@article {9912, title = {A Large-Scale Genome-wide Association Study of Blood Pressure Accounting for Gene-Depressive Symptomatology Interactions in 564,680 Individuals from Diverse Populations.}, journal = {Res Sq}, year = {2025}, month = {2025 Feb 17}, abstract = {

BACKGROUND: Gene-environment interactions may enhance our understanding of hypertension. Our previous study highlighted the importance of considering psychosocial factors in gene discovery for blood pressure (BP) but was limited in statistical power and population diversity. To address these challenges, we conducted a multi-population genome-wide association study (GWAS) of BP accounting for gene-depressive symptomatology (DEPR) interactions in a larger and more diverse sample.

RESULTS: Our study included 564,680 adults aged 18 years or older from 67 cohorts and 4 population backgrounds (African (5\%), Asian (7\%), European (85\%), and Hispanic (3\%)). We discovered seven novel gene-DEPR interaction loci for BP traits. These loci mapped to genes implicated in neurogenesis (), lipid metabolism (), neuronal apoptosis (), and synaptic activity (). We also identified evidence for gene-DEPR interaction at nine known BP loci, further suggesting links between mood disturbance and BP regulation. Of the 16 identified loci, 11 loci were derived from African, Asian, or Hispanic populations. Post-GWAS analyses prioritized 36 genes, including genes involved in synaptic functions () and neuronal signaling (). Integrative druggability analyses identified 11 druggable candidate gene targets, including genes implicated in pathways linked to mood disorders as well as gene products targeted by known antihypertensive drugs.

CONCLUSIONS: Our findings emphasize the importance of considering gene-DEPR interactions on BP, particularly in non-European populations. Our prioritized genes and druggable targets highlight biological pathways connecting mood disorders and hypertension and suggest opportunities for BP drug repurposing and risk factor prevention, especially in individuals with DEPR.

}, issn = {2693-5015}, doi = {10.21203/rs.3.rs-6025759/v1}, author = {Lee, Songmi and Miller, Clint L and Bentley, Amy R and Brown, Michael R and Nagarajan, Pavithra and Noordam, Raymond and Morrison, John and Schwander, Karen and Westerman, Kenneth and Kho, Minjung and Kraja, Aldi T and de Vries, Paul S and Ammous, Farah and Aschard, Hughes and Bartz, Traci M and Do, Anh and Dupont, Charles T and Feitosa, Mary F and Gudmundsdottir, Valborg and Guo, Xiuqing and Harris, Sarah E and Hikino, Keiko and Huang, Zhijie and Lefevre, Christophe and Lyytik{\"a}inen, Leo-Pekka and Milaneschi, Yuri and Nardone, Giuseppe Giovanni and Santin, Aurora and Schmidt, Helena and Shen, Botong and Sofer, Tamar and Sun, Quan and Tan, Ye An and Tang, Jingxian and Th{\'e}riault, S{\'e}bastien and van der Most, Peter J and Ware, Erin B and Weiss, Stefan and Ya Xing, Wang and Yu, Chenglong and Zhao, Wei and Ansari, Md Abu Yusuf and Anugu, Pramod and Attia, John R and Bazzano, Lydia A and Bis, Joshua C and Breyer, Max and Cade, Brian and Chen, Guanjie and Collins, Stacey and Corley, Janie and Davies, Gail and D{\"o}rr, Marcus and Du, Jiawen and Edwards, Todd L and Faquih, Tariq and Faul, Jessica D and Fohner, Alison E and Fretts, Amanda M and Gangireddy, Srushti and Gepner, Adam and Graff, Mariaelisa and Hofer, Edith and Homuth, Georg and Hood, Michelle M and Jie, Xu and K{\"a}h{\"o}nen, Mika and Kardia, Sharon Lr and Karvonen-Gutierrez, Carrie A and Launer, Lenore J and Levy, Daniel and Maheshwari, Maitreiyi and Martin, Lisa W and Matsuda, Koichi and McNeil, John J and Nolte, Ilja M and Okochi, Tomo and Raffield, Laura M and Raitakari, Olli T and Risch, Lorenz and Risch, Martin and Roux, Ana Diez and Ruiz-Narvaez, Edward A and Russ, Tom C and Saito, Takeo and Schreiner, Pamela J and Scott, Rodney J and Shikany, James and Smith, Jennifer A and Snieder, Harold and Spedicati, Beatrice and Tai, E Shyong and Taylor, Adele M and Taylor, Kent D and Tesolin, Paola and van Dam, Rob M and Wang, Rujia and Wenbin, Wei and Xie, Tian and Yao, Jie and Young, Kristin L and Zhang, Ruiyuan and Zonderman, Alan B and Concas, Maria Pina and Conen, David and Cox, Simon R and Evans, Michele K and Fox, Ervin R and de Las Fuentes, Lisa and Giri, Ayush and Girotto, Giorgia and Grabe, Hans J and Gu, Charles and Gudnason, Vilmundur and Harlow, Sioban D and Holliday, Elizabeth and Jost, Jonas B and Lacaze, Paul and Lee, Seunggeun and Lehtim{\"a}ki, Terho and Li, Changwei and Liu, Ching-Ti and Morrison, Alanna C and North, Kari E and Penninx, Brenda Wjh and Peyser, Patricia A and Province, Michael M and Psaty, Bruce M and Redline, Susan and Rosendaal, Frits R and Rotimi, Charles N and Rotter, Jerome I and Schmidt, Reinhold and Sim, Xueling and Terao, Chikashi and Weir, David R and Zhu, Xiaofeng and Franceschini, Nora and O{\textquoteright}Connell, Jeffrey R and Jaquish, Cashell E and Wang, Heming and Manning, Alisa and Munroe, Patricia B and Rao, Dabeeru C and Chen, Han and Gauderman, W James and Bierut, Laura and Winkler, Thomas W and Fornage, Myriam} }