Multiancestry genome-wide association study of 520,000 subjects identifies 32 loci associated with stroke and stroke subtypes.
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Malik R
Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
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Chauhan G
Centre for Brain Research, Indian Institute of Science, Bangalore, India.
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Traylor M
INSERM U1219 Bordeaux Population Health Research Center, University of Bordeaux, France.
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Sargurupremraj M
Stroke Research Group, Division of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
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Okada Y
Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan.
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Mishra A
Stroke Research Group, Division of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
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Rutten-Jacobs L
INSERM U1219 Bordeaux Population Health Research Center, University of Bordeaux, France.
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Giese AK
Department of Neurology, Massachusetts General Hospital (MGH), Harvard Medical School, Boston, MA, USA.
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van der Laan SW
Laboratory of Experimental Cardiology, Department of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, University of Utrecht, Utrecht, the Netherlands.
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Gretarsdottir S
deCODE genetics/AMGEN Inc., Reykjavik, Iceland.
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Anderson CD
Center for Genomic Medicine, MGH, Boston, MA, USA.
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Chong M
Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
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Adams HHH
Department of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
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Ago T
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
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Almgren P
Department of Clinical Sciences, Lund University, Malmö, Sweden.
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Amouyel P
INSERM, Institut Pasteur de Lille, LabEx DISTALZ-UMR1167, Risk Factors and Molecular Determinants of Aging-Related Diseases, Université Lille, Lille, France.
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Ay H
J. Philip Kistler Stroke Research Center, Department of Neurology, MGH, Boston, MA, USA.
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Bartz TM
Cardiovascular Health Research Unit, Departments of Biostatistics and Medicine, University of Washington, Seattle, WA, USA.
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Benavente OR
Division of Neurology, Faculty of Medicine, Brain Research Center, University of British Columbia, Vancouver, British Columbia, Canada.
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Bevan S
School of Life Science, University of Lincoln, Lincoln, UK.
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Boncoraglio GB
Department of Cerebrovascular Diseases, Fondazione IRCCS Istituto Neurologico 'Carlo Besta', Milan, Italy.
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Brown RD
Department of Neurology, Mayo Clinic Rochester, Rochester, MN, USA.
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Butterworth AS
MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
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Carrera C
Neurovascular Research Laboratory, Vall d'Hebron Institut of Research, Neurology and Medicine Departments-Universitat Autònoma de Barcelona, Vall d'Hebrón Hospital, Barcelona, Spain.
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Carty CL
Children's Research Institute, Children's National Medical Center, Washington, DC, USA.
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Chasman DI
Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA, USA.
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Chen WM
Center for Public Health Genomics, Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
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Cole JW
Department of Neurology, University of Maryland School of Medicine and Baltimore VAMC, Baltimore, MD, USA.
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Correa A
Departments of Medicine, Pediatrics and Population Health Science, University of Mississippi Medical Center, Jackson, MS, USA.
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Cotlarciuc I
Institute of Cardiovascular Research, Royal Holloway University of London, London, UK, and Ashford and St Peters Hospital, Surrey, UK.
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Cruchaga C
Department of Psychiatry, Hope Center Program on Protein Aggregation and Neurodegeneration (HPAN), Washington University School of Medicine, St. Louis, MO, USA.
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Danesh J
MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
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de Bakker PIW
Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands.
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DeStefano AL
Boston University School of Public Health, Boston, MA, USA.
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den Hoed M
Department of Immunology, Genetics and Pathology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
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Duan Q
Department of Genetics, University of North Carolina, Chapel Hill, NC, USA.
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Engelter ST
Department of Neurology and Stroke Center, Basel University Hospital, Basel, Switzerland.
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Falcone GJ
Department of Neurology, Yale University School of Medicine, New Haven, CT, USA.
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Gottesman RF
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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Grewal RP
Neuroscience Institute, SF Medical Center, Trenton, NJ, USA.
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Gudnason V
Icelandic Heart Association Research Institute, Kopavogur, Iceland.
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Gustafsson S
Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
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Haessler J
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
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Harris TB
Laboratory of Epidemiology and Population Science, National Institute on Aging, National Institutes of Health, Bethesda, MD, USA.
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Hassan A
Department of Neurology, Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
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Havulinna AS
National Institute for Health and Welfare, Helsinki, Finland.
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Heckbert SR
Department of Epidemiology, University of Washington, Seattle, WA, USA.
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Holliday EG
Public Health Stream, Hunter Medical Research Institute, New Lambton, New South Wales, Australia.
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Howard G
School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
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Hsu FC
Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
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Hyacinth HI
Aflac Cancer and Blood Disorder Center, Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
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Ikram MA
Department of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
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Ingelsson E
Department of Medicine, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA, USA.
