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Allara, Elias ORCID logoORCID: https://orcid.org/0000-0002-1634-8330; Bell, Steven ORCID logoORCID: https://orcid.org/0000-0001-6774-3149; Smith, Rebecca; Keene, Spencer J.; Gill, Dipender ORCID logoORCID: https://orcid.org/0000-0001-7312-7078; Gaziano, Liam ORCID logoORCID: https://orcid.org/0000-0003-2059-8081; Morselli Gysi, Deisy; Wang, Feiyi ORCID logoORCID: https://orcid.org/0000-0002-8179-488X; Tragante, Vinicius ORCID logoORCID: https://orcid.org/0000-0002-8223-8957; Mason, Amy ORCID logoORCID: https://orcid.org/0000-0002-8019-0777; Karthikeyan, Savita; Lumbers, R. Thomas ORCID logoORCID: https://orcid.org/0000-0002-9077-4741; Bonglack, Emmanuela; Ouwehand, Willem; Roberts, David J.; Dowsett, Joseph ORCID logoORCID: https://orcid.org/0000-0001-5381-2633; Ostrowski, Sisse Rye ORCID logoORCID: https://orcid.org/0000-0001-5288-3851; Larsen, Margit Hørup; Ullum, Henrik; Pedersen, Ole Birger ORCID logoORCID: https://orcid.org/0000-0003-2312-5976; Brunak, Søren ORCID logoORCID: https://orcid.org/0000-0003-0316-5866; Banasik, Karina ORCID logoORCID: https://orcid.org/0000-0003-2489-2499; Erikstrup, Christian ORCID logoORCID: https://orcid.org/0000-0001-6551-6647; Bay, Jakob; Boldsen, Jens Kjærgaard; Brodersen, Thorsten; Demur, Alfonso Buil; Christoffersen, Lea Arregui Nordahl; Didriksen, Maria; Dinh, Khoa Manh; Erikstrup, Christian; Feenstra, Bjarke; Geller, Frank; Gudbjartsson, Daniel; Hansen, Thomas Folkmann; Helenius Mikkelsen, Dorte; Hindhede, Lotte; Hjalgrim, Henrik; Hjorth von Stemann, Jakob; Jensen, Bitten Aagaard; Schork, Andrew Joseph; Kaspersen, Kathrine; Kjerulff, Bertram Dalskov; Kongstad, Mette; Mikkelsen, Susan; Mikkelsen, Christina; Nissen, Janna; Nyegaard, Mette; Quinn, Liam James Elgaard; Rafnar, Þórunn; Rohde, Palle Duun; Rostgaard, Klaus; Schwinn, Michael; Sørensen, Erik; Stefansson, Kari; Stefánsson, Hreinn; Thørner, Lise Wegner; Þorsteinsdóttir, Unnur; Topholm Bruun, Mie; Werge, Thomas; Westergaard, David; Mitchell, Jonathan; Fuchsberger, Christian; Pattaro, Cristian; Pramstaller, Peter P. ORCID logoORCID: https://orcid.org/0000-0002-9831-8302; Girelli, Domenico ORCID logoORCID: https://orcid.org/0000-0001-9684-1899; Arvas, Mikko ORCID logoORCID: https://orcid.org/0000-0002-6902-8488; Toivonen, Jarkko ORCID logoORCID: https://orcid.org/0000-0002-6843-5831; Molnos, Sophie; Peters, Annette ORCID logoORCID: https://orcid.org/0000-0001-6645-0985; Polasek, Ozren ORCID logoORCID: https://orcid.org/0000-0002-5765-1862; Rudan, Igor; Hayward, Caroline ORCID logoORCID: https://orcid.org/0000-0002-9405-9550; McDonnell, Ciara; Pirastu, Nicola ORCID logoORCID: https://orcid.org/0000-0002-5363-3886; Wilson, James F. ORCID logoORCID: https://orcid.org/0000-0001-5751-9178; Hurk, Katja van den; Quee, Franke; Ferrucci, Luigi ORCID logoORCID: https://orcid.org/0000-0002-6273-1613; Bandinelli, Stefania; Tanaka, Toshiko; Girotto, Giorgia ORCID logoORCID: https://orcid.org/0000-0003-4507-6589; Concas, Maria Pina ORCID logoORCID: https://orcid.org/0000-0003-3598-2537; Pecori, Alessandro; Verweij, Niek; van der Harst, Pim; van de Vegte, Yordi J. ORCID logoORCID: https://orcid.org/0000-0002-6689-0144; Kiemeney, Lambertus A. ORCID logoORCID: https://orcid.org/0000-0002-2368-1326; Sweep, Fred C. ORCID logoORCID: https://orcid.org/0000-0003-1103-3070; Galesloot, Tessel E.; Sulem, Patrick; Gudbjartsson, Daniel; Ferkingstad, Egil; Djousse, Luc; Cho, Kelly; Inouye, Michael ORCID logoORCID: https://orcid.org/0000-0001-9413-6520; Burgess, Stephen ORCID logoORCID: https://orcid.org/0000-0001-5365-8760; Benyamin, Beben ORCID logoORCID: https://orcid.org/0000-0001-5608-2293; Oexle, Konrad; Swinkels, Dorine; Stefansson, Kari; Magnusson, Magnus ORCID logoORCID: https://orcid.org/0000-0001-8593-4934; Ganna, Andrea ORCID logoORCID: https://orcid.org/0000-0002-8147-240X; Gaziano, Michael; Ivey, Kerry; Danesh, John; Pereira, Alexandre ORCID logoORCID: https://orcid.org/0000-0002-7782-5540; Wood, Angela M. ORCID logoORCID: https://orcid.org/0000-0002-7937-304X; Butterworth, Adam S. ORCID logoORCID: https://orcid.org/0000-0002-6915-9015 und Di Angelantonio, Emanuele ORCID logoORCID: https://orcid.org/0000-0001-8776-6719 (2024): Novel loci and biomedical consequences of iron homoeostasis variation. In: Communications Biology, Bd. 7, 1631 [PDF, 3MB]

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Abstract

Iron homoeostasis is tightly regulated, with hepcidin and soluble transferrin receptor (sTfR) playing significant roles. However, the genetic determinants of these traits and the biomedical consequences of iron homoeostasis variation are unclear. In a meta-analysis of 12 cohorts involving 91,675 participants, we found 43 genomic loci associated with either hepcidin or sTfR concentration, of which 15 previously unreported. Mapping to putative genes indicated involvement in iron-trait expression, erythropoiesis, immune response and cellular trafficking. Mendelian randomisation of 292 disease outcomes in 1,492,717 participants revealed associations of iron-related loci and iron status with selected health outcomes across multiple domains. These associations were largely driven by HFE, which was associated with the largest iron variation. Our findings enhance understanding of iron homoeostasis and its biomedical consequences, suggesting that lifelong exposure to higher iron levels is likely associated with lower risk of anaemia-related disorders and higher risk of genitourinary, musculoskeletal, infectious and neoplastic diseases.

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