Effects of the coronary artery disease associated LPA and 9p21 loci on risk of aortic valve stenosis.


Journal

International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291

Informations de publication

Date de publication:
01 Feb 2019
Historique:
received: 18 03 2018
revised: 14 08 2018
accepted: 15 11 2018
pubmed: 30 11 2018
medline: 28 8 2019
entrez: 29 11 2018
Statut: ppublish

Résumé

Aortic valve stenosis (AVS) and coronary artery disease (CAD) have a significant genetic contribution and commonly co-exist. To compare and contrast genetic determinants of the two diseases, we investigated associations of the LPA and 9p21 loci, i.e. the two strongest CAD risk loci, with risk of AVS. We genotyped the CAD-associated variants at the LPA (rs10455872) and 9p21 loci (rs1333049) in the GeneCAST (Genetics of Calcific Aortic STenosis) Consortium and conducted a meta-analysis for their association with AVS. Cases and controls were stratified by CAD status. External validation of findings was undertaken in five cohorts including 7880 cases and 851,152 controls. In the meta-analysis including 4651 cases and 8231 controls the CAD-associated allele at the LPA locus was associated with increased risk of AVS (OR 1.37; 95%CI 1.24-1.52, p = 6.9 × 10 Our study confirms the association of the LPA locus with risk of AVS, with a higher effect in those without concomitant CAD. Overall, 9p21 was not associated with AVS.

Sections du résumé

BACKGROUND BACKGROUND
Aortic valve stenosis (AVS) and coronary artery disease (CAD) have a significant genetic contribution and commonly co-exist. To compare and contrast genetic determinants of the two diseases, we investigated associations of the LPA and 9p21 loci, i.e. the two strongest CAD risk loci, with risk of AVS.
METHODS METHODS
We genotyped the CAD-associated variants at the LPA (rs10455872) and 9p21 loci (rs1333049) in the GeneCAST (Genetics of Calcific Aortic STenosis) Consortium and conducted a meta-analysis for their association with AVS. Cases and controls were stratified by CAD status. External validation of findings was undertaken in five cohorts including 7880 cases and 851,152 controls.
RESULTS RESULTS
In the meta-analysis including 4651 cases and 8231 controls the CAD-associated allele at the LPA locus was associated with increased risk of AVS (OR 1.37; 95%CI 1.24-1.52, p = 6.9 × 10
CONCLUSIONS CONCLUSIONS
Our study confirms the association of the LPA locus with risk of AVS, with a higher effect in those without concomitant CAD. Overall, 9p21 was not associated with AVS.

Identifiants

pubmed: 30482443
pii: S0167-5273(18)31830-8
doi: 10.1016/j.ijcard.2018.11.094
pmc: PMC6878659
mid: NIHMS1054528
pii:
doi:

Substances chimiques

Lipoprotein(a) 0

Types de publication

Journal Article Meta-Analysis

Langues

eng

Sous-ensembles de citation

IM

Pagination

212-217

Subventions

Organisme : NHLBI NIH HHS
ID : R35 HL135824
Pays : United States
Organisme : Chief Scientist Office
ID : PCL/17/07
Pays : United Kingdom
Organisme : British Heart Foundation
ID : PG/16/32/32132
Pays : United Kingdom
Organisme : Chief Scientist Office
ID : ETM/352
Pays : United Kingdom
Organisme : British Heart Foundation
ID : PG/14/4/30539
Pays : United Kingdom

Informations de copyright

Copyright © 2018. Published by Elsevier B.V.

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Auteurs

Teresa Trenkwalder (T)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany.

Christopher P Nelson (CP)

Department of Cardiovascular Sciences, Cardiovascular Research Centre, NIHR Leicester Biomedical Research Centre University of Leicester, Leicester, United Kingdom.

Muntaser D Musameh (MD)

Department of Cardiovascular Sciences, Cardiovascular Research Centre, NIHR Leicester Biomedical Research Centre University of Leicester, Leicester, United Kingdom.

Ify R Mordi (IR)

Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, United Kingdom.

Thorsten Kessler (T)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany.

Costanza Pellegrini (C)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany.

Radoslaw Debiec (R)

Department of Cardiovascular Sciences, Cardiovascular Research Centre, NIHR Leicester Biomedical Research Centre University of Leicester, Leicester, United Kingdom.

Tobias Rheude (T)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany.

Viktor Lazovic (V)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany.

Lingyao Zeng (L)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany.

Andreas Martinsson (A)

Department of Cardiology, Sahlgrenska University Hospital, Göteborg, Sweden.

J Gustav Smith (J)

Department of Cardiology, Clinical Sciences, Lund University and Skåne University Hospital, Lund, Sweden.

Jesper R Gådin (JR)

Cardiovascular Medicine Unit, Department of Medicine, Karolinska Institutet, Stockholm, Karolinska University Hospital, Solna, Sweden.

Anders Franco-Cereceda (A)

Cardiothoracic Surgery Unit, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Karolinska University Hospital, Solna, Sweden.

Per Eriksson (P)

Cardiovascular Medicine Unit, Department of Medicine, Karolinska Institutet, Stockholm, Karolinska University Hospital, Solna, Sweden.

Jonas B Nielsen (JB)

Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, USA.

Sarah E Graham (SE)

Department of Internal Medicine: Cardiology, University of Michigan, Ann Arbor, USA.

Cristen J Willer (CJ)

Department of Internal Medicine: Cardiology, University of Michigan, Ann Arbor, USA; Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, USA; Department of Human Genetics, University of Michigan, Ann Arbor, USA.

Kristian Hveem (K)

K.G. Jebsen Center for Genetic Epidemiology, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Norway; Dept. of public health and nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Norway; HUNT Research Centre, Department of Public Health and General Practice, Norwegian University of Science and Technology, Levanger, Norway.

Adnan Kastrati (A)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany; Deutsches Zentrum für Herz- und Kreislauf-Forschung (DZHK) e.V. (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Peter S Braund (PS)

Department of Cardiovascular Sciences, Cardiovascular Research Centre, NIHR Leicester Biomedical Research Centre University of Leicester, Leicester, United Kingdom.

Colin N A Palmer (CNA)

Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, United Kingdom.

Amparo Aracil (A)

Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, United Kingdom.

Oliver Husser (O)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany; Klinik für Kardiologie, St. Johannes Hospital, Dortmund, Germany.

Wolfgang Koenig (W)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany; Deutsches Zentrum für Herz- und Kreislauf-Forschung (DZHK) e.V. (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Heribert Schunkert (H)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany; Deutsches Zentrum für Herz- und Kreislauf-Forschung (DZHK) e.V. (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.

Chim C Lang (CC)

Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, United Kingdom. Electronic address: c.c.lang@dundee.ac.uk.

Christian Hengstenberg (C)

Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Technical University Munich, Munich, Germany; Deutsches Zentrum für Herz- und Kreislauf-Forschung (DZHK) e.V. (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany; Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria. Electronic address: christian.hengstenberg@meduniwien.ac.at.

Nilesh J Samani (NJ)

Department of Cardiovascular Sciences, Cardiovascular Research Centre, NIHR Leicester Biomedical Research Centre University of Leicester, Leicester, United Kingdom. Electronic address: njs@leicester.ac.uk.

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