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Irvin MR
Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
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Jian X
Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA.
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Jiménez-Conde J
Neurovascular Research Group (NEUVAS), Neurology Department, Institut Hospital del Mar d'Investigació Mèdica, Universitat Autònoma de Barcelona, Barcelona, Spain.
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Johnson JA
Department of Pharmacotherapy and Translational Research and Center for Pharmacogenomics, University of Florida, College of Pharmacy, Gainesville, FL, USA.
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Jukema JW
Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands.
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Kanai M
Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan.
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Keene KL
Department of Biology, East Carolina University, Greenville, NC, USA.
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Kissela BM
University of Cincinnati College of Medicine, Cincinnati, OH, USA.
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Kleindorfer DO
University of Cincinnati College of Medicine, Cincinnati, OH, USA.
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Kooperberg C
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
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Kubo M
RIKEN Center for Integrative Medical Sciences, Yokohama, Japan.
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Lange LA
Department of Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO, USA.
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Langefeld CD
Center for Public Health Genomics and Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
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Langenberg C
MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge, UK.
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Launer LJ
Intramural Research Program, National Institute on Aging, National Institutes of Health, Bethesda, MD, USA.
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Lee JM
Department of Neurology, Radiology, and Biomedical Engineering, Washington University School of Medicine, St. Louis, MO, USA.
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Lemmens R
Department of Neurosciences, Experimental Neurology, KU Leuven-University of Leuven, Leuven, Belgium.
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Leys D
INSERM U 1171, CHU Lille, Université Lille, Lille, France.
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Lewis CM
Department of Medical and Molecular Genetics, King's College London, London, UK.
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Lin WY
MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
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Lindgren AG
Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden.
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Lorentzen E
Bioinformatics Core Facility, University of Gothenburg, Gothenburg, Sweden.
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Magnusson PK
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
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Maguire J
University of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia.
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Manichaikul A
Center for Public Health Genomics, Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
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McArdle PF
Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
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Meschia JF
Department of Neurology, Mayo Clinic, Jacksonville, FL, USA.
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Mitchell BD
Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
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Mosley TH
Division of Geriatrics, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
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Nalls MA
Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, MD, USA.
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Ninomiya T
Department of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
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O'Donnell MJ
Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
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Psaty BM
Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.
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Pulit SL
Department of Medical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands.
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Rannikmäe K
Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
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Reiner AP
Department of Epidemiology, University of Washington, Seattle, WA, USA.
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Rexrode KM
Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
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Rice K
Department of Biostatistics, University of Washington, Seattle, WA, USA.
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Rich SS
Center for Public Health Genomics, Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
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Ridker PM
Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA, USA.
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Rost NS
Department of Neurology, Massachusetts General Hospital (MGH), Harvard Medical School, Boston, MA, USA.
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Rothwell PM
Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.
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Rotter JI
Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA.
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Rundek T
Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA.
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Sacco RL
Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA.
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Sakaue S
Department of Statistical Genetics, Osaka University Graduate School of Medicine, Osaka, Japan.
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Sale MM
Center for Public Health Genomics, University of Virginia, Charlottesville, VA, USA.
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Salomaa V
National Institute for Health and Welfare, Helsinki, Finland.
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Sapkota BR
Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
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Schmidt R
Department of Neurology, Medical University of Graz, Graz, Austria.
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Schmidt CO
Institute for Community Medicine, SHIP-KEF, University Medicine Greifswald, Greifswald, Germany.
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Schminke U
Department of Neurology, University Medicine Greifswald, Greifswald, Germany.
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Sharma P
Institute of Cardiovascular Research, Royal Holloway University of London, London, UK, and Ashford and St Peters Hospital, Surrey, UK.
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Slowik A
Department of Neurology, Jagiellonian University, Krakow, Poland.
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Sudlow CLM
Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
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Tanislav C
Department of Neurology, Justus Liebig University, Giessen, Germany.
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Tatlisumak T
Department of Clinical Neurosciences/Neurology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
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Taylor KD
Institute for Translational Genomics and Population Sciences, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA, USA.
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Thijs VNS
Stroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Victoria, Australia.
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Thorleifsson G
deCODE genetics/AMGEN Inc., Reykjavik, Iceland.
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Thorsteinsdottir U
deCODE genetics/AMGEN Inc., Reykjavik, Iceland.
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Tiedt S
Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
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Trompet S
Department of Internal Medicine, Section Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
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Tzourio C
Department of Neurology, Institute for Neurodegenerative Disease, Bordeaux University Hospital, Bordeaux, France.
