- Ahmad, Shahzad;
- Imtiaz, Mohammad Aslam;
- Mishra, Aniket;
- Wang, Ruiqi;
- Herrera-Rivero, Marisol;
- Bis, Joshua C;
- Fornage, Myriam;
- Roshchupkin, Gennady;
- Hofer, Edith;
- Logue, Mark;
- Longstreth, WT;
- Xia, Rui;
- Bouteloup, Vincent;
- Mosley, Thomas;
- Launer, Lenore J;
- Khalil, Michael;
- Kuhle, Jens;
- Rissman, Robert A;
- Chene, Genevieve;
- Dufouil, Carole;
- Djoussé, Luc;
- Lyons, Michael J;
- Mukamal, Kenneth J;
- Kremen, William S;
- Franz, Carol E;
- Schmidt, Reinhold;
- Debette, Stephanie;
- Breteler, Monique MB;
- Berger, Klaus;
- Yang, Qiong;
- Seshadri, Sudha;
- Aziz, N Ahmad;
- Ghanbari, Mohsen;
- Ikram, M Arfan
Neurofilament light chain (NfL) levels in circulation have been established as a sensitive biomarker of neuro-axonal damage across a range of neurodegenerative disorders. Elucidation of the genetic architecture of blood NfL levels could provide new insights into molecular mechanisms underlying neurodegenerative disorders. In this meta-analysis of genome-wide association studies (GWAS) of blood NfL levels from eleven cohorts of European ancestry, we identify two genome-wide significant loci at 16p12 (UMOD) and 17q24 (SLC39A11). We observe association of three loci at 1q43 (FMN2), 12q14, and 12q21 with blood NfL levels in the meta-analysis of African-American ancestry. In the trans-ethnic meta-analysis, we identify three additional genome-wide significant loci at 1p32 (FGGY), 6q14 (TBX18), and 4q21. In the post-GWAS analyses, we observe the association of higher NfL polygenic risk score with increased plasma levels of total-tau, Aβ-40, Aβ-42, and higher incidence of Alzheimer's disease in the Rotterdam Study. Furthermore, Mendelian randomization analysis results suggest that a lower kidney function could cause higher blood NfL levels. This study uncovers multiple genetic loci of blood NfL levels, highlighting the genes related to molecular mechanism of neurodegeneration.