Large-scale GWAS identifies multiple loci for hand grip strength providing biological insights into muscular fitness

GEFOS Anytype of Fracture Consortium

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Abstract

Hand grip strength is a widely used proxy of muscular fitness, a marker of frailty, and predictor of a range of morbidities and all-cause mortality. To investigate the genetic determinants of variation in grip strength, we perform a large-scale genetic discovery analysis in a combined sample of 195,180 individuals and identify 16 loci associated with grip strength (P<5 × 10-8) in combined analyses. A number of these loci contain genes implicated in structure and function of skeletal muscle fibres (ACTG1), neuronal maintenance and signal transduction (PEX14, TGFA, SYT1), or monogenic syndromes with involvement of psychomotor impairment (PEX14, LRPPRC and KANSL1). Mendelian randomization analyses are consistent with a causal effect of higher genetically predicted grip strength on lower fracture risk. In conclusion, our findings provide new biological insight into the mechanistic underpinnings of grip strength and the causal role of muscular strength in age-related morbidities and mortality.

Original languageEnglish
Article number16015
JournalNature Communications
Volume8
DOIs
StatePublished - 12 Jul 2017

Bibliographical note

Publisher Copyright:
© The Author(s) 2017.

Funding

This research has been conducted using the UK Biobank Resource under application 12885. The Fenland Study is supported by the UK Medical Research Council (MRC) (MC-UU-12015/1; MC-UU-12015/2; MC-UU-12015/3). EPIC-Norfolk is supported by the MRC (G401527, G1000143) and Cancer Research UK (A8257). The HCS is gratefully supported by the University of Newcastle (Australia) and the Fairfax Family Foundation. Sydney MAS is supported by the Australian National Health and Medical Research Council (NHMRC), grants ID568969, ID350833 and ID109308. Sydney MAS DNA was extracted by Genetic Repositories Australia, funded by NHMRC Enabling Grant 401184. The GEFOS Study, used as controls for the US and Jamaican athletes, was supported in part by NIH grants U01 HG004436 and P30 DK072488, and the Baltimore Geriatrics Research, Education, and Clinical Center of the Department of Veterans Affairs. The Novo Nordisk Foundation Center for Basic Metabolic Research is an independent Research Center at the University of Copenhagen partially funded by an unrestricted donation from the Novo Nordisk Foundation (www.metabol.ku.dk). TwinsUK was funded by the Wellcome Trust (WT), MRC, and European Union. The study also receives support from the National Institute for Health Research (NIHR) BioResource Clinical Research Facility and Biomedical Research Centre based at Guy's and St Thomas' NHS Foundation Trust and King's College London. SNP Genotyping was performed by The WT Sanger Institute and National Eye Institute via NIH/CIDR. M.McC is a WT Senior Investigator and receives support from WT 090532 and 098381. TW is the recipient of a studentship from Med-Immune. Research by A. Lucia is supported by Fondo de Investigaciones Sanitarias and Fondos Feder (grant # PI15/0558). EM-M. was a recipient of a Grant-in-Aid for JSPS Fellow from the Japan Society for the Promotion of Science. This work was supported in part by grants from the Grant-in-Aid for Scientific Research (B) (15H03081 to NF) of the Japanese Ministry of Education, Culture, Sports, Science and Technology and by a grant-in-aid for scientific research (to M. Miyachi) from the Japanese Ministry of Health, Labor, and Welfare. This work was further supported by NIH grants R01 AR41398 and U24 AG051129. We gratefully acknowledge the contribution of all study participants and associated Research Teams.

FundersFunder number
Baltimore Geriatrics Research
CIDR098381, WT 090532
Fairfax Family Foundation
Fondo de Investigaciones Sanitarias and Fondos FederPI15/0558
WT Sanger Institute
National Institutes of HealthP30 DK072488
National Human Genome Research InstituteU01HG004436
National Eye Institute
U.S. Department of Veterans Affairs
Wellcome Trust
Medical Research CouncilG1000143, MC-UU-12015/1, MC-UU-12015/2, MC-UU-12015/3, G401527
National Institute for Health and Care Research
Cancer Research UKA8257
King's College London
European Commission
National Health and Medical Research CouncilID568969, ID350833, ID109308, 401184
Japan Society for the Promotion of Science15H03081
Ministry of Education, Culture, Sports, Science and Technology
University of Newcastle Australia
Ministry of Health, Labour and WelfareU24 AG051129, R01 AR41398
Guy's and St Thomas' NHS Foundation Trust
Novo Nordisk Fonden

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