Systematic Evaluation of Pleiotropy Identifies 6 Further Loci Associated With Coronary Artery Disease

Webb TR, Erdmann J, Stirrups KE, Stitziel NO, Masca NGD, Jansen H, Kanoni S, Nelson CP, Ferrario PG, Koenig IR, Eicher JD, Johnson AD, Hamby SE, Betsholtz C, Ruusalepp A, Franzen O, Schadt EE, Bjoerkegren JLM, Weeke PE, Auer PL, Schick UM, Lu Y, Zhang H, Dube MP, Goel A, Farrall M, Peloso GM, Won HH, Do R, Van Iperen E, Kruppa J, Mahajan A, Scott RA, Willenborg C, Braund PS, Van Capelleveen JC, Doney ASF, Donnelly LA, Asselta R, Merlini PA, Duga S, Marziliano N, Denny JC, Shaffer C, El-Mokhtari NE, Franke A, Heilmann S, Hengstenberg C, Hoffmann P, Holmen OL, Hveem K, Jansson JH, Joeckel KH, Kessler T, Kriebel J, Laugwitz KL, Marouli E, Martinelli N, Mccarthy MI, Van Zuydam NR, Meisinger C, Esko T, Mihailov E, Escher SA, Alver M, Moebus S, Morris AD, Virtamo J, Nikpay M, Olivieri O, Provost S, Alqarawi A, Robertson NR, Akinsansya KO, Reilly DF, Vogt TF, Yin W, Asselbergs FW, Kooperberg C, Jackson RD, Stahl E, Mueller-Nurasyid M, Strauch K, Varga TV, Waldenberger M, Zeng L, Chowdhury R, Salomaa V, Ford I, Jukema JW, Amouyel P, Kontto J, Nordestgaard BG, Ferrieres J, Saleheen D, Sattar N, Surendran P, Wagner A, Young R, Howson JMM, Butterworth AS, Danesh J, Ardissino D, Bottinger EP, Erbel R, Franks PW, Girelli D, Hall AS, Hovingh GK, Kastrati A, Lieb W, Meitinger T, Kraus WE, Shah SH, Mcpherson R, Orho-Melander M, Melander O, Metspalu A, Palmer CNA, Peters A, Rader DJ, Reilly MP, Loos RJF, Reiner AP, Roden DM, Tardif JC, Thompson JR, Wareham NJ, Watkins H, Willer CJ, Samani NJ, Schunkert H, Deloukas P, Kathiresan S (2017)


Publication Type: Journal article

Publication year: 2017

Journal

Book Volume: 69

Pages Range: 823-836

Journal Issue: 7

DOI: 10.1016/j.jacc.2016.11.056

Abstract

Background Genome-wide association studies have so far identified 56 loci associated with risk of coronary artery disease (CAD). Many CAD loci show pleiotropy; that is, they are also associated with other diseases or traits. Objectives This study sought to systematically test if genetic variants identified for non-CAD diseases/traits also associate with CAD and to undertake a comprehensive analysis of the extent of pleiotropy of all CAD loci. Methods In discovery analyses involving 42,335 CAD cases and 78,240 control subjects we tested the association of 29,383 common (minor allele frequency >5%) single nucleotide polymorphisms available on the exome array, which included a substantial proportion of known or suspected single nucleotide polymorphisms associated with common diseases or traits as of 2011. Suggestive association signals were replicated in an additional 30,533 cases and 42,530 control subjects. To evaluate pleiotropy, we tested CAD loci for association with cardiovascular risk factors (lipid traits, blood pressure phenotypes, body mass index, diabetes, and smoking behavior), as well as with other diseases/traits through interrogation of currently available genome-wide association study catalogs. Results We identified 6 new loci associated with CAD at genome-wide significance: on 2q37 (KCNJ13-GIGYF2), 6p21 (C2), 11p15 (MRVI1-CTR9), 12q13 (LRP1), 12q24 (SCARB1), and 16q13 (CETP). Risk allele frequencies ranged from 0.15 to 0.86, and odds ratio per copy of the risk allele ranged from 1.04 to 1.09. Of 62 new and known CAD loci, 24 (38.7%) showed statistical association with a traditional cardiovascular risk factor, with some showing multiple associations, and 29 (47%) showed associations at p < 1 × 10−4 with a range of other diseases/traits. Conclusions We identified 6 loci associated with CAD at genome-wide significance. Several CAD loci show substantial pleiotropy, which may help us understand the mechanisms by which these loci affect CAD risk.

Involved external institutions

Massachusetts General Hospital Icahn School of Medicine at Mount Sinai University of Tartu Lund University / Lunds universitet University of Oxford University of Cambridge Azienda Ospedaliero-Universitaria di Parma / Parma University Hospital Universitätsklinikum Essen University of Verona / Università degli Studi di Verona University of Leeds Academic Medical Centre / Academisch Medisch Centrum (AMC) Technische Universität München (TUM) Christian-Albrechts-Universität zu Kiel Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK e.V.) Duke University University of Dundee University of Pennsylvania (UPenn) Columbia University Vanderbilt University Université de Montréal Glenfield Hospital Addenbrooke's Hospital University of Leicester Ospedale San Francesco University of Ottawa Universität zu Lübeck Queen Mary University of London Washington University in St. Louis US National Institutes of Health (NIH) Uppsala University Clinical Gene Networks (Sweden) Karolinska Institute University of Wisconsin - Madison Fred Hutchinson Cancer Research Center University of Michigan Stiftung Tierärztliche Hochschule Hannover (TiHo) Istituto Clinico Humanitas Ospedale Niguarda Ca' Granda / ASST Grande Ospedale Metropolitano Niguarda imland Klinik Rendsburg Rheinische Friedrich-Wilhelms-Universität Bonn NTNU Trondheim - Norwegian University of Science and Technology Umeå University Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt (HMGU) / Helmholtz Munich University of Edinburgh National Institute for Health and Welfare (THL) King Abdulaziz University (KAU) / جامعة الملك عبد العزيز Merck & Co., Inc. / Merck Sharp & Dohme Corp (MSD) University Medical Centre Utrecht (UMC Utrecht) Ohio State University University of Glasgow Leiden University LILLE 1 University - Science and Technology University of Copenhagen Université Fédérale de Toulouse Midi-Pyrénées Ludwig-Maximilians-Universität (LMU) Université de Strasbourg (UDS)

How to cite

APA:

Webb, T.R., Erdmann, J., Stirrups, K.E., Stitziel, N.O., Masca, N.G.D., Jansen, H.,... Kathiresan, S. (2017). Systematic Evaluation of Pleiotropy Identifies 6 Further Loci Associated With Coronary Artery Disease. Journal of the American College of Cardiology, 69(7), 823-836. https://doi.org/10.1016/j.jacc.2016.11.056

MLA:

Webb, Thomas R., et al. "Systematic Evaluation of Pleiotropy Identifies 6 Further Loci Associated With Coronary Artery Disease." Journal of the American College of Cardiology 69.7 (2017): 823-836.

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