Genomic insights into stroke recovery: cross-phenotype associations.
The 3 matches · 2 of them tie a paragraph to a whole file, not to given lines: weak matches, whose lines are not tinted
- [1] § Results › Cross-phenotypic results › Cross-phenotypic SNPs of interest ↔ UpSet_Figure.R, the whole file · a weak match · score 0.85 · v3_PHQ8, v2_Delta_Grip, gene symbols, v4_PHQ8, v4_PTSD, v4_tMoCA
- [2] § Results › Cross-phenotypic results › Cross-phenotypic SNPs of interest ↔ GWAS_figures_and_tables.R, lines 255–326 · score 0.84 · v2_delta_grip, gene symbols, v4_PHQ8, v4_PTSD, v4_tMoCA, v3 phq8
- [3] § Results › Genome-wide association studies across phenotypes ↔ DeltaGrip_Investigation.R, the whole file · a weak match · score 0.52 · genomic inflation, delta grip, bp, MAF, Manhattan, QQ
Paper
Loaded from Europe PMC by your browser, not stored by OSCR: doi.org · Europe PMC
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The authors' code
R · 47 lines · 1.8 KB · no license · 1 match
- library(tidyverse)
- library(data.table)
- library(ComplexUpset)
- library(patchwork)
- library(colorspace)
- my_pal <- qualitative_hcl(11, palette = "Dark 3")
- dt.cp_all <- read_csv("~/../Dropbox/Manuscripts/STRONG/STRONG_GWAS_P2PNetwork/Brain Submission/Revision/supplement_table_1_revised.csv")
- dt.ps <- dt.cp_all |>
- rename("v2_Delta_Grip" = `P_v2-v1_grip_ratio`,
- "v2_mRS_PoorOutcome"= P_v2_mrs_d2,
- "v2_SIS_ADL" = P_v2_sid_adl,
- "v2_PHQ8"= P_v2_phq8,
- "v3_PHQ8" = P_v3_phq8,
- "v3_PTSD"= P_v3_ptsd,
- "v4_PHQ8" = P_v4_phq8,
- "v4_PTSD" = P_v4_ptsd,
- "v4_tMoCA"= P_v4_tMoCa)
- phenotypes <- grep("^v\\d+_", colnames(dt.ps), value = T)
- dt.ps <- dt.ps |> mutate(across(matches("^v\\d+_"), function(x) x<5e-5))
- dt.ps.sub <- dt.ps |> filter(v2_Delta_Grip==T | v4_tMoCA==T)
- queries <- list(upset_query(set = "v4_tMoCA", fill = "purple"),
- upset_query(set = "v2_Delta_Grip", fill = "red"))
- p1 <- upset(dt.ps.sub, intersect = phenotypes, name = "Phenotypes", wrap = T, sort_sets = F,
- set_sizes = upset_set_size(),
- queries = queries,
- base_annotations = list(
- "Intersection size" = intersection_size(counts = T, mapping = aes(fill = Gene_Symbol)) +
- scale_y_continuous(n.breaks = 6) +
- labs(fill = "Gene", y = "Cross-Phenotype SNP (n)") +
- scale_fill_manual(values = my_pal))) +
- ggtitle(label = expression("Cross-Phenotype SNPs shared by 2+ uncorrelated phenotypes")) +
- theme(plot.title = element_text(size = 14))
- ggsave(p1, filename = "Cross-Phenotype-Scripts/upset_figure_gene_final.png", device = "png",
- dpi = 300, units = "mm", width = 160, height = 140)
UpSet_Figure.R at commit a0b528b, no license · at the source
Overview
13 affiliations
- Department of Neurology, University of Virginia, Charlottesville, VA 22908, USA
- Department of Neurology, University of Maryland School of Medicine, Baltimore, MD 21201, USA
- Department of Neurology, Center for Genomic Medicine, McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA 02114, USA
- Program in Physical Therapy, Department of Neurology, Washington University, St. Louis, MO 63108, USA
- Department of Neurology and Rehabilitation Medicine, Georgetown University, Washington, DC 20007, USA
- Department of Neurology, Baltimore Veterans Affairs Medical Center, Baltimore, MD 21201, USA
- Department of Neurology, Skåne University Hospital, Lund 29189, Sweden
- Department of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA
- Department of Biology, East Carolina University, Greenville, NC 27858, USA
- Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22908, USA
- Sue & Bill Gross School of Nursing and Department of Psychological Science, University of California, Irvine, Irvine, CA 92697, USA
- Department of Neurology, University of California, Los Angeles, CA 90095-1769, USA
- California Rehabilitation Institute, Los Angeles, CA 90067, USA
Abstract
Stroke is a major cause of long-term disability with variable recovery. While clinical factors such as initial severity play a role, genetic factors are increasingly recognized as important contributors to stroke recovery. Genotype studies are generally focused on a single post-stroke behavioural domain, but some genes might relate to broad mechanisms of plasticity. This study therefore aimed to identify cross-phenotypic genetic variants associated across two or more stroke recovery domains. DNA from Stroke, Stress, Rehabilitation, and Genetics study participants was genotyped, resulting in 9 814 610 variants. In order to examine cross-phenotypic results, we first conducted genome-wide association studies on the six recovery domains: motor (grip force), cognition (Telephone Montreal Cognitive Assessment), depression (Patient Health Questionnaire-8), stress (Primary Care Post-Traumatic Stress Disorder Screen), functional status (Stroke Impact Scale-Activities of Daily Living), and disability (modified Rankin Scale 0–2 versus 3–6), some of which were tested longitudinally, yielding nine phenotypes. Models were adjusted