RT Journal Article SR Electronic T1 Population-specific and transethnic genome-wide analyses reveal distinct and shared genetic risks of coronary artery disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 827550 DO 10.1101/827550 A1 Satoshi Koyama A1 Kaoru Ito A1 Chikashi Terao A1 Masato Akiyama A1 Momoko Horikoshi A1 Yukihide Momozawa A1 Hiroshi Matsunaga A1 Hirotaka Ieki A1 Kouichi Ozaki A1 Yoshihiro Onouchi A1 Atsushi Takahashi A1 Seitaro Nomura A1 Hiroyuki Morita A1 Hiroshi Akazawa A1 Changhoon Kim A1 Jeong-sun Seo A1 Koichiro Higasa A1 Motoki Iwasaki A1 Taiki Yamaji A1 Norie Sawada A1 Shoichiro Tsugane A1 Teruhide Koyama A1 Hiroaki Ikezaki A1 Naoyuki Takashima A1 Keitaro Tanaka A1 Kokichi Arisawa A1 Kiyonori Kuriki A1 Mariko Naito A1 Kenji Wakai A1 Shinichiro Suna A1 Yasuhiko Sakata A1 Hiroshi Sato A1 Masatsugu Hori A1 Yasushi Sakata A1 Koichi Matsuda A1 Yoshinori Murakami A1 Hiroyuki Aburatani A1 Michiaki Kubo A1 Fumihiko Matsuda A1 Yoichiro Kamatani A1 Issei Komuro YR 2019 UL http://biorxiv.org/content/early/2019/11/16/827550.abstract AB To elucidate the genetics of coronary artery disease (CAD) in the Japanese population, we conducted a large-scale genome-wide association study (GWAS) of 168,228 Japanese (25,892 cases and 142,336 controls) with genotype imputation using a newly developed reference panel of Japanese haplotypes including 1,782 CAD cases and 3,148 controls. We detected 9 novel disease-susceptibility loci and Japanese-specific rare variants contributing to disease severity and increased cardiovascular mortality. We then conducted a transethnic meta-analysis and discovered 37 additional novel loci. Using the result of the meta-analysis, we derived a polygenic risk score (PRS) for CAD, which outperformed those derived from either Japanese or European GWAS. The PRS prioritized risk factors among various clinical parameters and segregated individuals with increased risk of long-term cardiovascular mortality. Our data improves clinical characterization of CAD genetics and suggests the utility of transethnic meta-analysis for PRS derivation in non-European populations.