RT Journal Article SR Electronic T1 Genome Sequencing Unveils a New Regulatory Landscape of Platelet Reactivity JF bioRxiv FD Cold Spring Harbor Laboratory SP 621565 DO 10.1101/621565 A1 Ali R. Keramati A1 Ming-Huei Chen A1 Benjamin A.T. Rodriguez A1 Lisa R. Yanek A1 Brady J. Gaynor A1 Kathleen Ryan A1 Jennifer A. Brody A1 NHLBI Trans-Omics for Precision (TOPMed) Consortium A1 NHLBI TOPMed Hematology and Hemostasis Working Group A1 Kai Kammers A1 Kanika Kanchan A1 Kruthika Iyer A1 Madeline H. Kowalski A1 Achilleas N. Pitsillides A1 L. Adrienne Cupples A1 Alan R. Shuldiner A1 Jeffrey R. O’Connell A1 Braxton D. Mitchell A1 Nauder Faraday A1 Margaret A. Taub A1 Lewis C. Becker A1 Joshua P. Lewis A1 Rasika A. Mathias A1 Andrew D. Johnson YR 2019 UL http://biorxiv.org/content/early/2019/05/16/621565.abstract AB Exaggerated platelet aggregation at the site of vascular injury is the underlying pathophysiology of thrombotic diseases. Here, we conduct the largest whole genome sequencing (WGS) effort to uncover the genetic determinants of platelet aggregation. Leveraging 3,855 NHLBI Trans-Omics for Precision Medicine (TOPMed) individuals deeply phenotyped for platelet aggregation, we identify 18 loci using single-variant approaches. This includes the novel RGS18 locus encoding a myeloerythroid lineage-specific regulator of G-protein signaling that co-localizes with eQTL signatures for RGS18 expression in platelets. A gene-based approach focusing on deleterious coding variants identifies the SVEP1 gene, previously shown to be associated with coronary artery disease, as a novel determinant of platelet aggregation. Finally, in an integrative approach leveraging epigenetic data on megakaryocytes, we find strong association between rare variants mapping to a super enhancer region for PEAR1. This is a novel finding implicating the importance of rare variants with regulatory potential in a previously documented GWAS-identified locus.