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Updated: Mar 2, 2026

Large-Scale Multi-Omics Genome-Wide Association Studies Mo-GWAS: Guidelines for Sample Preparation and Normalization
Published on: July 27, 2021
Single-trait and multi-trait genome-wide association analyses identify novel loci for blood pressure in
Jingjing Liang1, Thu H Le2, Digna R Velez Edwards3
1Department of Epidemiology & Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, OH, United States of America.
Insights
Genetic studies in people of African ancestry identified nine new loci linked to blood pressure and hypertension. These findings highlight specific genetic factors contributing to hypertension risk in this population.
Area of Science:
- Genetics
- Cardiovascular Disease
- Genomics
Background:
- Hypertension disproportionately affects individuals of African descent, yet they are underrepresented in genetic research.
- Understanding genetic susceptibility is crucial for addressing health disparities in hypertension.
Purpose of the Study:
- To identify novel genetic loci associated with blood pressure and hypertension in individuals of African ancestry.
- To uncover genetic variants contributing to hypertension risk specific to African-ancestry populations.
Main Methods:
- Conducted single and multiple-trait genome-wide association analyses on 21 studies (31,968 individuals of African ancestry).
- Validated findings using an additional 54,395 individuals from multi-ethnic cohorts.
- Performed functional annotation and in vivo experiments (angiotensin-II induced hypertension in mice).
Main Results:
- Identified nine loci with eleven independent variants reaching genome-wide significance for blood pressure or hypertension.
- Discovered novel loci (FRMD3) and variants (at FRMD3, GRP20/CDH17, TARID/TCF21, LLPH/TMBIM4) with alleles common in African-ancestry populations.
- Functional annotation revealed enrichment in immune, kidney, heart, and vascular tissues; mouse experiments showed altered kidney gene expression.
Conclusions:
- This study provides significant new genetic insights into hypertension susceptibility in people of African ancestry.
- Highlights the importance of including diverse populations in genetic studies to identify novel biological factors for hypertension.
- Identified potential therapeutic targets and underscores the need for population-specific genetic research.
Abstract:
Hypertension is a leading cause of global disease, mortality, and disability. While individuals of African descent suffer a disproportionate burden of hypertension and its complications, they have been underrepresented in genetic studies. To identify novel susceptibility loci for blood pressure and hypertension in people of African ancestry, we performed both single and multiple-trait genome-wide association analyses. We analyzed 21 genome-wide association studies comprised of 31,968 individuals of African ancestry, and validated our results with additional 54,395 individuals from multi-ethnic studies. These analyses identified nine loci with eleven independent variants which reached genome-wide significance (P < 1.25×10-8) for either systolic and diastolic blood pressure, hypertension, or for combined traits. Single-trait analyses identified two loci (TARID/TCF21 and LLPH/TMBIM4) and multiple-trait analyses identified one novel locus (FRMD3) for blood pressure. At these three loci, as well as at GRP20/CDH17, associated variants had alleles common only in African-ancestry populations. Functional annotation showed enrichment for genes expressed in immune and kidney cells, as well as in heart and vascular cells/tissues. Experiments driven by these findings and using angiotensin-II induced hypertension in mice showed altered kidney mRNA expression of six genes, suggesting their potential role in hypertension. Our study provides new evidence for genes related to hypertension susceptibility, and the need to study African-ancestry populations in order to identify biologic factors contributing to hypertension.
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