TY - JOUR T1 - Chromosome Xq23 is associated with lower atherogenic lipid concentrations and favorable cardiometabolic indices. JF - Nat Commun Y1 - 2021 A1 - Natarajan, Pradeep A1 - Pampana, Akhil A1 - Graham, Sarah E A1 - Ruotsalainen, Sanni E A1 - Perry, James A A1 - de Vries, Paul S A1 - Broome, Jai G A1 - Pirruccello, James P A1 - Honigberg, Michael C A1 - Aragam, Krishna A1 - Wolford, Brooke A1 - Brody, Jennifer A A1 - Antonacci-Fulton, Lucinda A1 - Arden, Moscati A1 - Aslibekyan, Stella A1 - Assimes, Themistocles L A1 - Ballantyne, Christie M A1 - Bielak, Lawrence F A1 - Bis, Joshua C A1 - Cade, Brian E A1 - Do, Ron A1 - Doddapaneni, Harsha A1 - Emery, Leslie S A1 - Hung, Yi-Jen A1 - Irvin, Marguerite R A1 - Khan, Alyna T A1 - Lange, Leslie A1 - Lee, Jiwon A1 - Lemaitre, Rozenn N A1 - Martin, Lisa W A1 - Metcalf, Ginger A1 - Montasser, May E A1 - Moon, Jee-Young A1 - Muzny, Donna A1 - O'Connell, Jeffrey R A1 - Palmer, Nicholette D A1 - Peralta, Juan M A1 - Peyser, Patricia A A1 - Stilp, Adrienne M A1 - Tsai, Michael A1 - Wang, Fei Fei A1 - Weeks, Daniel E A1 - Yanek, Lisa R A1 - Wilson, James G A1 - Abecasis, Goncalo A1 - Arnett, Donna K A1 - Becker, Lewis C A1 - Blangero, John A1 - Boerwinkle, Eric A1 - Bowden, Donald W A1 - Chang, Yi-Cheng A1 - Chen, Yii-der I A1 - Choi, Won Jung A1 - Correa, Adolfo A1 - Curran, Joanne E A1 - Daly, Mark J A1 - Dutcher, Susan K A1 - Ellinor, Patrick T A1 - Fornage, Myriam A1 - Freedman, Barry I A1 - Gabriel, Stacey A1 - Germer, Soren A1 - Gibbs, Richard A A1 - He, Jiang A1 - Hveem, Kristian A1 - Jarvik, Gail P A1 - Kaplan, Robert C A1 - Kardia, Sharon L R A1 - Kenny, Eimear A1 - Kim, Ryan W A1 - Kooperberg, Charles A1 - Laurie, Cathy C A1 - Lee, Seonwook A1 - Lloyd-Jones, Don M A1 - Loos, Ruth J F A1 - Lubitz, Steven A A1 - Mathias, Rasika A A1 - Martinez, Karine A Viaud A1 - McGarvey, Stephen T A1 - Mitchell, Braxton D A1 - Nickerson, Deborah A A1 - North, Kari E A1 - Palotie, Aarno A1 - Park, Cheol Joo A1 - Psaty, Bruce M A1 - Rao, D C A1 - Redline, Susan A1 - Reiner, Alexander P A1 - Seo, Daekwan A1 - Seo, Jeong-Sun A1 - Smith, Albert V A1 - Tracy, Russell P A1 - Vasan, Ramachandran S A1 - Kathiresan, Sekar A1 - Cupples, L Adrienne A1 - Rotter, Jerome I A1 - Morrison, Alanna C A1 - Rich, Stephen S A1 - Ripatti, Samuli A1 - Willer, Cristen A1 - Peloso, Gina M AB -

Autosomal genetic analyses of blood lipids have yielded key insights for coronary heart disease (CHD). However, X chromosome genetic variation is understudied for blood lipids in large sample sizes. We now analyze genetic and blood lipid data in a high-coverage whole X chromosome sequencing study of 65,322 multi-ancestry participants and perform replication among 456,893 European participants. Common alleles on chromosome Xq23 are strongly associated with reduced total cholesterol, LDL cholesterol, and triglycerides (min P = 8.5 × 10), with similar effects for males and females. Chromosome Xq23 lipid-lowering alleles are associated with reduced odds for CHD among 42,545 cases and 591,247 controls (P = 1.7 × 10), and reduced odds for diabetes mellitus type 2 among 54,095 cases and 573,885 controls (P = 1.4 × 10). Although we observe an association with increased BMI, waist-to-hip ratio adjusted for BMI is reduced, bioimpedance analyses indicate increased gluteofemoral fat, and abdominal MRI analyses indicate reduced visceral adiposity. Co-localization analyses strongly correlate increased CHRDL1 gene expression, particularly in adipose tissue, with reduced concentrations of blood lipids.

VL - 12 IS - 1 ER -