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  1. Article ; Online: Early Spread of SARS-CoV-2 in the Icelandic Population. Reply.

    Gudbjartsson, Daniel F / Stefansson, Kari

    The New England journal of medicine

    2020  Volume 383, Issue 22, Page(s) 2184–2185

    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Iceland/epidemiology ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-11-04
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2027653
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A comparison of methods for detecting DNA methylation from long-read sequencing of human genomes.

    Sigurpalsdottir, Brynja D / Stefansson, Olafur A / Holley, Guillaume / Beyter, Doruk / Zink, Florian / Hardarson, Marteinn Þ / Sverrisson, Sverrir Þ / Kristinsdottir, Nina / Magnusdottir, Droplaug N / Magnusson, Olafur Þ / Gudbjartsson, Daniel F / Halldorsson, Bjarni V / Stefansson, Kari

    Genome biology

    2024  Volume 25, Issue 1, Page(s) 69

    Abstract: Background: Long-read sequencing can enable the detection of base modifications, such as CpG methylation, in single molecules of DNA. The most commonly used methods for long-read sequencing are nanopore developed by Oxford Nanopore Technologies (ONT) ... ...

    Abstract Background: Long-read sequencing can enable the detection of base modifications, such as CpG methylation, in single molecules of DNA. The most commonly used methods for long-read sequencing are nanopore developed by Oxford Nanopore Technologies (ONT) and single molecule real-time (SMRT) sequencing developed by Pacific Bioscience (PacBio). In this study, we systematically compare the performance of CpG methylation detection from long-read sequencing.
    Results: We demonstrate that CpG methylation detection from 7179 nanopore-sequenced DNA samples is highly accurate and consistent with 132 oxidative bisulfite-sequenced (oxBS) samples, isolated from the same blood draws. We introduce quality filters for CpGs that further enhance the accuracy of CpG methylation detection from nanopore-sequenced DNA, while removing at most 30% of CpGs. We evaluate the per-site performance of CpG methylation detection across different genomic features and CpG methylation rates and demonstrate how the latest R10.4 flowcell chemistry and base-calling algorithms improve methylation detection from nanopore sequencing. Additionally, we show how the methylation detection of 50 SMRT-sequenced genomes compares to nanopore sequencing and oxBS.
    Conclusions: This study provides the first systematic comparison of CpG methylation detection tools for long-read sequencing methods. We compare two commonly used computational methods for the detection of CpG methylation in a large number of nanopore genomes, including samples sequenced using the latest R10.4 nanopore flowcell chemistry and 50 SMRT sequenced samples. We provide insights into the strengths and limitations of each sequencing method as well as recommendations for standardization and evaluation of tools designed for genome-scale modified base detection using long-read sequencing.
    MeSH term(s) Humans ; DNA Methylation ; Sequence Analysis, DNA/methods ; Genome, Human ; High-Throughput Nucleotide Sequencing/methods ; DNA
    Chemical Substances DNA (9007-49-2)
    Language English
    Publishing date 2024-03-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040529-7
    ISSN 1474-760X ; 1474-760X
    ISSN (online) 1474-760X
    ISSN 1474-760X
    DOI 10.1186/s13059-024-03207-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Comment on "Evaluating the cardiovascular safety of sclerostin inhibition using evidence from meta-analysis of clinical trials and human genetics".

    Hólm, Hilma / Sulem, Patrick / Tragante, Vinicius / Thorsteinsdottir, Unnur / Gudbjartsson, Daniel F / Stefansson, Kari

    Science translational medicine

    2021  Volume 13, Issue 622, Page(s) eabe8497

    Abstract: Genetic data do not provide evidence for SOST inhibition causing cardiovascular disease. ...

    Abstract Genetic data do not provide evidence for SOST inhibition causing cardiovascular disease.
    MeSH term(s) Adaptor Proteins, Signal Transducing/genetics ; Cardiovascular Diseases/genetics ; Human Genetics ; Humans
    Chemical Substances Adaptor Proteins, Signal Transducing
    Language English
    Publishing date 2021-12-01
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2518854-9
    ISSN 1946-6242 ; 1946-6234
    ISSN (online) 1946-6242
    ISSN 1946-6234
    DOI 10.1126/scitranslmed.abe8497
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  4. Article ; Online: Cartilage Acidic Protein 1 in Plasma Associates With Prevalent Osteoarthritis and Predicts Future Risk as Well as Progression to Joint Replacements: Results From the UK Biobank Resource.

    Styrkarsdottir, Unnur / Lund, Sigrun H / Thorleifsson, Gudmar / Saevarsdottir, Saedis / Gudbjartsson, Daniel F / Thorsteinsdottir, Unnur / Stefansson, Kari

    Arthritis & rheumatology (Hoboken, N.J.)

