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A genetic association study of circulating coagulation factor VIII and von Willebrand factor levels

  • Trans-Omics for Precision Medicine (TOPMed) program
  • , The INVENT Consortium
  • University of Texas Health Science Center at Houston
  • Johns Hopkins University
  • Department of Veterans Affairs
  • Research Institute of the Santa Creu i Sant Pau Hospital
  • University of Washington
  • University of North Carolina at Chapel Hill
  • University of Michigan, Ann Arbor
  • Framingham Heart Study
  • University of Washington
  • University of Maryland, Baltimore
  • University of Minnesota Twin Cities
  • The Lundquist Institute
  • University of Split
  • National Institutes of Health
  • University of Copenhagen
  • Karolinska Institutet
  • University of Edinburgh
  • SYNLAB International GmbH
  • Heidelberg University 
  • Institut national de la santé et de la recherche médicale
  • Leiden University
  • Erasmus University Rotterdam
  • University of Texas Rio Grande Valley
  • Fred Hutchinson Cancer Research Center
  • University of Mississippi
  • Aix-Marseille Université
  • Assistance publique - Hôpitaux de Marseille

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Coagulation factor VIII (FVIII) and its carrier protein von Willebrand factor (VWF) are critical to coagulation and platelet aggregation. We leveraged whole-genome sequence data from the Trans-Omics for Precision Medicine (TOPMed) program along with TOPMed-based imputation of genotypes in additional samples to identify genetic associations with circulating FVIII and VWF levels in a single-variant meta-analysis, including up to 45 289 participants. Gene-based aggregate tests were implemented in TOPMed. We identified 3 candidate causal genes and tested their functional effect on FVIII release from human liver endothelial cells (HLECs) and VWF release from human umbilical vein endothelial cells. Mendelian randomization was also performed to provide evidence for causal associations of FVIII and VWF with thrombotic outcomes. We identified associations (P < 5 × 10−9) at 7 new loci for FVIII (ST3GAL4, CLEC4M, B3GNT2, ASGR1, F12, KNG1, and TREM1/NCR2) and 1 for VWF (B3GNT2). VWF, ABO, and STAB2 were associated with FVIII and VWF in gene-based analyses. Multiphenotype analysis of FVIII and VWF identified another 3 new loci, including PDIA3. Silencing of B3GNT2 and the previously reported CD36 gene decreased release of FVIII by HLECs, whereas silencing of B3GNT2, CD36, and PDIA3 decreased release of VWF by HVECs. Mendelian randomization supports causal association of higher FVIII and VWF with increased risk of thrombotic outcomes. Seven new loci were identified for FVIII and 1 for VWF, with evidence supporting causal associations of FVIII and VWF with thrombotic outcomes. B3GNT2, CD36, and PDIA3 modulate the release of FVIII and/or VWF in vitro.

Original languageEnglish
Pages (from-to)1845-1855
Number of pages11
JournalBlood
Volume143
Issue number18
DOIs
StatePublished - May 2 2024

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