RT Journal Article SR Electronic T1 Integrative analysis of metabolite GWAS illuminates the molecular basis of pleiotropy and genetic correlation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.04.02.486791 DO 10.1101/2022.04.02.486791 A1 Courtney J. Smith A1 Nasa Sinnott-Armstrong A1 Anna Cichońska A1 Heli Julkunen A1 Eric Fauman A1 Peter Würtz A1 Jonathan K. Pritchard YR 2022 UL http://biorxiv.org/content/early/2022/04/04/2022.04.02.486791.abstract AB Pleiotropy and genetic correlation are widespread features in GWAS, but they are often difficult to interpret at the molecular level. Here, we perform GWAS of 16 metabolites clustered at the intersection of amino acid catabolism, glycolysis, and ketone body metabolism in a subset of UK Biobank. We utilize the well-documented biochemistry jointly impacting these metabolites to analyze pleiotropic effects in the context of their pathways. Among the 213 lead GWAS hits, we find a strong enrichment for genes encoding pathway-relevant enzymes and transporters. We demonstrate that the effect directions of variants acting on biology between metabolite pairs often contrast with those of upstream or downstream variants as well as the polygenic background. Thus, we find that these outlier variants often reflect biology local to the traits. Finally, we explore the implications for interpreting disease GWAS, underscoring the potential of unifying biochemistry with dense metabolomics data to understand the molecular basis of pleiotropy in complex traits and diseases.Competing Interest StatementAnna Cichonska is a former employee and holds stock options with Nightingale Health Plc. Heli Julkunen is an employee and holds stock options with Nightingale Health Plc. Eric Fauman is affiliated with Pfizer Worldwide Research, has no financial interests to declare, contributed as an individual and the work was not part of a Pfizer collaboration nor was it funded by Pfizer. Peter Wurtz is an employee and shareholder of Nightingale Health Plc. The other author declares that no competing interests exist.