Publications by authors named "Lilja Stefansdottir"

Background: The contributions of genetic and environmental risk factors to hidradenitis suppurativa (HS) are both poorly understood.

Objective: To identify sequence variants that associate with HS and determine the contribution of environmental risk factors and inflammatory diseases to HS pathogenesis.

Methods: A genome-wide association meta-analysis of 4814 HS cases (Denmark: 1977; Iceland: 1266; Finland: 800; UK: 569; and US: 202) and 1.

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  • Immunoglobulin G (IgG) is the primary type of antibody in human blood and exists in four subclasses (IgG1 to IgG4), which are influenced by specific genes.
  • A genome-wide association study involving 4,334 adults and 4,571 children identified ten new variants and confirmed four known variants linked to IgG subclass levels, affecting conditions like asthma and autoimmune diseases.
  • Significant links were found between certain genetic allotypes and specific IgG subclasses, with notable findings showing that lower IgG4 levels can both protect against childhood asthma and increase the risk of inflammatory bowel disease.
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  • The study aims to investigate the genetic factors associated with accessory atrioventricular pathways (APs) and related heart rhythm disorders using a genome-wide association study (GWAS).
  • It involved analyzing genetic data from over 1,200,000 control individuals and 2,310 individuals with APs from multiple countries and various health databases.
  • Key findings revealed three significant genetic variants linked to APs, particularly in specific genes (CCDC141 and SCN10A), with implications for understanding conditions like paroxysmal supraventricular tachycardia (PSVT).
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  • Multiple myeloma (MM) is a type of cancer affecting plasma cells, with a significant genetic component that is not fully understood.
  • A large genome-wide study identified 35 risk loci related to MM, including 12 new ones, and revealed two main inherited risk factors: longer telomeres and higher levels of B-cell maturation antigen (BCMA) and interleukin-5 receptor alpha (IL5RA) in the blood.
  • The genetic variant rs34562254-A increases the risk of MM by enhancing B-cell responses, contrasting with loss-of-function variants in TNFRSF13B that lead to B-cell immunodeficiency.
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  • - The study investigates childhood daytime urinary incontinence (DUI) by identifying genetic variants that increase the risk, shedding light on the condition which is often stigmatized and not well understood.
  • - A genome-wide association study was performed on a large cohort from Denmark and replicated in Iceland, discovering significant genetic variants on chromosomes 6 and 20 linked to genes involved in neuronal development and bladder function.
  • - The research found that DUI has a hereditary component and is genetically correlated with conditions like attention-deficit/hyperactivity disorder and BMI, suggesting new directions for treatment options.
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  • Early pregnancy bleeding and postpartum hemorrhage (PPH) present significant risks to maternal health, with PPH being the leading cause of maternal death and early bleeding often linked to pregnancy loss.
  • A meta-analysis identified five genetic loci associated with PPH, highlighting candidate genes (HAND2, TBX3, RAP2C/FRMD7) that interact with progesterone receptors, suggesting a connection between PPH and progesterone signaling issues.
  • While bleeding in early pregnancy didn't show specific genetic signals, it was strongly correlated with other human traits, indicating it may be influenced by multiple genetic and possibly socio-economic factors not yet fully understood.
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Autoimmune thyroid disease (AITD) is a common autoimmune disease. In a GWAS meta-analysis of 110,945 cases and 1,084,290 controls, 290 sequence variants at 225 loci are associated with AITD. Of these variants, 115 are previously unreported.

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  • Essential tremor (ET) is a common neurological disorder, but its biological causes are still not well understood.
  • A comprehensive study involving over 16,000 ET cases identified 12 genetic variants linked to the disorder, suggesting several potential causal genes, including CA3 and CPLX1.
  • The findings also reveal associations between ET and other conditions like Parkinson's disease, depression, and anxiety, which could lead to new therapeutic targets for treatment.
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Two-thirds of all human conceptions are lost, in most cases before clinical detection. The lack of detailed understanding of the causes of pregnancy losses constrains focused counseling for future pregnancies. We have previously shown that a missense variant in synaptonemal complex central element protein 2 (SYCE2), in a key residue for the assembly of the synaptonemal complex backbone, associates with recombination traits.

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Importance: Recurrent pericarditis is a treatment challenge and often a debilitating condition. Drugs inhibiting interleukin 1 cytokines are a promising new treatment option, but their use is based on scarce biological evidence and clinical trials of modest sizes, and the contributions of innate and adaptive immune processes to the pathophysiology are incompletely understood.

Objective: To use human genomics, transcriptomics, and proteomics to shed light on the pathogenesis of pericarditis.

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  • - The study aimed to assess whether certain genetic variations in the GIP receptor might increase fracture risk or lower bone mineral density (BMD) in people managing obesity through weight loss.
  • - Researchers analyzed three specific gene variants and a group of predicted loss-of-function variants across a large population of up to 1.2 million participants, examining their correlation to different types of fractures and BMD measurements.
  • - The findings indicated that none of the examined gene variants were linked to a higher risk of fractures or lower BMD, suggesting that these genetic factors do not adversely affect bone health in the context of obesity treatment.
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Clonal hematopoiesis (CH) arises when a substantial proportion of mature blood cells is derived from a single hematopoietic stem cell lineage. Using whole-genome sequencing of 45,510 Icelandic and 130,709 UK Biobank participants combined with a mutational barcode method, we identified 16,306 people with CH. Prevalence approaches 50% in elderly participants.