    2022  Volume 75, Issue 4, Page(s) 544–552

    Abstract: Objective: The level of cartilage acidic protein 1 (CRTAC1) in plasma was recently discovered to be associated with osteoarthritis (OA) risk and progression to joint replacement in Iceland. This study was undertaken to validate these findings in an ... ...

    Abstract Objective: The level of cartilage acidic protein 1 (CRTAC1) in plasma was recently discovered to be associated with osteoarthritis (OA) risk and progression to joint replacement in Iceland. This study was undertaken to validate these findings in an independent population.
    Methods: In this study, 1,462 plasma proteins were measured in 54,265 participants from the UK Biobank on the Olink Explore platform. We analyzed the association of plasma proteins with prevalent OA, incident OA, and progression to joint replacement. We assessed the specificity of OA association through comparison of associations with inflammatory joint diseases and with previous joint replacement.
    Results: The CRTAC1 protein showed the strongest association with prevalent knee OA (odds ratio [OR] 1.34 [95% confidence interval (95% CI) 1.27, 1.41]) and was associated with hip OA (OR 1.19 [95% CI 1.11, 1.28]). It predicted incident diagnosis of OA in the knee (hazard ratio [HR] 1.40 [95% CI 1.35, 1.46]) and hip (HR 1.25 [95% CI 1.19, 1.31]), as well as progression to joint replacement (HR 1.20 [95% CI 1.08, 1.33] for the knee and HR 1.22 [95% CI 1.08, 1.38] for the hip), while no association was found with inflammatory joint diseases. Individuals in the highest quintile of risk based on CRTAC1 level, age, sex, and body mass index had a 10-fold risk of knee or hip OA within 5 years compared to those in the lowest quintile. Adding aggrecan core protein (ACAN) and neurocan core protein (NCAN) to the model improved the prediction of OA but not joint replacement. Furthermore, we replicated the association of CUB domain-containing protein 1 with prior joint replacement.
    Conclusion: Plasma CRTAC1 is a specific biomarker for OA and a predictor of OA risk and progression to joint replacement. Adding ACAN and NCAN protein levels to the CRTAC1 model improved the prediction of OA.
    MeSH term(s) Humans ; Arthroplasty, Replacement ; Calcium-Binding Proteins ; Cartilage ; Osteoarthritis, Hip/epidemiology ; Osteoarthritis, Hip/surgery ; Osteoarthritis, Knee/epidemiology ; Osteoarthritis, Knee/surgery ; United Kingdom/epidemiology
    Chemical Substances Calcium-Binding Proteins ; CRTAC1 protein, human
    Language English
    Publishing date 2022-12-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2756371-6
    ISSN 2326-5205 ; 2326-5191
    ISSN (online) 2326-5205
    ISSN 2326-5191
    DOI 10.1002/art.42376
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  5. Article ; Online: GWAS of Hematuria.

    Gagliano Taliun, Sarah A / Sulem, Patrick / Sveinbjornsson, Gardar / Gudbjartsson, Daniel F / Stefansson, Kari / Paterson, Andrew D / Barua, Moumita

    Clinical journal of the American Society of Nephrology : CJASN

    2022  Volume 17, Issue 5, Page(s) 672–683

    Abstract: Background and objectives: Glomerular hematuria has varied causes but can have a genetic basis, including Alport syndrome and IgA nephropathy.: Design, setting, participants, & measurements: We used summary statistics to identify genetic variants ... ...

    Abstract Background and objectives: Glomerular hematuria has varied causes but can have a genetic basis, including Alport syndrome and IgA nephropathy.
    Design, setting, participants, & measurements: We used summary statistics to identify genetic variants associated with hematuria in White British UK Biobank participants. Individuals with glomerular hematuria were enriched by excluding participants with genitourinary conditions. A strongly associated locus on chromosome 2 (
    Results: In total, 16,866 hematuria cases and 391,420 controls were included. Cases had higher urinary albumin-creatinine compared with controls (women: 13.01 mg/g [8.05-21.33] versus 12.12 mg/g [7.61-19.29];
    Conclusions: Our study identifies six loci associated with hematuria, including independent variants in
    Podcast: This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2022_04_26_CJN13711021.mp3.
    MeSH term(s) Male ; Humans ; Female ; Hematuria/genetics ; Collagen Type IV/genetics ; Genome-Wide Association Study ; Nephritis, Hereditary/genetics ; Kidney Glomerulus ; Autoantigens/genetics ; LDL-Receptor Related Proteins/genetics ; Membrane Transport Proteins/genetics
    Chemical Substances Collagen Type IV ; Autoantigens ; SORL1 protein, human ; LDL-Receptor Related Proteins ; Membrane Transport Proteins
    Language English
    Publishing date 2022-04-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2226665-3
    ISSN 1555-905X ; 1555-9041
    ISSN (online) 1555-905X
    ISSN 1555-9041
    DOI 10.2215/CJN.13711021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Predicting the presence of coronary plaques featuring high-risk characteristics using polygenic risk scores and targeted proteomics in patients with suspected coronary artery disease.

