Genomic and drug target evaluation of 90 cardiovascular proteins in 30,931 individuals
Open accessAbstract
Circulating proteins are vital in human health and disease and are frequently used as biomarkers for clinical decision-making or as targets for pharmacological intervention. Here, we map and replicate protein quantitative trait loci (pQTL) for 90 cardiovascular proteins in over 30,000 individuals, resulting in 451 pQTLs for 85 proteins. For each protein, we further perform pathway mapping to obtain trans-pQTL gene and regulatory designations. We substantiate these regulatory findings with orthogonal evidence for trans-pQTLs using mouse knockdown experiments (ABCA1 and TRIB1) and clinical trial results (chemokine receptors CCR2 and CCR5), with consistent regulation. Finally, we evaluate known drug targets, and suggest new target candidates or repositioning opportunities using Mendelian randomization. This identifies 11 proteins with causal evidence of involvement in human disease that have not previously been targeted, including EGF, IL-16, PAPPA, SPON1, F3, ADM, CASP-8, CHI3L1, CXCL16, GDF15 and MMP-12. Taken together, these findings demonstrate the utility of large-scale mapping of the genetics of the proteome and provide a resource for future precision studies of circulating proteins in human health. Folkersen et al. report the first results from the SCALLOP consortium, a collaborative framework for pQTL mapping and biomarker analysis of proteins on the Olink platform. A total of 315 primary and 136 secondary pQTLs for 85 circulating cardiovascular proteins from over 30,000 individuals were identified and replicated to yield new insights for translational studies and drug development.
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Most pQTLs to date have been discovered via genome-wide association studies, which predominantly focus on common variants.
“To date, most pQTLs have been discovered via genome-wide association studies (GWASs), which predominantly focus on common variants3,5–8.”
From Rare variant associations with plasma protein levels in the UK Biobank (2023) · cites this paper as [7]
The Results section, “Genome-wide meta-analysis of 90 proteins” (page unavailable), reports discovering hundreds of pQTLs through a GWAS meta-analysis, supporting GWAS as a pQTL discovery method. The paper does not establish that most pQTLs discovered to date came from GWAS or that GWAS predominantly focus on common variants; its Online Methods instead describe filtering by a minimum minor-allele count. (LLM, conf=0.79)
Experimental — accuracy not yet measuredSeveral studies in blood plasma have shown that pQTLs using aptamer-based and antibody-based assays are common and can explain up to 30% of protein variance.
“several studies in blood plasma have consistently shown that genetic variants associated with protein levels, known as protein quantitative trait loci (pQTL), using both aptamer‐based (Sun et al, 2018; Ferkingstad et al, 2021) and antibody‐based assays (Folkersen et al, 2020) are common and can explain up to 30% of the protein variance.”
From The genetic regulation of protein expression in cerebrospinal fluid (2023) · cites this paper as Folkersen et al, 2020
The Results section on genome-wide meta-analysis reports pQTLs for 85 of 90 plasma proteins, and Online Methods describes the antibody-based Olink assay. The Results section on heritability reports substantial variation explained by genetic scores, but our copy does not substantiate the specific claim that pQTLs explain up to 30% of protein variance; it gives different summary figures. (LLM, conf=0.86)
Experimental — accuracy not yet measuredProtein quantitative trait loci (pQTL) are commonly detected in large-scale studies.
“Protein quantitative trait loci (pQTL), or associations between circulating protein abundances and genetic variants either within or nearby (cis-) to the protein-encoding gene or elsewhere in the genome (trans-), are commonly detected in large-scale studies1–6.”
From Cross-ancestry comparison of aptamer and antibody protein measures (2026) · cites this paper as [2]
Antibody-based genetic studies have focused on narrower collections of proteins at large scale or broad collections of proteins at smaller scale.
“Antibody-based genetic studies have focused on narrower collections of proteins at large scale 22 or broad collections of proteins at smaller scale 23 .”
From Plasma proteomic associations with genetics and health in the UK Biobank (2023) · cites this paper as [22]
The use of covariate adjustment in the pQTL analyses follows standard procedures.
“This use of covariate adjustment follows standard procedures (Folkersen et al, 2020) in pQTL analyses.”
From The genetic regulation of protein expression in cerebrospinal fluid (2023) · cites this paper as Folkersen et al, 2020
To flag potential pseudo-pQTL signals caused by the epitope effect, the study followed the strategy described by Folkersen et al.
“To flag potential ‘pseudo-pQTL’ signals caused by the epitope effect, i.e. altered assay binding affinity due to a change in protein structure instead of an actual change in protein expression level, we followed the strategy described by Folkersen et al.6.”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as Folkersen et al. [6]
The largest pQTL meta-analysis published to date (n = 30,931) was not usable due to sample overlap with the current study.
“The largest pQTL meta-analysis published to date (n = 30,931)6 was conducted through the SCALLOP consortium and was not usable due to sample overlap with the current study.”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [6]
Most pQTL studies have been conducted using serum or plasma measurements from blood samples, and only a limited number of studies has involved examination of liver and brain tissue-specific pQTLs.
