Most body mass index (BMI) genetic loci have been identified in studies
of primarily European ancestries. The effect of these loci in other
racial/ethnic groups is less clear. Thus, we aimed to characterize the
generalizability of 170 established BMI variants, or their proxies, to diverse
US populations and trans-ethnically fine-map 36 BMI loci using a sample of
>102,000 adults of African, Hispanic/Latino, Asian, European and
American Indian/Alaskan Native descent from the Population Architecture using
Genomics and Epidemiology Study.
We performed linear regression of the natural log of BMI
(18.5–70kg/m2) on the additive single nucleotide
polymorphisms (SNPs) at BMI loci on the MetaboChip (Illumina, Inc.), adjusting
for age, sex, population stratification, study site or relatedness. We then
performed fixed-effect meta-analyses and a Bayesian trans-ethnic meta-analysis
to empirically cluster by allele frequency differences. Lastly, we approximated
conditional and joint associations to test for the presence of secondary
signals.
We noted directional consistency with the previously reported risk
alleles beyond what would have been expected by chance (binomial
p<0.05). Nearly a quarter of the previously described BMI index SNPs and
29 of 36 densely-genotyped BMI loci on the MetaboChip replicated/generalized in
trans-ethnic analyses. We observed multiple signals at 9 loci, including the
description of seven loci with novel multiple signals.
This study supports the generalization of most common genetic loci to
diverse ancestral populations and emphasizes the importance of dense
multi-ethnic genomic data in refining the functional variation at genetic loci
of interest and describing several loci with multiple underlying genetic
variants.