Genome-wide association study reveals novel genetic loci: a new polygenic risk score for mitral valve prolapse.


Journal

European heart journal
ISSN: 1522-9645
Titre abrégé: Eur Heart J
Pays: England
ID NLM: 8006263

Informations de publication

Date de publication:
01 05 2022
Historique:
received: 02 02 2021
revised: 18 08 2021
accepted: 01 02 2022
pubmed: 5 3 2022
medline: 4 5 2022
entrez: 4 3 2022
Statut: ppublish

Résumé

Mitral valve prolapse (MVP) is a common valvular heart disease with a prevalence of >2% in the general adult population. Despite this high incidence, there is a limited understanding of the molecular mechanism of this disease, and no medical therapy is available for this disease. We aimed to elucidate the genetic basis of MVP in order to better understand this complex disorder. We performed a meta-analysis of six genome-wide association studies that included 4884 cases and 434 649 controls. We identified 14 loci associated with MVP in our primary analysis and 2 additional loci associated with a subset of the samples that additionally underwent mitral valve surgery. Integration of epigenetic, transcriptional, and proteomic data identified candidate MVP genes including LMCD1, SPTBN1, LTBP2, TGFB2, NMB, and ALPK3. We created a polygenic risk score (PRS) for MVP and showed an improved MVP risk prediction beyond age, sex, and clinical risk factors. We identified 14 genetic loci that are associated with MVP. Multiple analyses identified candidate genes including two transforming growth factor-β signalling molecules and spectrin β. We present the first PRS for MVP that could eventually aid risk stratification of patients for MVP screening in a clinical setting. These findings advance our understanding of this common valvular heart disease and may reveal novel therapeutic targets for intervention.

Identifiants

pubmed: 35245370
pii: 6542554
doi: 10.1093/eurheartj/ehac049
pmc: PMC9649914
doi:

Substances chimiques

LTBP2 protein, human 0
Latent TGF-beta Binding Proteins 0

Types de publication

Journal Article Meta-Analysis Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1668-1680

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL149696
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20 GM103444
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL131546
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL116652
Pays : United States
Organisme : NHLBI NIH HHS
ID : R03 HL145238
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press on behalf of European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Références