for age, sex, initial severity (NIH Stroke Scale score), and ancestry. Cross-phenotype associations were identified by evaluating single nucleotide polymorphisms (SNPs) associated (P < 5e-5) with multiple phenotypes. To determine how these genetic variants may relate to biological mechanisms of recovery, we conducted gene enrichment analyses. Participants (n = 565, 59% male) had mild-moderate initial stroke severity (median acute NIH Stroke Scale score = 4). After accounting for the correlation structure among the nine phenotypes, we observed 319 cross-phenotypic SNPs, 3.45 times the expected number. Five of the cross-phenotypic SNPs were linked to genes relevant to neural development, function and plasticity, e.g. ERICH1 (rs11778883-C), FOX3 (rs55726768-G), LIFR-AS1 (rs76401391-T), RPS6KA2 (rs113518460-C) and TUBGCP2 (rs147150392-C), as were enrichments in RAB5–EEA1, CTNNA1–CTNNB1, CIN85–SH3GL2 and ELMO1–DOCK2 complexes. Multiple gene enrichments were found, e.g. Stroke Impact Scale-Activities of Daily Living and Patient Health Questionnaire 8 at 3 months were enriched for CREB phosphorylation, which is important for long-term potentiation. We identified cross-phenotypic SNPs associated with multiple behavioural domains of stroke recovery. Some of these genes encode, or regulate, druggable proteins. These genetic factors are not well captured by clinical or neuroimaging assessments and so provide a unique window into stroke recovery. These findings, if validated, suggest that some genes may be broadly important to stroke recovery.
Reproduced under the paper's license (CC BY), from the paper cited above.
Repository
Its files are read in the Code ↔ Paper reader above, with 3 matches between paragraphs and lines of code.
CMAldridge/Cross-Phenotype-GWAS
a0b528b01f0e8b2e1c13650b6270918ac75dc147, 3 August 2026Availability: 1 check, the latest on 27 September 2026: the link answers
- 27 September 2026: the link answers
9 files
- ACAT_Omnibus_Test.R, R, 49 lines
- CrossPhenotype_Joint_Pro
babilities_Supplemental_ , R, 239 linesTables.R - Cross_Phenotype_Heatmap.
R , R, 107 lines - Cross_phenotype_simulati
ons_Script.R , R, 105 lines - DeltaGrip_Investigation.
R , R, 31 lines, 1 match - GWAS_figures_and_tables.
R , R, 385 lines, 1 match - Statgen_MultiTrait_GWAS_
Script.R , R, 108 lines - UpSet_Figure.R, R, 47 lines, 1 match
- README.md, Text, 17 lines
The paper's code and data availability statement is in the Data section.
Tracing map
Proposed by the machine: these links were found in the paper and verified at the source, without human review. The map will receive a Zenodo DOI once one of the paper's authors has validated it with their ORCID.
What the map holds:
- 1 repository of the authors' code, each at its verified commit, with its license and how the link was found in the paper;
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- 3 matches between paragraphs of the paper and lines of the code (method lexical-v1);
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Data
No dataset and no data link were found in the paper.
Data availability
The GWAS summary statistics for the nine phenotypes can be found at the Cerebrovascular Disease Knowledge Portal (https://
Reproduced under the paper's license (CC BY), from the paper cited above.
Versions
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Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 13 authors, 5 keywords, 4 funders, 64 references.
Cite
This paper
Aldridge, C., Braun, R., Parodi, L., Lohse, K., Edwardson, M. A., Cole, J. W., Lindgren, A. G., Hsu, F.-C., Keene, K., Worrall, B., Rosand, J., Holman, E. A., & Cramer, S. C. (2026). Genomic insights into stroke recovery: cross-phenotype associations. Brain communications, 8(5), fcag322. https://
BibTeX
@article{aldridge2026gen
author = {Aldridge, Chad and Braun, Robynne and Parodi, Livia and Lohse, Keith and Edwardson, Matthew A and Cole, John W and Lindgren, Arne G and Hsu, Fang-Chi and Keene, Keith and Worrall, Bradford and Rosand, Jonathan and Holman, E Alison and Cramer, Steven C},
title = {{Genomic insights into stroke recovery: cross-phenotype associations}},
journal = {Brain communications},
year = {2026},
month = aug,
volume = {8},
number = {5},
pages = {fcag322},
publisher = {Oxford University Press},
issn = {2632-1297},
doi = {10.1093/
url = {https://
pmid = {42695012},
pmcid = {PMC13540738}
}
RIS
TY - JOUR
AU - Aldridge, Chad
AU - Braun, Robynne
AU - Parodi, Livia
AU - Lohse, Keith
AU - Edwardson, Matthew A
AU - Cole, John W
AU - Lindgren, Arne G
AU - Hsu, Fang-Chi
AU - Keene, Keith
AU - Worrall, Bradford
AU - Rosand, Jonathan
AU - Holman, E Alison
AU - Cramer, Steven C
TI - Genomic insights into stroke recovery: cross-phenotype associations
T2 - Brain communications
J2 - Brain Commun
PY - 2026
DA - 2026/
VL - 8
IS - 5
SP - fcag322
SN - 2632-1297
PB - Oxford University Press
DO - 10.1093/
UR - https://
LA - en
ER -
CSL-JSON
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