Abstract
Coronary artery disease (CAD) has a significant genetic contribution that is incompletely characterized. To complement genome-wide association (GWA) studies, we conducted a large and systematic candidate gene study of CAD susceptibility, including analysis of many uncommon and functional variants. We examined 49,094 genetic variants in ~2,100 genes of cardiovascular relevance, using a customised gene array in 15,596 CAD cases and 34,992 controls (11,202 cases and 30,733 controls of European descent; 4,394 cases and 4,259 controls of South Asian origin). We attempted to replicate putative novel associations in an additional 17,121 CAD cases and 40,473 controls. Potential mechanisms through which the novel variants could affect CAD risk were explored through association tests with vascular risk factors and gene expression. We confirmed associations of several previously known CAD susceptibility loci (eg, 9p21.3:p<10-33; LPA:p<10-19; 1p13.3:p<10-17) as well as three recently discovered loci (COL4A1/COL4A2, ZC3HC1, CYP17A1:p<5×10-7). However, we found essentially null results for most previously suggested CAD candidate genes. In our replication study of 24 promising common variants, we identified novel associations of variants in or near LIPA, IL5, TRIB1, and ABCG5/ABCG8, with per-allele odds ratios for CAD risk with each of the novel variants ranging from 1.06-1.09. Associations with variants at LIPA, TRIB1, and ABCG5/ABCG8 were supported by gene expression data or effects on lipid levels. Apart from the previously reported variants in LPA, none of the other ~4,500 low frequency and functional variants showed a strong effect. Associations in South Asians did not differ appreciably from those in Europeans, except for 9p21.3 (per-allele odds ratio: 1.14 versus 1.27 respectively; P for heterogeneity = 0.003). This large-scale gene-centric analysis has identified several novel genes for CAD that relate to diverse biochemical and cellular functions and clarified the literature with regard to many previously suggested genes.
Original language | English |
---|---|
Article number | e1002260 |
Journal | PLoS Genetics |
Volume | 7 |
Issue number | 9 |
ISSN | 1553-7390 |
DOIs | |
Publication status | Published - 01.09.2011 |
Research Areas and Centers
- Research Area: Medical Genetics
- Centers: Cardiological Center Luebeck (UHZL)
DFG Research Classification Scheme
- 205-12 Cardiology, Angiology
- 201-05 General Genetics and Functional Genomics
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In: PLoS Genetics, Vol. 7, No. 9, e1002260, 01.09.2011.
Research output: Journal Articles › Journal articles › Research › peer-review
TY - JOUR
T1 - Large-scale gene-centric analysis identifies novel variants for coronary artery disease
AU - Butterworth, Adam S.
AU - Braund, Peter S.
AU - Farrall, Martin
AU - Hardwick, Robert J.
AU - Saleheen, Danish
AU - Peden, John F.
AU - Soranzo, Nicole
AU - Chambers, John C.
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AU - Kleber, Marcus E.
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AU - Qasim, Atif
AU - Klopp, Norman
AU - Erdmann, Jeanette
AU - Assimes, Themistocles L.
AU - Ball, Stephen G.
AU - Balmforth, Anthony J.
AU - Barnes, Timothy A.
AU - Basart, Hanneke
AU - Baumert, Jens
AU - Bezzina, Connie R.
AU - Boerwinkle, Eric
AU - Boehm, Bernhard O.
AU - Brocheton, Jessy
AU - Bugert, Peter
AU - Cambien, Francois
AU - Clarke, Robert
AU - Codd, Veryan
AU - Collins, Rory
AU - Couper, David
AU - Adrienne Cupples, L.
AU - de Jong, Jonas S.
AU - Diemert, Patrick
AU - Ejebe, Kenechi
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AU - Elliott, Paul
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AU - Franzosi, Maria Grazia
AU - Frossard, Philippe
AU - Garner, Stephen
AU - Goel, Anuj
AU - Goodall, Alison H.
AU - Hengstenberg, Christian
AU - Hunt, Sarah E.
AU - Kastelein, John J.P.
AU - Klungel, Olaf H.
AU - Klüterr, Harald
AU - Koch, Kerstin
AU - König, Inke R.
AU - Kooner, Angad S.
AU - Laaksonen, Reijo
AU - Lathrop, Mark
AU - Li, Mingyao
AU - Liu, Kiang
AU - McPherson, Ruth
AU - Musameh, Muntaser D.
AU - Musani, Solomon
AU - Nelson, Christopher P.
AU - O'Donnell, Christopher J.
AU - Ongen, Halit
AU - Papanicolaou, George
AU - Peters, Annette
AU - Peters, Bas J.M.