“Second, most pQTL studies have been conducted using serum or plasma measurements from blood samples4,6,8,51 and only a limited number of studies has involved the examination of liver and brain tissue–specific pQTLs88,89.”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [6]
The largest proportion of cis-pQTLs was located in intronic and intergenic regions.
“Consistent with previous findings4,6,8, the largest proportion of cis-pQTLs was located in intronic and intergenic regions.”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [6]
The Results section on cis-acting pQTLs reports how many were linked to protein-altering variants, but does not give a distribution across intronic and intergenic regions. Searches for “intronic,” “intergenic,” and genomic annotation of cis-pQTLs found no passage establishing which regions contained the largest proportion. (LLM, conf=0.73)
Experimental — accuracy not yet measured
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- Authors
- Folkersen, L., Gustafsson, S., Wang, Q., Hansen, D. H., Hedman, Å. K., Schork, A., Page, K., Zhernakova, D. V., Wu, Y., Peters, J., Eriksson, N., Bergen, S. E., Boutin, T. S., Bretherick, A. D., Enroth, S., Kalnapenkis, A., Gådin, J. R., Suur, B. E., Chen, Y., Matic, L., Gale, J. D., Lee, J., Zhang, W., Quazi, A., Ala-Korpela, M., Choi, S. H., Claringbould, A., Danesh, J., Davey Smith, G., de Masi, F., Elmståhl, S., Engström, G., Fauman, E., Fernandez, C., Franke, L., Franks, P. W., Giedraitis, V., Haley, C., Hamsten, A., Ingason, A., Johansson, Å., Joshi, P. K., Lind, L., Lindgren, C. M., Lubitz, S., Palmer, T., Macdonald-Dunlop, E., Magnusson, M., Melander, O., Michaelsson, K., Morris, A. P., Mägi, R., Nagle, M. W., Nilsson, P. M., Nilsson, J., Orho-Melander, M., Polasek, O., Prins, B., Pålsson, E., Qi, T., Sjögren, M., Sundström, J., Surendran, P., Võsa, U., Werge, T., Wernersson, R., Westra, H.-J., Yang, J., Zhernakova, A., Ärnlöv, J., Fu, J., Smith, J. G., Esko, T., Hayward, C., Gyllensten, U., Landen, M., Siegbahn, A., Wilson, J. F., Wallentin, L., Butterworth, A. S., Holmes, M. V., Ingelsson, E., & Mälarstig, A.
- Affiliations
- Karolinska Institutet (SE)
- Uppsala University (SE)
- Baker Heart and Diabetes Institute (AU)
- Pfizer (United States) (US)
- Translational Genomics Research Institute (US)
- University Medical Center Groningen (NL)
- The University of Queensland (AU)
- University of Cambridge (GB)
- Western General Hospital (GB)
- University of Tartu (EE)
- Broad Institute (US)
- Lund University (SE)
- University of Edinburgh (GB)
- Lancaster University (GB)
- Centre for Human Genetics (GB)
- University of Gothenburg (SE)
- Sankt Hans Hospital (DK)
- University of Oxford (GB)
- Stanford Medicine (US)
- Corresponding author
- Mälarstig, Anders
- ORCID
- Folkersen, Lasse
- Gustafsson, Stefan
- Wang, Qin
- Hansen, Daniel Hvidberg
- Hedman, Åsa K.
- Schork, Andrew
- Page, Karen
- Zhernakova, Daria V.
- Wu, Yang
- Peters, James
- Eriksson, Niclas
- Bergen, Sarah E.
- Boutin, Thibaud S.
- Bretherick, Andrew D.
- Enroth, Stefan
- Kalnapenkis, Anette
- Gådin, Jesper R.
- Suur, Bianca E.
- Chen, Yan
- Matic, Ljubica
- Gale, Jeremy D.
- Lee, Julie
- Zhang, Weidong
- Ala-Korpela, Mika
- Choi, Seung Hoan
- Claringbould, Annique
- Danesh, John
- Davey Smith, George
- Elmståhl, Sölve
- Engström, Gunnar
- Fauman, Eric
- Fernandez, Celine
- Franke, Lude
- Franks, Paul W.
- Giedraitis, Vilmantas
- Haley, Chris
- Hamsten, Anders
- Johansson, Åsa
- Joshi, Peter K.
- Lind, Lars
- Lindgren, Cecilia M.
- Lubitz, Steven
- Palmer, Tom
- Macdonald-Dunlop, Erin
- Magnusson, Martin
- Melander, Olle
- Michaelsson, Karl
- Morris, Andrew P.
- Mägi, Reedik
- Nagle, Michael W.
- Nilsson, Peter M.
- Nilsson, Jan
- Prins, Bram
- Pålsson, Erik
- Qi, Ting
- Sundström, Johan
- Surendran, Praveen
- Võsa, Urmo
- Werge, Thomas
- Wernersson, Rasmus
- Westra, Harm-Jan
- Yang, Jian
- Zhernakova, Alexandra
- Ärnlöv, Johan
- Fu, Jingyuan
- Esko, Tõnu
- Hayward, Caroline
- Gyllensten, Ulf
- Landen, Mikael
- Siegbahn, Agneta
- Wilson, James F.