Nat Genet. 2013 Jan;45(1):25-33
pubmed: 23202125
Nat Commun. 2020 May 21;11(1):2542
pubmed: 32439900
Circulation. 2018 Nov 11;:
pubmed: 30586722
Nat Genet. 2015 Nov;47(11):1236-41
pubmed: 26414676
Nat Genet. 2013 Jun;45(6):621-31
pubmed: 23583979
Am Heart J. 2020 Jul;225:108-119
pubmed: 32480058
Mol Autism. 2017 May 22;8:21
pubmed: 28540026
Nat Genet. 2009 Jun;41(6):703-7
pubmed: 19430480
Cardiovasc Res. 2014 Jan 1;101(1):39-47
pubmed: 24064296
Nat Genet. 2016 Oct;48(10):1151-1161
pubmed: 27618447
Nat Rev Cardiol. 2015 Dec;12(12):689-710
pubmed: 26483167
Hypertension. 2010 Feb;55(2):257-63
pubmed: 20026769
Mol Cell Biol. 2005 Oct;25(20):8864-73
pubmed: 16199866
Bioinformatics. 2010 Feb 15;26(4):580-1
pubmed: 20040588
Nat Genet. 2016 Oct;48(10):1284-1287
pubmed: 27571263
Gigascience. 2015 Feb 25;4:7
pubmed: 25722852
Nat Genet. 2012 Mar 18;44(4):369-75, S1-3
pubmed: 22426310
Circ Res. 2021 Mar 5;128(5):e84-e101
pubmed: 33508947
Nat Genet. 2012 Jul 08;44(8):916-21
pubmed: 22772371
J Am Coll Cardiol. 2009 Sep 1;54(10):930-41
pubmed: 19712804
Circulation. 2011 Jul 5;124(1):40-7
pubmed: 21670234
Nat Genet. 2018 Sep;50(9):1225-1233
pubmed: 29892015
Nature. 2014 Jul 24;511(7510):421-7
pubmed: 25056061
Nat Genet. 2018 Sep;50(9):1335-1341
pubmed: 30104761
Am J Hum Genet. 2003 Jun;72(6):1551-9
pubmed: 12707861
J Clin Invest. 2004 Dec;114(11):1586-92
pubmed: 15546004
BMC Bioinformatics. 2011 Mar 17;12:77
pubmed: 21414208
Nat Commun. 2020 May 7;11(1):2254
pubmed: 32382064
Am J Hum Genet. 1999 Nov;65(5):1242-51
pubmed: 10521289
Cardiovasc Pathol. 2015 Nov-Dec;24(6):359-67
pubmed: 26345253
Bioinformatics. 2010 Sep 1;26(17):2190-1
pubmed: 20616382
Nat Commun. 2020 Jan 9;11(1):163
pubmed: 31919418
Nature. 2018 Oct;562(7726):203-209
pubmed: 30305743
Nat Commun. 2019 Apr 16;10(1):1776
pubmed: 30992449
J Am Coll Cardiol. 2006 Jul 4;48(1):106-11
pubmed: 16814656
Nature. 2015 Oct 1;526(7571):68-74
pubmed: 26432245
Nat Genet. 2016 Nov;48(11):1443-1448
pubmed: 27694958
N Engl J Med. 1999 Jul 1;341(1):1-7
pubmed: 10387935
Eur Heart J. 2022 Feb 12;43(7):561-632
pubmed: 34453165
Sci Transl Med. 2019 May 22;11(493):
pubmed: 31118289
Nat Genet. 2015 Oct;47(10):1206-11
pubmed: 26301497
Neuroepidemiology. 2003 Nov-Dec;22(6):316-25
pubmed: 14598854
Nat Genet. 2007 Jul;39(7):906-13
pubmed: 17572673
Circulation. 2005 Sep 27;112(13):2022-30
pubmed: 16172273
Nature. 2015 Sep 3;525(7567):109-13
pubmed: 26258302
Hum Mutat. 2012 Aug;33(8):1182-7
pubmed: 22539340
Cell. 2004 Sep 3;118(5):649-63
pubmed: 15339668
Am J Hum Genet. 1998 Mar;62(3):627-32
pubmed: 9497244

Auteurs

Carolina Roselli (C)

Cardiovascular Disease Initiative, The Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Mengyao Yu (M)

Université de Paris, PARCC, Inserm, F-75015 Paris, France.

Victor Nauffal (V)

Cardiovascular Disease Initiative, The Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Adrien Georges (A)

Université de Paris, PARCC, Inserm, F-75015 Paris, France.

Qiong Yang (Q)

School of Public Health, Boston University, Boston, MA, USA.

Katie Love (K)

Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.

Lu-Chen Weng (LC)

Cardiovascular Disease Initiative, The Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.

Francesca N Delling (FN)

Division of Cardiology, University of California San Francisco, San Francisco, CA, USA.

Svetlana R Maurya (SR)

Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, København 2200, Denmark.

Maren Schrölkamp (M)

Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, København 2200, Denmark.

Jacob Tfelt-Hansen (J)

Department of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Department of Forensic Medicine, Faculty of Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Albert Hagège (A)

Université de Paris, PARCC, Inserm, F-75015 Paris, France.
Assistance Publique-Hôpitaux de Paris, Departments of Cardiology and Genetics, Hôpital Européen Georges Pompidou, 75015 Paris, France.

Xavier Jeunemaitre (X)

Université de Paris, PARCC, Inserm, F-75015 Paris, France.
Assistance Publique-Hôpitaux de Paris, Departments of Cardiology and Genetics, Hôpital Européen Georges Pompidou, 75015 Paris, France.

Stéphanie Debette (S)

Bordeaux Population Health Research Center, Inserm Center U1219, University of Bordeaux, Bordeaux, France.
Department of Neurology, Bordeaux University Hospital, Inserm U1219, Bordeaux, France.

Philippe Amouyel (P)

Univ. Lille, Inserm, Centre Hosp. Univ Lille, Institut Pasteur de Lille, UMR1167 - RID-AGE- Risk factors and molecular determinants of aging-related diseases, F-59000 Lille, France.

Wyliena Guan (W)

Cardiovascular Disease Initiative, The Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Demoulas Center for Cardiac Arrhythmias, Massachusetts General Hospital, Boston, MA, USA.