AU - Potter, Simon
AU - Psaty, Bruce M.
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AU - Rader, Daniel J.
AU - Rasheed, Asif
AU - Rice, Catherine
AU - Scott, James
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AU - Stephens, Jonathan
AU - van der Schoot, C. Ellen
AU - van der Schouw, Yvonne T.
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AU - Tomaszewski, Maciej
AU - van der Harst, Pim
AU - Vasan, Ramachandran S.
AU - Wilde, Arthur A.M.
AU - Willenborg, Christina
AU - Winkelmann, Bernhard R.
AU - Zaidi, Moazzam
AU - Zhang, Weihua
AU - Ziegler, Andreas
AU - de Bakker, Paul I.W.
AU - Koenig, Wolfgang
AU - März, Winfried
AU - Trip, Mieke D.
AU - Reilly, Muredach P.
AU - Kathiresan, Sekar
AU - Schunkert, Heribert
AU - Hamsten, Anders
AU - Hall, Alistair S.
AU - Kooner, Jaspal S.
AU - Thompson, Simon G.
AU - Thompson, John R.
AU - Deloukas, Panos
AU - Ouwehand, Willem H.
AU - Watkins, Hugh
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AU - Samani, Nilesh J.
AU - Barnes, Timothy
AU - Rafelt, Suzanne
AU - Bruinsma, Nienke
AU - Dekker, Lukas R.
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AU - de Winter, Robbert J.
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AU - Verheugt, Freek W.
AU - Samani, Nilesh J.
AU - Mueller, Martina
AU - Meisinger, Christa
AU - DerOhannessian, Stephanie
AU - Mehta, Nehal N.
AU - Ferguson, Jane
AU - Hakonarson, Hakon
AU - Matthai, William
AU - Wilensky, Robert
AU - Hopewell, J. C.
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AU - Linksted, P.
AU - Notman, J.
AU - Gonzalez, H.
AU - Young, A.
AU - Ostley, T.
AU - Munday, A.
AU - Goodwin, N.
AU - Verdon, V.
AU - Shah, S.
AU - Cobb, L.
AU - Edwards, C.
AU - Mathews, C.
AU - Gunter, R.
AU - Benham, J.
AU - Davies, C.
AU - Cobb, M.
AU - Crowther, J.
AU - Richards, A.
AU - Silver, M.
AU - Tochlin, S.
AU - Mozley, S.
AU - Clark, S.
AU - Radley, M.
AU - Kourellias, K.
AU - Olsson, Per
AU - Barlera, Simona
AU - Tognoni, Gianni
AU - Rust, Stephan
AU - Assmann, Gerd
AU - Heath, Simon
AU - Zelenika, Diana
AU - Gut, Ivo
AU - Green, Fiona
AU - Peden, John
AU - Aly, Anette
AU - Anner, Karolina
AU - Björklund, Karin
AU - Blomgren, Gun
AU - Cederschiöld, Barbro
AU - Danell-Toverud, Karin
AU - Eriksson, Per
AU - Grundstedt, Ulla
AU - Heinonen, Merja
AU - Hellénius, Mai Lis
AU - van't Hooft, Ferdinand
AU - Husman, Karin
AU - Lagercrantz, Jacob
AU - Larsson, Anita
AU - Larsson, Malin
AU - Mossfeldt, Magnus
AU - Mälarstig, Anders
AU - Olsson, Gunnar
AU - Sabater-Lleal, Maria
AU - Sennblad, Bengt
AU - Silveira, Angela
AU - Strawbridge, Rona
AU - Söderholm, Birgitta
AU - Öhrvik, John
AU - Shah Zaman, Khan
AU - Hayat Mallick, Nadeem
AU - Azhar, Muhammad
AU - Samad, Abdus
AU - Ishaq, Mohammad
AU - Shah, Nabi
AU - Samuel, Maria
AU - Reilly, Muredach
AU - Holm, Hilma
AU - Preuss, Michael
AU - Stewart, Alexandre F.R.
AU - Barbalic, Maja
AU - Gieger, Christian
AU - Absher, Devin
AU - Aherrahrou, Zouhair
AU - Allayee, Hooman
AU - Altshuler, David
AU - Anand, Sonia
AU - Andersen, Karl
AU - Anderson, Jeffrey L.
AU - Ardissino, Diego
AU - Becker, Lewis C.
AU - Becker, Diane M.
AU - Berger, Klaus
AU - Bis, Joshua C.
AU - Matthijs Boekholdt, S.
AU - Brown, Morris J.