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  • Migraine is a complicated neurovascular condition with varying symptoms, traditionally studied as a single type in genome-wide association studies (GWAS), but this research focuses on two main subtypes: migraine with aura (MA) and migraine without aura (MO).
  • The study analyzed large datasets from six European populations, identifying four new gene variants associated with MA and classifying 13 variants for MO, highlighting a significant frameshift variant in PRRT2 linked to MA and epilepsy.
  • Additionally, testing on rare variants showed that loss-of-function mutations in SCN11A provide strong protection against migraine, while another variant affecting KCNK5 offers large protection against both migraine and brain aneurysms, suggesting new avenues for treatment.
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Bleeding in early pregnancy and postpartum hemorrhage (PPH) bear substantial risks, with the former closely associated with pregnancy loss and the latter being the foremost cause of maternal death, underscoring the severity of these complications in maternal-fetal health. Here, we investigated the genetic variation underlying aspects of pregnancy-associated bleeding and identified five loci associated with PPH through a meta-analysis of 21,512 cases and 259,500 controls. Functional annotation analysis indicated candidate genes, , , and / at three loci and showed that at each locus, associated variants were located within binding sites for progesterone receptors (PGR).

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Urticaria is a skin disorder characterized by outbreaks of raised pruritic wheals. In order to identify sequence variants associated with urticaria, we performed a meta-analysis of genome-wide association studies for urticaria with a total of 40,694 cases and 1,230,001 controls from Iceland, the UK, Finland, and Japan. We also performed transcriptome- and proteome-wide analyses in Iceland and the UK.

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The genetic basis of the human vocal system is largely unknown, as are the sequence variants that give rise to individual differences in voice and speech. Here, we couple data on diversity in the sequence of the genome with voice and vowel acoustics in speech recordings from 12,901 Icelanders. We show how voice pitch and vowel acoustics vary across the life span and correlate with anthropometric, physiological, and cognitive traits.

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Objectives: Erosive hand osteoarthritis (EHOA) is a severe subset of hand osteoarthritis (OA). It is unclear if EHOA is genetically different from other forms of OA. Sequence variants at ten loci have been associated with hand OA but none with EHOA.

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Endometriosis is a common condition associated with debilitating pelvic pain and infertility. A genome-wide association study meta-analysis, including 60,674 cases and 701,926 controls of European and East Asian descent, identified 42 genome-wide significant loci comprising 49 distinct association signals. Effect sizes were largest for stage 3/4 disease, driven by ovarian endometriosis.

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  • This study investigates the genetics of syncope, a common medical condition, to improve understanding of its causes and potential outcomes.
  • A large-scale analysis of genetic data from over half a million people identified 18 genetic variants linked to syncope, most of which were newly discovered, highlighting the condition's unique genetic traits.
  • The findings suggest a relationship between syncope and cardiovascular health, indicating that genetic factors related to heart rate and blood pressure regulation could be involved, reinforcing the need for careful evaluation of patients experiencing syncope.
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  • Osteoarthritis is a common disease influenced by genetics, but its impact on disease progression and the need for joint replacement is not well understood.
  • * This study analyzed over 700,000 individuals, comparing genetic variants in patients with and without joint replacements for knee and hip osteoarthritis.
  • * Findings revealed 52 genetic variants linked to osteoarthritis, with variations in associations based on whether patients had surgery, suggesting distinct genetic influences on disease outcomes.*
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Background And Aims: The causal contribution of apolipoprotein B (apoB) particles to coronary artery disease (CAD) is established. We examined whether this atherogenic contribution is better reflected by non-high-density lipoprotein cholesterol (non-HDL-C) or apoB particle concentration.

Method And Results: We performed Mendelian randomization (MR) analysis using 235 variants as genetic instruments; testing the relationship between their effects on the exposures, non-HDL-C and apoB, and on the outcome CAD using weighted regression.

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The characteristic lobulated nuclear morphology of granulocytes is partially determined by composition of nuclear envelope proteins. Abnormal nuclear morphology is primarily observed as an increased number of hypolobulated immature neutrophils, called band cells, during infection or in rare envelopathies like Pelger-Huët anomaly. To search for sequence variants affecting nuclear morphology of granulocytes, we performed a genome-wide association study using band neutrophil fraction from 88,101 Icelanders.

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Objectives: To find causal genes for rheumatoid arthritis (RA) and its seropositive (RF and/or ACPA positive) and seronegative subsets.

Methods: We performed a genome-wide association study (GWAS) of 31 313 RA cases (68% seropositive) and ~1 million controls from Northwestern Europe. We searched for causal genes outside the HLA-locus through effect on coding, mRNA expression in several tissues and/or levels of plasma proteins (SomaScan) and did network analysis (Qiagen).

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  • Carpal tunnel syndrome (CTS) is the most common nerve entrapment issue, and the biological reasons behind it are still not fully understood.
  • A large study involving nearly 50,000 CTS cases identified 53 genetic variants linked to the condition, with a specific gene variant (p.Glu366Lys in SERPINA1) showing protective effects against CTS.
  • The research indicates that CTS risk is influenced by 22 genes and highlights the extracellular matrix's importance, along with the genetic connections to traits like height and BMI, as well as factors such as hormonal therapy and osteoarthritis.
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