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van Duijn CM
Genetic Epidemiology Unit, Department of Epidemiology, Erasmus University Medical Center, Rotterdam, the Netherlands.
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Walters M
School of Medicine, Dentistry and Nursing at the University of Glasgow, Glasgow, UK.
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Wareham NJ
MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Institute of Metabolic Science, Cambridge, UK.
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Wassertheil-Smoller S
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
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Wilson JG
Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, MS, USA.
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Wiggins KL
Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.
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Yang Q
Boston University School of Public Health, Boston, MA, USA.
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Yusuf S
Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
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Bis JC
Department of Genetics and Genomic Sciences, Icahn Institute for Genomics and Multiscale Biology Icahn School of Medicine at Mount Sinai, New York, NY, USA.
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Pastinen T
UPMC Univ. Paris 06, INSERM, UMR_S 1166, Team Genomics & Pathophysiology of Cardiovascular Diseases, Sorbonne Universités, Paris, France.
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Ruusalepp A
Center for Public Health Genomics, University of Virginia, Charlottesville, VA, USA.
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Schadt EE
Department of Epidemiology, University of Washington, Seattle, WA, USA.
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Koplev S
UPMC Univ. Paris 06, INSERM, UMR_S 1166, Team Genomics & Pathophysiology of Cardiovascular Diseases, Sorbonne Universités, Paris, France.
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Björkegren JLM
Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA.
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Codoni V
Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA.
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Civelek M
Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA.
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Smith NL
Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, MA, USA.
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Trégouët DA
Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
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Christophersen IE
National Heart and Lung Institute, Imperial College London, London, UK.
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Roselli C
Department of Gene Diagnostics and Therapeutics, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.
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Lubitz SA
Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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Ellinor PT
Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
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Tai ES
MRC-PHE Centre for Environment and Health, School of Public Health, Department of Epidemiology and Biostatistics and the NIHR Imperial Biomedical Research Centre, Imperial College London, London, UK.
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Kooner JS
Department of Epidemiology and Biostatistics, Imperial College London, London, UK.
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Kato N
Department of Gene Diagnostics and Therapeutics, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan.
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He J
Framingham Heart Study, Framingham, MA, USA.
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van der Harst P
Department of Pediatrics, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
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Elliott P
Department of Clinical Sciences, Lund University, Malmö, Sweden.
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Chambers JC
Department of Pathology and Genetics, Institute of Biomedicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
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Takeuchi F
Department of Neurology, Helsinki University Hospital, Helsinki, Finland.
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Johnson AD
Neurovascular Research Laboratory, Vall d'Hebron Institut of Research, Neurology and Medicine Departments-Universitat Autònoma de Barcelona, Vall d'Hebrón Hospital, Barcelona, Spain.
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Sanghera DK
Department of Neurology, University of Maryland School of Medicine and Baltimore VAMC, Baltimore, MD, USA.
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Melander O
Framingham Heart Study, Framingham, MA, USA.
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Jern C
Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA.
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Strbian D
INSERM U1219 Bordeaux Population Health Research Center, University of Bordeaux, France.
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Fernandez-Cadenas I
MRC/BHF Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
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Longstreth WT
Laboratory for Statistical Analysis, RIKEN Center for Integrative Medical Sciences, Yokohama, Japan.
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Rolfs A
Stroke Research Group, Division of Clinical Neurosciences, University of Cambridge, Cambridge, UK. stephanie.debette@u-bordeaux.fr.
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Hata J
Institute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany. martin.dichgans@med.uni-muenchen.de.
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Woo D
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Rosand J
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Pare G
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Hopewell JC
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Saleheen D
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Stefansson K
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Worrall BB
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Kittner SJ
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Seshadri S
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Fornage M
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Markus HS
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Howson JMM
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Kamatani Y
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Debette S
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Dichgans M
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English
Stroke has multiple etiologies, but the underlying genes and pathways are largely unknown. We conducted a multiancestry genome-wide-association meta-analysis in 521,612 individuals (67,162 cases and 454,450 controls) and discovered 22 new stroke risk loci, bringing the total to 32. We further found shared genetic variation with related vascular traits, including blood pressure, cardiac traits, and venous thromboembolism, at individual loci (n = 18), and using genetic risk scores and linkage-disequilibrium-score regression. Several loci exhibited distinct association and pleiotropy patterns for etiological stroke subtypes. Eleven new susceptibility loci indicate mechanisms not previously implicated in stroke pathophysiology, with prioritization of risk variants and genes accomplished through bioinformatics analyses using extensive functional datasets. Stroke risk loci were significantly enriched in drug targets for antithrombotic therapy.
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green
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https://sonar.ch/global/documents/270545
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