AU - Susan Burnett, Mary
AU - Buysschaert, Ian
AU - Carlquist, John F.
AU - Chen, Li
AU - Davies, Robert W.
AU - Dedoussis, George
AU - Dehghan, Abbas
AU - Demissie, Serkalem
AU - Devaney, Joseph
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AU - Doering, Angela
AU - El Mokhtari, Nour Eddine
AU - Ellis, Stephen G.
AU - Elosua, Roberto
AU - Engert, James C.
AU - Epstein, Stephen
AU - de Faire, Ulf
AU - Fischer, Marcus
AU - Folsom, Aaron R.
AU - Freyer, Jennifer
AU - Gigante, Bruna
AU - Girelli, Domenico
AU - Gretarsdottir, Solveig
AU - Gudnason, Vilmundur
AU - Gulcher, Jeffrey R.
AU - Tennstedt, Stephanie
AU - Halperin, Eran
AU - Hammond, Naomi
AU - Hazen, Stanley L.
AU - Hofman, Albert
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AU - Illig, Thomas
AU - Iribarren, Carlos
AU - Jones, Gregory T.
AU - Wouter Jukema, J.
AU - Kaiser, Michael A.
AU - Kaplan, Lee M.
AU - Khaw, Kay Tee
AU - Knowles, Joshua W.
AU - Kolovou, Genovefa
AU - Kong, Augustine
AU - Lambrechts, Diether
AU - Leander, Karin
AU - Lieb, Wolfgang
AU - Lettre, Guillaume
AU - Loley, Christina
AU - Lotery, Andrew J.
AU - Mannucci, Pier M.
AU - Maouche, Seraya
AU - Martinelli, Nicola
AU - McKeown, Pascal P.
AU - Meitinger, Thomas
AU - Melander, Olle
AU - Angelica Merlini, Pier
AU - Mooser, Vincent
AU - Morgan, Thomas
AU - Mühleisen, Thomas W.
AU - Muhlestein, Joseph B.
AU - Musunuru, Kiran
AU - Nahrstaedt, Janja
AU - Nöthen, Markus M.
AU - Olivieri, Oliviero
AU - Peyvandi, Flora
AU - Patel, Riyaz S.
AU - Patterson, Chris C.
AU - Quyyumi, Arshed A.
AU - Rallidis, Loukianos S.
AU - Roosendaal, Frits R.
AU - Rubin, Diana
AU - Salomaa, Veikko
AU - Lourdes Sampietro, M.
AU - Sandhu, Manj S.
AU - Schadt, Eric
AU - Schäfer, Arne
AU - Schillert, Arne
AU - Schreiber, Stefan
AU - Schrezenmeir, Jürgen
AU - Schwartz, Stephen M.
AU - Siscovick, David S.
AU - Sivananthan, Mohan
AU - Smith, Albert V.
AU - Smith, Tamara B.
AU - Snoep, Jaapjan D.
AU - Spertus, John A.
AU - Stefansson, Kari
AU - Stirrups, Kathy
AU - Stoll, Monika
AU - Wilson Tang, W. H.
AU - Thorgeirsson, Gudmundur
AU - Thorleifsson, Gudmar
AU - Uitterlinden, Andre G.
AU - van Rij, Andre M.
AU - Voight, Benjamin F.
AU - Wareham, Nick J.
AU - Wells, George A.
AU - Wichmann, H. Erich
AU - Witteman, Jaqueline C.M.
AU - Wright, Benjamin J.
AU - Ye, Shu
AU - Quertermous, Thomas
AU - Blankenberg, Stefan
AU - Roberts, Robert
AU - Onland-Moret, N. Charlotte
AU - van Setten, Jessica
AU - Monique Verschuren, W. M.
AU - Boer, Jolanda M.A.
AU - Wijmenga, Cisca
AU - Hofker, Marten H.
AU - Maitland-van der Zee, Anke Hilse
AU - de Boer, Anthonius
AU - Grobbee, Diederick E.
AU - Attwood, Tony
AU - Belz, Stephanie
AU - Braund, Peter
AU - Cooper, Jason
AU - Crisp-Hihn, Abi
AU - Foad, Nicola
AU - Gracey, Jay
AU - Gray, Emma
AU - Gwilliams, Rhian
AU - Heimerl, Susanne
AU - Jolley, Jennifer
AU - Krishnan, Unni
AU - Lloyd-Jones, Heather
AU - Lugauer, Ingrid
AU - Lundmark, Per
AU - Moore, Jasbir S.