Jochen D Muehlschlegel (JD)

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Simon C Body (SC)

Department of Anesthesiology, Boston University School of Medicine, Boston, MA, USA.

Svati Shah (S)

Duke Molecular Physiology Institute, Duke University, Durham, NC, USA.
Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.

Zainab Samad (Z)

Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Department of Medicine, Aga Khan University, Karachi, Pakistan.

Sergiy Kyryachenko (S)

Université de Paris, PARCC, Inserm, F-75015 Paris, France.

Carol Haynes (C)

Duke Molecular Physiology Institute, Duke University, Durham, NC, USA.

Michiel Rienstra (M)

Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Thierry Le Tourneau (T)

l'institut du thorax, INSERM, CNRS, Univ Nantes, CHU Nantes, Nantes, France.
l'institut du thorax, CHU Nantes, Nantes, France.

Vincent Probst (V)

l'institut du thorax, INSERM, CNRS, Univ Nantes, CHU Nantes, Nantes, France.

Ronan Roussel (R)

Cordeliers Research Centre, ImMeDiab Team, INSERM, Université de Paris, Paris, France.
Hôpital Bichat-Claude-Bernard, APHP, Department of Diabetology, Paris, France.

Inez J Wijdh-Den Hamer (IJ)

Department of Cardiothoracic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Joylene E Siland (JE)

Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Kirk U Knowlton (KU)

Intermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Division of Cardiovascular Medicine, Department of Medicine, University of California San Diego, San Diego, CA, USA.

Jean Jacques Schott (J)

l'institut du thorax, INSERM, CNRS, Univ Nantes, CHU Nantes, Nantes, France.

Robert A Levine (RA)

Cardiac Ultrasound Laboratory, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.

Emelia J Benjamin (EJ)

National Heart, Lung, and Blood Institute's and Boston University's, The Framingham Heart Study, Framingham, MA, USA.
Section of Cardiovascular Medicine, Boston University School of Medicine, Boston, MA, USA.
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.

Ramachandran S Vasan (RS)

School of Public Health, Boston University, Boston, MA, USA.
National Heart, Lung, and Blood Institute's and Boston University's, The Framingham Heart Study, Framingham, MA, USA.
School of Medicine, Boston University, Boston, MA, USA.

Benjamin D Horne (BD)

Intermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, CA, USA.

Joseph B Muhlestein (JB)

Intermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Cardiology Division, Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA.

Giovanni Benfari (G)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Maurice Enriquez-Sarano (M)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Andrea Natale (A)

Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, TX, USA.

Sanghamitra Mohanty (S)

Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, TX, USA.

Chintan Trivedi (C)

Texas Cardiac Arrhythmia Institute, St David's Medical Center, Austin, TX, USA.

Moore B Shoemaker (MB)

Department of Medicine, Division of Cardiovascular Diseases, Vanderbilt University Medical Center, Nashville, TN, USA.

Zachary T Yoneda (ZT)

Department of Medicine, Division of Cardiovascular Diseases, Vanderbilt University Medical Center, Nashville, TN, USA.

Quinn S Wells (QS)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.

Michael T Baker (MT)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Eric Farber-Eger (E)

Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Hector I Michelena (HI)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Alicia Lundby (A)

Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, København 2200, Denmark.
The Novo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, København 2200, Denmark.

Russell A Norris (RA)

Cardiovascular Developmental Biology Center, Department of Regenerative Medicine and Cell Biology, Medical University of South Carolina, Charleston, SC, USA.

Susan A Slaugenhaupt (SA)

Center for Genomic Medicine and Department of Neurology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA, USA.

Christian Dina (C)

l'institut du thorax, INSERM, CNRS, Univ Nantes, CHU Nantes, Nantes, France.

Steven A Lubitz (SA)

Cardiovascular Disease Initiative, The Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Demoulas Center for Cardiac Arrhythmias, Massachusetts General Hospital, Boston, MA, USA.

Nabila Bouatia-Naji (N)

Université de Paris, PARCC, Inserm, F-75015 Paris, France.

Patrick T Ellinor (PT)

Cardiovascular Disease Initiative, The Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Demoulas Center for Cardiac Arrhythmias, Massachusetts General Hospital, Boston, MA, USA.

David J Milan (DJ)

Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.
Leducq Foundation, Boston, MA 02110, USA.

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