- Wallentin, Lars
- Butterworth, Adam S.
- Holmes, Michael V.
- Ingelsson, Erik
- Mälarstig, Anders
- Venue
- Nature Metabolism
- Published
- 2020-10-16
- Volume
- 2
- Issue
- 10
- Pages
- 1135-1148
- ISSN
- 2522-5812 (ISSN-L)
- PMC
- PMC7611474
- OpenAlex
- W3093451235
- Cited by
- 705
- References
- 4
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- American Heart Association (H2020, 18SFRN34250007)
- University of Pennsylvania
- NHS Blood and Transplant (NIHR BTRU-2014-10024)
- Wellcome Trust (204979/Z/16/Z)
- Scottish Government (CZB/4/710)
- National Institute for Health and Care Research (NIHR BTRU‐2014‐10024, BTRU-2014–10024, MC_UU_00011/1)
- British Heart Foundation (MC_UU_00011/1, RG/18/13/33946, 18/23/33512, SP/09/002, RG/13/13/30194, FS/18/23/33512, 2009-1039)
- University of Cambridge
- European Commission (018947, 2014‐2020, 2020 ‘, EU-H2020, 715772, H2020, CoG-2015_681742_NASCENT, 692145, LSHG-CT-2006-018947)
- University of Bristol (MC_UU_00011/1)
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- Eesti Teadusagentuur (2014-2020.4.01.16-0125, 2014-2020, 2014-2020.4.01.15-0012, PUT1660)
- Cambridge University Hospitals
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (VI.Veni.194.006, 024.003.001, 194.006, 864.13.013, Exposome‐NL 024.004.017, 024.003, 016.178.056, 917.14.374, 024.004.017, 637640)
- Lunds Universitet (2009-1039, IRC15-0067)
- Lundbeckfonden (R155-2014-1724, R302-2018-2155)
- Hjärt-Lungfonden (2016-0134, 2017-00644, 2015-03257, 2017-02554, 2017-06100, 2016-0315)
- Knut och Alice Wallenbergs Stiftelse
- Stiftelsen Olle Engkvist Byggmästare (2017/49)
- Vetenskapsrådet (2017-02554, 349-2006-237, 2015–03257, 2017-06100, 2006–237, 2009-1039, IRC15-0067, 2017-00644, 2015-05997, Dnr 349-2006-237, Dnr2009‐1039, 2018-, Dnr IRC15-0067)
- Forskningsrådet om Hälsa, Arbetsliv och Välfärd (2009-1039, 2017‐06100, 2017‐00644, 2017-00721, 349-2006-237)
- Tartu Ülikool
- Novo Nordisk Fonden (NNF17OC0027034)
- Skånes universitetssjukhus (2009-1039, IRC15-0067)
- Versus Arthritis
- European Research Area Network on Cardiovascular Diseases
- Oncode Institute
- National Institutes of Health (2009-1039, FS/18/23/33512, 024.004.017, 18SFRN34250007, H2020)
- Perelman School of Medicine, University of Pennsylvania
- Wake Forest School of Medicine
- Horizon 2020 Framework Programme (692145, EU‐H2020)
- NIHR BioResource
- Medical Research Council (RG/13/13/30194, LSHG-CT-2006-018947, MR/L003120/1, MR/S003746/1, MR/S004068/2, 1938560, MR/S004068/1, MC_UU_00007/10, MC_UU_00011/1, MR/L003120, MC_UU_00011)
- National Health and Medical Research Council (1158958, MC_UU_00011/1)
- European Regional Development Fund (2014-2020’, 2014-2020.4.01.16-0125, H2020, 2014-2020.4.01.15-0012)
- NIHR Cambridge Biomedical Research Centre
- National Heart, Lung, and Blood Institute (R01HL139731)
- H2020 European Research Council (637640, 715772, 679242)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Mapping and Diversity in Plants and Animals
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and phenotypic traits in livestock
- Keywords
- protein quantitative trait loci, circulating proteins, pathway mapping, drug repurposing, Mendelian randomization, biomarkers, ABCA1, TRIB1, CCR2, CCR5, epidermal growth factor, interleukin-16, PAPP-A, SPON1, F3, ADM, YKL-40, CXCL16, GDF15, MMP-12
- MeSH terms
- Interleukin-1 Receptor-Like 1 Protein, Asthma, Cardiovascular System, Chromosome Mapping, Humans, Inflammatory Bowel Diseases, Linkage Disequilibrium, Drug Delivery Systems, Protein Serine-Threonine Kinases, Receptors, CCR5, Proteome, Genomics, Quantitative Trait Loci, Intracellular Signaling Peptides and Proteins, Receptors, CCR2, Genome-Wide Association Study, Gene Knockdown Techniques, Mendelian Randomization Analysis, ATP Binding Cassette Transporter 1
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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