Marcel den Hoed – Molecular epidemiology and translational genomics
The aim of my research programme is to identify and characterise causal genes for human disease, with a focus on cardiovascular and metabolic disorders. The work will increase our understanding of the underlying causes of human disease, and is anticipated to result in completely new ways to prevent and treat such diseases.
Results from large-scale genome-wide association studies (GWAS) have identified hundreds of loci that are robustly associated with the risk of cardiovascular and metabolic diseases, like coronary artery disease, diabetes and fatty liver disease. However, the causal variants and genes remain unknown for the vast majority of the identified loci. Before we can use results from GWAS in the clinic, for example as biomarkers or as novel drug targets, we need to identify causal variants and/or genes, and ideally also the tissues, cell types and pathways through which these variants and genes exert their effect.
Candidate genes characterised in zebrafish model
My group takes findings from GWAS or other -omics efforts as a starting point, and uses bioinformatics approaches to predict which variants and genes are causal, and through which tissues, cell types and pathways they act. We subsequently use CRISPR/Cas9, live fluorescence imaging, and deep learning-based image analysis in zebrafish larvae to characterise the role of the prioritized genes in disease-related traits.
Zebrafish develop quickly post-fertilisation, and are transparent during the earliest stages of development. Thanks to advances in fluorescence imaging using labelled transgenes, non-embedded positioning and orienting of zebrafish larvae, automated and objective image quantification opportunities, and efficient mutagenesis using CRISPR/Cas9, it has now become possible to perform high-throughput, largely image-based genetic screens using zebrafish model systems.
Genes involved in a range of diseases analysed
In recent years, my group has developed and validated such model systems for traits related to a range of common cardiometabolic diseases. We have since used these model systems to characterize the role of hundreds of genes predicted to play a role in lipid metabolism, obesity, insulin resistance, diabetes, atherosclerosis, coronary artery disease, non-alcoholic fatty liver disease and heart rhythm-related disorders. Results from these studies will increase our understanding of the molecular causes of disease, and will hopefully – in the long term – result in new or improved ways to treat or prevent them.

Group members
Publications
Part of Hepatology, p. 165-183, 2025
- DOI for A functional genomic framework to elucidate novel causal metabolic dysfunction-associated fatty liver disease genes
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Part of Scientific Reports, p. 5408, 2025
- DOI for Functionally characterizing obesity-susceptibility genes using CRISPR/Cas9, in vivo imaging and deep learning.
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Distilling causality between physical activity traits and obesity via Mendelian randomization
Part of Communications Medicine, 2023
- DOI for Distilling causality between physical activity traits and obesity via Mendelian randomization
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Genetic insights into resting heart rate and its role in cardiovascular disease
Part of Nature Communications, 2023
- DOI for Genetic insights into resting heart rate and its role in cardiovascular disease
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Part of Nature Human Behaviour, p. 790-801, 2023
Part of Nature Genetics, p. 1448-+, 2023
- DOI for GWAS of random glucose in 476,326 individuals provide insights into diabetes pathophysiology, complications and treatment stratification
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Part of Liver international, p. 2348-2350, 2023
Part of Diabetologia, p. 674-694, 2023
- DOI for Loss of RREB1 in pancreatic beta cells reduces cellular insulin content and affects endocrine cell gene expression
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Part of Nature Communications, 2022
- DOI for CRISPR-Cas9 induces large structural variants at on-target and off-target sites in vivo that segregate across generations
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Part of Nature Metabolism, p. 476-+, 2022
Part of Nature Genetics, p. 1332-1344, 2022
- DOI for Genome-wide association analyses of physical activity and sedentary behavior provide insights into underlying mechanisms and roles in disease prevention
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Stroke genetics informs drug discovery and risk prediction across ancestries
Part of Nature, p. 115-+, 2022
- DOI for Stroke genetics informs drug discovery and risk prediction across ancestries
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Genome-wide discovery of genetic loci that uncouple excess adiposity from its comorbidities
Part of Nature Metabolism, p. 228-243, 2021
Part of Nature Human Behaviour, p. 1717-1730, 2021
Amplification-free long-read sequencing reveals unforeseen CRISPR-Cas9 off-target activity
Part of Genome Biology, 2020
- DOI for Amplification-free long-read sequencing reveals unforeseen CRISPR-Cas9 off-target activity
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Part of Scientific Reports, 2020
- DOI for Translating GWAS-identified loci for cardiac rhythm and rate using an in vivo image- and CRISPR/Cas9-based approach
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Part of Scandinavian Journal of Medicine and Science in Sports, p. 213-222, 2019
- DOI for Test-retest variability of VO2max using total-capture indirect calorimetry reveals linear relationship of VO2 and Power
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Biological/Genetic Regulation of Physical Activity Level: Consensus From Genbiopac
Part of Medicine & Science in Sports & Exercise, p. 863-873, 2018
Part of Nature Genetics, p. 524-537, 2018
Part of Nature Communications, 2018
- DOI for PR interval genome-wide association meta-analysis identifies 50 loci associated with atrial and atrioventricular electrical activity
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Extensive Type II Muscle Fiber Atrophy in Elderly Female Hip Fracture Patients
Part of The journals of gerontology. Series A, Biological sciences and medical sciences, p. 1369-1375, 2017
Genetic loci associated with heart rate variability and their effects on cardiac disease risk
Part of Nature Communications, 2017
- DOI for Genetic loci associated with heart rate variability and their effects on cardiac disease risk
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Genome-wide physical activity interactions in adiposity: A meta-analysis of 200,452 adults.
Part of PLOS Genetics, 2017
- DOI for Genome-wide physical activity interactions in adiposity: A meta-analysis of 200,452 adults.
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Part of Atherosclerosis, p. 196-204, 2017
- DOI for Identification of a novel proinsulin-associated SNP and demonstration that proinsulin is unlikely to be a causal factor in subclinical vascular remodelling using Mendelian randomisation
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Part of Clinical Epidemiology, p. 633-642, 2017
- DOI for Maternal diabetes and incidence of childhood cancer: a nationwide cohort study and exploratory genetic analysis
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Part of Science Translational Medicine, 2016
Genome-wide analysis identifies 12 loci influencing human reproductive behavior
Part of Nature Genetics, p. 1462-1472, 2016
Part of Lancet Neurology, p. 695-707, 2016
Part of Atherosclerosis, p. 304-310, 2015
Part of PLoS Medicine, 2014
- DOI for Assessing Causality in the Association between Child Adiposity and Physical Activity Levels: A Mendelian Randomization Analysis
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Heritability of objectively assessed daily physical activity and sedentary behavior
Part of American Journal of Clinical Nutrition, p. 1317-1325, 2013
Part of Nature Genetics, p. 621-+, 2013
Part of Diabetologia, p. 2134-2146, 2013
Part of Diabetologia, 2013
Part of Diabetes, p. 2980-8, 2010