Medicine and Health Sciences Commons^™

Genome Sequencing Unveils A Regulatory Landscape Of Platelet Reactivity, Ali R. Keramati, Ming-Huei Chen, Lisa R. Yanek, Arunoday Bhan, John Blangero, Benjamin A. T. Rodriguez, Joanne E. Curran, Michael Mahaney, Harald Hh Goring, Ravi Duggirala

School of Medicine Publications and Presentations

Platelet aggregation at the site of atherosclerotic vascular injury is the underlying pathophysiology of myocardial infarction and stroke. To build upon prior GWAS, here we report on 16 loci identified through a whole genome sequencing (WGS) approach in 3,855 NHLBI Trans-Omics for Precision Medicine (TOPMed) participants deeply phenotyped for platelet aggregation. We identify the RGS18 locus, which encodes a myeloerythroid lineage-specific regulator of G-protein signaling that co-localizes with expression quantitative trait loci (eQTL) signatures for RGS18 expression in platelets. Gene-based approaches implicate the SVEP1 gene, a known contributor of coronary artery disease risk. Sentinel variants at RGS18 and PEAR1 are …