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Preeclampsia is a serious complication of pregnancy, affecting both maternal and fetal health. In genome-wide association meta-analysis of European and Central Asian mothers, we identify sequence variants that associate with preeclampsia in the maternal genome at  ZNF831 /20q13 and  FTO /16q12. These are previously established variants for blood pressure (BP) and the  FTO  variant has also been associated with body mass index (BMI). Further analysis of BP variants establishes that variants at  MECOM /3q26,  FGF5 /4q21 and  SH2B3 /12q24 also associate with preeclampsia through the maternal genome. We further show that a polygenic risk score for hypertension associates with preeclampsia. However, comparison with gestational hypertension indicates that additional factors modify the risk of preeclampsia.

Genetic predisposition to hypertension is associated with preeclampsia in European and Central Asian women