AU - Muir, David
AU - Murray, Elizabeth
AU - Neudert, Jessica
AU - Niblett, David
AU - O'Leary, Karen
AU - Pollard, Helen
AU - Rankin, Angela
AU - Rice, Catherine M.
AU - Sager, Hendrik
AU - Sambrook, Jennifer
AU - Schmitz, Gerd
AU - Scholz, Michael
AU - Schroeder, Laura
AU - Syvannen, Ann Christine
AU - Wallace, Chris
PY - 2011/9/1
Y1 - 2011/9/1
N2 - Coronary artery disease (CAD) has a significant genetic contribution that is incompletely characterized. To complement genome-wide association (GWA) studies, we conducted a large and systematic candidate gene study of CAD susceptibility, including analysis of many uncommon and functional variants. We examined 49,094 genetic variants in ~2,100 genes of cardiovascular relevance, using a customised gene array in 15,596 CAD cases and 34,992 controls (11,202 cases and 30,733 controls of European descent; 4,394 cases and 4,259 controls of South Asian origin). We attempted to replicate putative novel associations in an additional 17,121 CAD cases and 40,473 controls. Potential mechanisms through which the novel variants could affect CAD risk were explored through association tests with vascular risk factors and gene expression. We confirmed associations of several previously known CAD susceptibility loci (eg, 9p21.3:p<10-33; LPA:p<10-19; 1p13.3:p<10-17) as well as three recently discovered loci (COL4A1/COL4A2, ZC3HC1, CYP17A1:p<5×10-7). However, we found essentially null results for most previously suggested CAD candidate genes. In our replication study of 24 promising common variants, we identified novel associations of variants in or near LIPA, IL5, TRIB1, and ABCG5/ABCG8, with per-allele odds ratios for CAD risk with each of the novel variants ranging from 1.06-1.09. Associations with variants at LIPA, TRIB1, and ABCG5/ABCG8 were supported by gene expression data or effects on lipid levels. Apart from the previously reported variants in LPA, none of the other ~4,500 low frequency and functional variants showed a strong effect. Associations in South Asians did not differ appreciably from those in Europeans, except for 9p21.3 (per-allele odds ratio: 1.14 versus 1.27 respectively; P for heterogeneity = 0.003). This large-scale gene-centric analysis has identified several novel genes for CAD that relate to diverse biochemical and cellular functions and clarified the literature with regard to many previously suggested genes.
AB - Coronary artery disease (CAD) has a significant genetic contribution that is incompletely characterized. To complement genome-wide association (GWA) studies, we conducted a large and systematic candidate gene study of CAD susceptibility, including analysis of many uncommon and functional variants. We examined 49,094 genetic variants in ~2,100 genes of cardiovascular relevance, using a customised gene array in 15,596 CAD cases and 34,992 controls (11,202 cases and 30,733 controls of European descent; 4,394 cases and 4,259 controls of South Asian origin). We attempted to replicate putative novel associations in an additional 17,121 CAD cases and 40,473 controls. Potential mechanisms through which the novel variants could affect CAD risk were explored through association tests with vascular risk factors and gene expression. We confirmed associations of several previously known CAD susceptibility loci (eg, 9p21.3:p<10-33; LPA:p<10-19; 1p13.3:p<10-17) as well as three recently discovered loci (COL4A1/COL4A2, ZC3HC1, CYP17A1:p<5×10-7). However, we found essentially null results for most previously suggested CAD candidate genes. In our replication study of 24 promising common variants, we identified novel associations of variants in or near LIPA, IL5, TRIB1, and ABCG5/ABCG8, with per-allele odds ratios for CAD risk with each of the novel variants ranging from 1.06-1.09. Associations with variants at LIPA, TRIB1, and ABCG5/ABCG8 were supported by gene expression data or effects on lipid levels. Apart from the previously reported variants in LPA, none of the other ~4,500 low frequency and functional variants showed a strong effect. Associations in South Asians did not differ appreciably from those in Europeans, except for 9p21.3 (per-allele odds ratio: 1.14 versus 1.27 respectively; P for heterogeneity = 0.003). This large-scale gene-centric analysis has identified several novel genes for CAD that relate to diverse biochemical and cellular functions and clarified the literature with regard to many previously suggested genes.
UR - http://www.scopus.com/inward/record.url?scp=80053452394&partnerID=8YFLogxK
U2 - 10.1371/journal.pgen.1002260
DO - 10.1371/journal.pgen.1002260
M3 - Journal articles
AN - SCOPUS:80053452394
SN - 1553-7390
VL - 7
JO - PLoS Genetics
JF - PLoS Genetics
IS - 9
M1 - e1002260
ER -