An agnostic study of associations between ABO and RhD blood group and phenome-wide disease risk.

Dahlén, Torsten; Clements, Mark; Zhao, Jingcheng; Olsson, Martin L; Edgren, Gustaf · Elife · 2021

prospective_cohort · Level II

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Abstract

There are multiple known associations between the ABO and RhD blood groups and disease. No systematic population-based studies elucidating associations between a large number of disease categories and blood group have been conducted. Using SCANDAT3-S, a comprehensive nationwide blood donation-transfusion database, we modeled outcomes for 1217 disease categories including 70 million person-years of follow-up, accruing from 5.1 million individuals. We discovered 49 and 1 associations between a disease and ABO and RhD blood groups, respectively, after adjustment for multiple testing. We identified new associations such as a decreased risk of kidney stones and blood group B as compared to blood group O. We also expanded previous knowledge on other associations such as pregnancy-induced hypertension and blood groups A and AB as compared to blood group O and RhD positive as compared to negative. Our findings generate strong further support for previously known associations, but also indicate new interesting relations. Swedish Research Council.

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