Genetics and VTE


Family and twin studies have indicated a strong hereditary component in VTE. Before the start of this project in 2010, only a few identified gene variants were associated with VTE risk, a major proportion of the VTE risk was assumed to be attributed to genetic variants at the population level.

VTE has a strong hereditary component (Illustration: MostPhotos.com)
The overall aims of this project is to discover novel gene variants for VTE and to investigate gene-environmental interactions. We have exome sequenced 920 participants in a case-control study, and genotyped 17 established prothrombotic genotypes in a case-cohort study (derived from the Tromsø study). In addition, we use data from the Trøndelag Health Study (where we have validated and recorded all VTEs) where >50000 individuals have been genotyped. We explore joint effects of individual gene variants and combinations of gene variants in a genetic risk score (GRS), together with environmental factors (e.g. body height and obesity) and co-morbidities (e.g. cancer, AF, MI, and stroke). We are also contributing with summary genetic data to the INVENT consortium, which currently (2022) includes almost 137,000 VTEs and 1.1 mill. controls from 30 studies. We perform quantitative trait loci (pQTL) analyses in Tromsø and HUNT to detect single SNPs associated with exposures of interest, and conduct 2-sample Mendelian Randomization analyses using data from the INVENT-VTE consortium to assess the probability of causal relations between the exposures and VTE. 

Principal Investigator: John-Bjarne Hansen

External Collaborators: Nicholas L. Smith (School of Public Health, University of Washington), Kristian Hveem and Therese Nøst (HUNT Center for Molecular and Clinical Epidemiology, NTNU), Kelly Frazer (Department of Pediatrics and Genome Information Sciences, University of California)

Publications:

Thibord et al. Cross-Ancestry Investigation of Venous Thromboembolism Genomic Predictors. Circulation. 2022; 146: 1225-42.

Mishra et al. Stroke genetics informs drug discovery and risk prediction across ancestries. Nature. 2022; 611: 115-23.

Evensen et al. The Risk of Venous Thromboembolism Attributed to Established Prothrombotic Genotypes. Thromb Haemost. 2022; 122: 1221-30.

Damoah et al. High Levels of Complement Activating Enzyme MASP-2 Are Associated With the Risk of Future Incident Venous Thromboembolism. Arterioscler Thromb Vasc Biol. 2022; 42: 1186-97.

Grover et al. High plasma levels of C1-inhibitor are associated with lower risk of future venous thromboembolism. J Thromb Haemost. 2023; 21: 1849-60.

Jakobsen et al. Joint effect of multiple prothrombotic genotypes and mean platelet volume on the risk of incident venous thromboembolism. Thromb Haemost. 2022;122:1911-20.

Frischmuth et al. Joint Effect of Multiple Prothrombotic Genotypes and Obesity on the Risk of Incident Venous Thromboembolism. Thromb Haemost. 2022; 122: 267-76.

Skille et al. Prothrombotic genotypes and risk of venous thromboembolism in occult cancer. Thromb Res. 2021; 205: 17-23.

Skille et al. Genetic variation of platelet glycoprotein VI and the risk of venous thromboembolism. Haematologica. 2020; 105: e358-e60.

Skille et al. Combined effects of five prothrombotic genotypes and cancer on the risk of a first venous thromboembolic event. J Thromb Haemost. 2020; 12: 2861-69.

Sejrup et al. Myocardial infarction, prothrombotic genotypes, and venous thrombosis risk: The Tromso Study. Res Pract Thromb Haemost. 2020; 4: 247-54.

Paulsen et al. Fibrinogen gamma gene rs2066865 and risk of cancer-related venous thromboembolism. Haematologica. 2020; 105: 1963-8.

Johnsen et al. Prothrombotic genotypes and risk of major bleeding in patients with incident venous thromboembolism. Thromb Res. 2020; 191: 82-9.

Hansen et al. Plasma levels of growth differentiation factor 15 are associated with future risk of venous thromboembolism. Blood. 2020; 136: 1863-70.

Smabrekke et al. Impact of prothrombotic genotypes on the association between family history of myocardial infarction and venous thromboembolism. J Thromb Haemost. 2019; 17: 1363-71.

Rinde et al. Effect of prothrombotic genotypes on the risk of venous thromboembolism in patients with and without ischemic stroke. The Tromso Study. J Thromb Haemost. 2019; 17: 749-58.

Lindstrom et al. Genomic and Transcriptomic Association Studies Identify 16 Novel Susceptibility Loci for Venous Thromboembolism. Blood. 2019; 134: 1645-57.

Lindstrom et al. A large-scale exome array analysis of venous thromboembolism. Genet Epidemiol. 2019; 43: 449-57.

Solomon et al. Identification of Common and Rare Genetic Variation Associated With Plasma Protein Levels Using Whole-Exome Sequencing and Mass Spectrometry. Circ Genom Precis Med. 2018; 11: e002170.

Horvei et al. Joint effects of prothrombotic genotypes and body height on the risk of venous thromboembolism: the Tromso study. J Thromb Haemost. 2018; 16: 83-9.

Gran et al. Prothrombotic genotypes and risk of venous thromboembolism in cancer. Thromb Res. 2018; 164 Suppl 1: S12-S8.

Solomon et al. Associations Between Common and Rare Exonic Genetic Variants and Serum Levels of 20 Cardiovascular-Related Proteins: The Tromso Study. Circ Cardiovasc Genet. 2016; 9: 375-83.

Gran et al. Joint effects of cancer and variants in the factor 5 gene on the risk of venous thromboembolism. Haematologica. 2016; 101: 1046-53.

Carson et al. Effective filtering strategies to improve data quality from population-based whole exome sequencing studies. BMC Bioinformatics. 2014; 15: 125.



Members:

John Bjarne Hansen (Principal investigator)
Sigrid Kufaas Brækkan
Vania Maris Morelli


Financial/grant information:

Stiftelsen K.G. Jebsen

Helse Nord (North Norwegian Regional Health Authority)

National Institutes of Health (NIH)