    Møller, Peter Loof / Rohde, Palle Duun / Dahl, Jonathan Nørtoft / Rasmussen, Laust Dupont / Nissen, Louise / Schmidt, Samuel Emil / McGilligan, Victoria / Gudbjartsson, Daniel F / Stefansson, Kari / Holm, Hilma / Bentzon, Jacob Fog / Bøttcher, Morten / Winther, Simon / Nyegaard, Mette

    Genome medicine

    2024  Volume 16, Issue 1, Page(s) 40

    Abstract: Background: The presence of coronary plaques with high-risk characteristics is strongly associated with adverse cardiac events beyond the identification of coronary stenosis. Testing by coronary computed tomography angiography (CCTA) enables the ... ...

    Abstract Background: The presence of coronary plaques with high-risk characteristics is strongly associated with adverse cardiac events beyond the identification of coronary stenosis. Testing by coronary computed tomography angiography (CCTA) enables the identification of high-risk plaques (HRP). Referral for CCTA is presently based on pre-test probability estimates including clinical risk factors (CRFs); however, proteomics and/or genetic information could potentially improve patient selection for CCTA and, hence, identification of HRP. We aimed to (1) identify proteomic and genetic features associated with HRP presence and (2) investigate the effect of combining CRFs, proteomics, and genetics to predict HRP presence.
    Methods: Consecutive chest pain patients (n = 1462) undergoing CCTA to diagnose obstructive coronary artery disease (CAD) were included. Coronary plaques were assessed using a semi-automatic plaque analysis tool. Measurements of 368 circulating proteins were obtained with targeted Olink panels, and DNA genotyping was performed in all patients. Imputed genetic variants were used to compute a multi-trait multi-ancestry genome-wide polygenic score (GPS
    Results: HRPs were detected in 165 (11%) patients, and 15 input features were associated with HRP presence. Prediction of HRP presence based on CRFs yielded a mean area under the receiver operating curve (AUC) ± standard error of 73.2 ± 0.1, versus 69.0 ± 0.1 for proteomics and 60.1 ± 0.1 for GPS
    Conclusions: In patients with suspected CAD, incorporating genetic data with either clinical or proteomic data improves the prediction of high-risk plaque presence.
    Trial registration: https://clinicaltrials.gov/ct2/show/NCT02264717 (September 2014).
    MeSH term(s) Humans ; Coronary Artery Disease/diagnosis ; Coronary Artery Disease/genetics ; Genetic Risk Score ; Proteomics ; Coronary Angiography/methods ; Plaque, Atherosclerotic/genetics ; Plaque, Atherosclerotic/complications ; Risk Factors
    Language English
    Publishing date 2024-03-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2484394-5
    ISSN 1756-994X ; 1756-994X
    ISSN (online) 1756-994X
    ISSN 1756-994X
    DOI 10.1186/s13073-024-01313-8
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  7. Article ; Online: Polygenic risk scores associate with blood pressure traits across the lifespan.

    Øvretveit, Karsten / Ingeström, Emma M L / Spitieris, Michail / Tragante, Vinicius / Wade, Kaitlin H / Thomas, Laurent F / Wolford, Brooke N / Wisløff, Ulrik / Gudbjartsson, Daniel F / Holm, Hilma / Stefansson, Kari / Brumpton, Ben M / Hveem, Kristian

    European journal of preventive cardiology

    2023  Volume 31, Issue 6, Page(s) 644–654

    Abstract: Aims: Hypertension is a major modifiable cause of morbidity and mortality that affects over 1 billion people worldwide. Blood pressure (BP) traits have a strong genetic component that can be quantified with polygenic risk scores (PRSs). To date, the ... ...

