • Katharina E. Schraut,
  • Marcel den Hoed,
  • Frauke Degenhardt,
  • Stella Trompet,
  • Marten E. van den Berg,
  • Giorgio Pistis,
  • Yih-Chung Tham,
  • Stefan Weiss,
  • Xueling S. Sim,
  • Hengtong L. Li,
  • Peter J. van der Most,
  • Ilja M. Nolte,
  • Leo-Pekka Lyytikäinen,
  • M. Abdullah Said,
  • Daniel R. Witte,
  • Carlos Iribarren,
  • Lenore Launer,
  • Susan M. Ring,
  • Paul S. de Vries,
  • Peter Sever,
  • Allan Linneberg,
  • Erwin P. Bottinger,
  • Sandosh Padmanabhan,
  • Bruce M. Psaty,
  • Nona Sotoodehnia,
  • Ivana Kolcic,
  • The DCCT/EDIC Research Group,
  • David O. Arnar,
  • Daniel F. Gudbjartsson,
  • Hilma Holm,
  • Beverley Balkau,
  • Claudia T. Silva,
  • Christopher H. Newton-Cheh,
  • Kjell Nikus,
  • Perttu Salo,
  • Karen L. Mohlke,
  • Patricia A. Peyser,
  • Heribert Schunkert,
  • Mattias Lorentzon,
  • Jari Lahti,
  • Dabeeru C. Rao,
  • Marilyn C. Cornelis,
  • Jessica D. Faul,
  • Jennifer A. Smith,
  • Katarzyna Stolarz-Skrzypek,
  • Stefania Bandinelli,
  • Maria Pina Concas,
  • Gianfranco Sinagra,
  • Thomas Meitinger,
  • Melanie Waldenberger,
  • Moritz F. Sinner,
  • Konstantin Strauch,
  • Graciela E. Delgado,
  • Kent D. Taylor,
  • Jie Yao,
  • Luisa Foco,
  • Olle Melander,
  • Jacqueline de Graaf,
  • Renée de Mutsert,
  • Eco J. C. de Geus,
  • Åsa Johansson,
  • Peter K. Joshi,
  • Lars Lind,
  • Andre Franke,
  • Peter W. Macfarlane,
  • Kirill V. Tarasov,
  • Nicholas Tan,
  • Stephan B. Felix,
  • E-Shyong Tai,
  • Debra Q. Quek,
  • Harold Snieder,
  • Johan Ormel,
  • Martin Ingelsson,
  • Cecilia Lindgren,
  • Andrew P. Morris,
  • Olli T. Raitakari,
  • Torben Hansen,
  • Themistocles Assimes,
  • Vilmundur Gudnason,
  • Nicholas J. Timpson,
  • Alanna C. Morrison,
  • Patricia B. Munroe,
  • David P. Strachan,
  • Niels Grarup,
  • Ruth J. F. Loos,
  • Susan R. Heckbert,
  • Peter Vollenweider,
  • Caroline Hayward,
  • Kari Stefansson,
  • Philippe Froguel,
  • Leif Groop,
  • Nicholas J. Wareham,
  • Cornelia M. van Duijn,
  • Mary F. Feitosa,
  • Christopher J. O’Donnell,
  • Mika Kähönen,
  • Markus Perola,
  • Michael Boehnke,
  • Sharon L. R. Kardia,
  • Jeanette Erdmann,
  • Colin N. A. Palmer,
  • Claes Ohlsson,
  • David J. Porteous,
  • Johan G. Eriksson,
  • Claude Bouchard,
  • Susanne Moebus,
  • Peter Kraft,
  • David R. Weir,
  • Daniele Cusi,
  • Luigi Ferrucci,
  • Sheila Ulivi,
  • Giorgia Girotto,
  • Adolfo Correa,
  • Stefan Kääb,
  • Annette Peters,
  • John C. Chambers,
  • Jaspal S. Kooner,
  • Winfried März,
  • Jerome I. Rotter,
  • Andrew A. Hicks,
  • J. Gustav Smith,
  • Lambertus A. L. M. Kiemeney,
  • Dennis O. Mook-Kanamori,
  • Brenda W. J. H. Penninx,
  • Ulf Gyllensten,
  • James F. Wilson,
  • Stephen Burgess,
  • Johan Sundström,
  • Wolfgang Lieb,
  • J. Wouter Jukema,
  • Mark Eijgelsheim,
  • Edward L. M. Lakatta,
  • Ching-Yu Cheng,
  • Marcus Dörr,
  • Tien-Yin Wong,
  • Charumathi Sabanayagam,
  • Albertine J. Oldehinkel,
  • Harriette Riese,
  • Terho Lehtimäki,
  • Niek Verweij,
  • Pim van der Harst

DOI
https://doi.org/10.1038/s41467-023-39521-2
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 21

Abstract

Read online

Abstract Resting heart rate is associated with cardiovascular diseases and mortality in observational and Mendelian randomization studies. The aims of this study are to extend the number of resting heart rate associated genetic variants and to obtain further insights in resting heart rate biology and its clinical consequences. A genome-wide meta-analysis of 100 studies in up to 835,465 individuals reveals 493 independent genetic variants in 352 loci, including 68 genetic variants outside previously identified resting heart rate associated loci. We prioritize 670 genes and in silico annotations point to their enrichment in cardiomyocytes and provide insights in their ECG signature. Two-sample Mendelian randomization analyses indicate that higher genetically predicted resting heart rate increases risk of dilated cardiomyopathy, but decreases risk of developing atrial fibrillation, ischemic stroke, and cardio-embolic stroke. We do not find evidence for a linear or non-linear genetic association between resting heart rate and all-cause mortality in contrast to our previous Mendelian randomization study. Systematic alteration of key differences between the current and previous Mendelian randomization study indicates that the most likely cause of the discrepancy between these studies arises from false positive findings in previous one-sample MR analyses caused by weak-instrument bias at lower P-value thresholds. The results extend our understanding of resting heart rate biology and give additional insights in its role in cardiovascular disease development.