RT Journal Article SR Electronic T1 Consequences of natural perturbations in the human plasma proteome JF bioRxiv FD Cold Spring Harbor Laboratory SP 134551 DO 10.1101/134551 A1 Benjamin B. Sun A1 Joseph C. Maranville A1 James E. Peters A1 David Stacey A1 James R. Staley A1 James Blackshaw A1 Stephen Burgess A1 Tao Jiang A1 Ellie Paige A1 Praveen Surendran A1 Clare Oliver-Williams A1 Mihir A. Kamat A1 Bram P. Prins A1 Sheri K. Wilcox A1 Erik S. Zimmerman A1 An Chi A1 Narinder Bansal A1 Sarah L. Spain A1 Angela M. Wood A1 Nicholas W. Morrell A1 John R. Bradley A1 Nebojsa Janjic A1 David J. Roberts A1 Willem H. Ouwehand A1 John A. Todd A1 Nicole Soranzo A1 Karsten Suhre A1 Dirk S. Paul A1 Caroline S. Fox A1 Robert M. Plenge A1 John Danesh A1 Heiko Runz A1 Adam S. Butterworth YR 2017 UL http://biorxiv.org/content/early/2017/05/05/134551.abstract AB Proteins are the primary functional units of biology and the direct targets of most drugs, yet there is limited knowledge of the genetic factors determining inter-individual variation in protein levels. Here we reveal the genetic architecture of the human plasma proteome, testing 10.6 million DNA variants against levels of 2,994 proteins in 3,301 individuals. We identify 1,927 genetic associations with 1,478 proteins, a 4-fold increase on existing knowledge, including trans associations for 1,104 proteins. To understand consequences of perturbations in plasma protein levels, we introduce an approach that links naturally occurring genetic variation with biological, disease, and drug databases. We provide insights into pathogenesis by uncovering the molecular effects of disease-associated variants. We identify causal roles for protein biomarkers in disease through Mendelian randomization analysis. Our results reveal new drug targets, opportunities for matching existing drugs with new disease indications, and potential safety concerns for drugs under development.