    Abstract Aims: Hypertension is a major modifiable cause of morbidity and mortality that affects over 1 billion people worldwide. Blood pressure (BP) traits have a strong genetic component that can be quantified with polygenic risk scores (PRSs). To date, the performance of BP PRSs has mainly been assessed in adults, and less is known about polygenic hypertension risk in childhood.
    Methods and results: Multiple PRSs for systolic BP (SBP), diastolic BP (DBP), and pulse pressure were developed using either genome-wide significant weights, pruning and thresholding, or Bayesian regression. Among 87 total PRSs, the top performer for each trait was applied in independent cohorts of children and adult to assess genotype-phenotype associations and disease risk across the lifespan. Differences between those with low (1st decile), average (2nd-9th decile), and high (10th decile) PRS emerge in the first years of life and are maintained throughout adulthood. These diverging BP trajectories also seem to affect cardiovascular and renal disease risk, with increased risk observed among those in the top decile and reduced risk among those in the bottom decile of the polygenic risk distribution compared with the rest of the population.
    Conclusion: Genetic risk factors are associated with BP traits across the lifespan, beginning in the first years of life. Given the importance of exposure time in disease pathogenesis and the early rise in BP levels among those genetically susceptible, PRSs may help identify high-risk individuals prior to hypertension onset, facilitate primordial prevention, and reduce the burden of this public health challenge.
    MeSH term(s) Adult ; Child ; Humans ; Blood Pressure ; Genetic Risk Score ; Longevity ; Bayes Theorem ; Hypertension/epidemiology ; Genetic Predisposition to Disease ; Risk Factors
    Language English
    Publishing date 2023-11-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2626011-6
    ISSN 2047-4881 ; 2047-4873
    ISSN (online) 2047-4881
    ISSN 2047-4873
    DOI 10.1093/eurjpc/zwad365
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  8. Article ; Online: Response by Björnsson et al to Letter Regarding Article, "Large-Scale Screening for Monogenic and Clinically Defined Familial Hypercholesterolemia in Iceland".

    Björnsson, Eythór / Thorgeirsson, Gudmundur / Helgadóttir, Anna / Gudbjartsson, Daníel F / Hólm, Hilma / Thorsteinsdóttir, Unnur / Sulem, Patrick / Stefánsson, Kári

    Arteriosclerosis, thrombosis, and vascular biology

    2021  Volume 42, Issue 1, Page(s) e46–e47

    MeSH term(s) Cholesterol, LDL ; Humans ; Hyperlipoproteinemia Type II/diagnosis ; Hyperlipoproteinemia Type II/epidemiology ; Hyperlipoproteinemia Type II/genetics ; Iceland/epidemiology
    Chemical Substances Cholesterol, LDL
    Language English
    Publishing date 2021-12-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1221433-4
    ISSN 1524-4636 ; 1079-5642
    ISSN (online) 1524-4636
    ISSN 1079-5642
    DOI 10.1161/ATVBAHA.121.317201
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  9. Article ; Online: Combining Polygenic and Proteomic Risk Scores With Clinical Risk Factors to Improve Performance for Diagnosing Absence of Coronary Artery Disease in Patients With de novo Chest Pain.

    Møller, Peter Loof / Rohde, Palle Duun / Dahl, Jonathan Nørtoft / Rasmussen, Laust Dupont / Schmidt, Samuel Emil / Nissen, Louise / McGilligan, Victoria / Bentzon, Jacob F / Gudbjartsson, Daniel F / Stefansson, Kari / Holm, Hilma / Winther, Simon / Bøttcher, Morten / Nyegaard, Mette

    Circulation. Genomic and precision medicine

    2023  Volume 16, Issue 5, Page(s) 442–451

    Abstract: Background: Patients with de novo chest pain, referred for evaluation of possible coronary artery disease (CAD), frequently have an absence of CAD resulting in millions of tests not having any clinical impact. The objective of this study was to ... ...

    Abstract Background: Patients with de novo chest pain, referred for evaluation of possible coronary artery disease (CAD), frequently have an absence of CAD resulting in millions of tests not having any clinical impact. The objective of this study was to investigate whether polygenic risk scores and targeted proteomics improve the prediction of absence of CAD in patients with suspected CAD, when added to the PROMISE (Prospective Multicenter Imaging Study for Evaluation of Chest Pain) minimal risk score (PMRS).
    Methods: Genotyping and targeted plasma proteomics (N=368 proteins) were performed in 1440 patients with symptoms suspected to be caused by CAD undergoing coronary computed tomography angiography. Based on individual genotypes, a polygenic risk score for CAD (PRS
    Results: Prediction of absence of CAD yielded an area under the curve of PRS
    Conclusions: For patients with chest pain and low-intermediate CAD risk, incorporating targeted proteomics and polygenic risk scores into the risk assessment substantially improved the ability to predict the absence of CAD. Genetics and proteomics seem to add complementary information to the clinical risk factors and improve risk stratification in this large patient group.
    Registration: URL: https://www.
    Clinicaltrials: gov; Unique identifier: NCT02264717.
    MeSH term(s) Humans ; Coronary Artery Disease/diagnosis ; Coronary Artery Disease/genetics ; Proteomics ; Prospective Studies ; Coronary Angiography/methods ; Risk Factors ; Chest Pain/diagnosis ; Chest Pain/genetics
    Language English
    Publishing date 2023-09-27
    Publishing country United States
    Document type Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2574-8300
    ISSN (online) 2574-8300
    DOI 10.1161/CIRCGEN.123.004053
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