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Fifteen new risk loci for coronary artery disease highlight arterial-wall-specific mechanisms.


ABSTRACT: Coronary artery disease (CAD) is a leading cause of morbidity and mortality worldwide. Although 58 genomic regions have been associated with CAD thus far, most of the heritability is unexplained, indicating that additional susceptibility loci await identification. An efficient discovery strategy may be larger-scale evaluation of promising associations suggested by genome-wide association studies (GWAS). Hence, we genotyped 56,309 participants using a targeted gene array derived from earlier GWAS results and performed meta-analysis of results with 194,427 participants previously genotyped, totaling 88,192 CAD cases and 162,544 controls. We identified 25 new SNP-CAD associations (P < 5 × 10-8, in fixed-effects meta-analysis) from 15 genomic regions, including SNPs in or near genes involved in cellular adhesion, leukocyte migration and atherosclerosis (PECAM1, rs1867624), coagulation and inflammation (PROCR, rs867186 (p.Ser219Gly)) and vascular smooth muscle cell differentiation (LMOD1, rs2820315). Correlation of these regions with cell-type-specific gene expression and plasma protein levels sheds light on potential disease mechanisms.

SUBMITTER: Howson JMM 

PROVIDER: S-EPMC5555387 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Fifteen new risk loci for coronary artery disease highlight arterial-wall-specific mechanisms.

Howson Joanna M M JMM   Zhao Wei W   Barnes Daniel R DR   Ho Weang-Kee WK   Young Robin R   Paul Dirk S DS   Waite Lindsay L LL   Freitag Daniel F DF   Fauman Eric B EB   Salfati Elias L EL   Sun Benjamin B BB   Eicher John D JD   Johnson Andrew D AD   Sheu Wayne H H WHH   Nielsen Sune F SF   Lin Wei-Yu WY   Surendran Praveen P   Malarstig Anders A   Wilk Jemma B JB   Tybjærg-Hansen Anne A   Rasmussen Katrine L KL   Kamstrup Pia R PR   Deloukas Panos P   Erdmann Jeanette J   Kathiresan Sekar S   Samani Nilesh J NJ   Schunkert Heribert H   Watkins Hugh H   Do Ron R   Rader Daniel J DJ   Johnson Julie A JA   Hazen Stanley L SL   Quyyumi Arshed A AA   Spertus John A JA   Pepine Carl J CJ   Franceschini Nora N   Justice Anne A   Reiner Alex P AP   Buyske Steven S   Hindorff Lucia A LA   Carty Cara L CL   North Kari E KE   Kooperberg Charles C   Boerwinkle Eric E   Young Kristin K   Graff Mariaelisa M   Peters Ulrike U   Absher Devin D   Hsiung Chao A CA   Lee Wen-Jane WJ   Taylor Kent D KD   Chen Ying-Hsiang YH   Lee I-Te IT   Guo Xiuqing X   Chung Ren-Hua RH   Hung Yi-Jen YJ   Rotter Jerome I JI   Juang Jyh-Ming J JJ   Quertermous Thomas T   Wang Tzung-Dau TD   Rasheed Asif A   Frossard Philippe P   Alam Dewan S DS   Majumder Abdulla Al Shafi AAS   Di Angelantonio Emanuele E   Chowdhury Rajiv R   Chen Yii-Der Ida YI   Nordestgaard Børge G BG   Assimes Themistocles L TL   Danesh John J   Butterworth Adam S AS   Saleheen Danish D  

Nature genetics 20170522 7


Coronary artery disease (CAD) is a leading cause of morbidity and mortality worldwide. Although 58 genomic regions have been associated with CAD thus far, most of the heritability is unexplained, indicating that additional susceptibility loci await identification. An efficient discovery strategy may be larger-scale evaluation of promising associations suggested by genome-wide association studies (GWAS). Hence, we genotyped 56,309 participants using a targeted gene array derived from earlier GWAS  ...[more]

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