Polygenic risk score associates with atherosclerosis severity at autopsy
| Autor: | A Cornelissen, N V Gadhoke, K Ryan, C J Hodonsky, T V Duong, A Dikongue, A Sakamoto, Y Sato, C L Miller, C C Hong, D E Arking, B D Mitchell, L Guo, R Virmani, A V Finn |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | European Heart Journal. 43 |
| ISSN: | 1522-9645 0195-668X |
| Popis: | Background Polygenic risk scores (PRS) for coronary artery disease (CAD) are emerging as a potential method to improve cardiovascular risk prediction. Questions remain about their applicability to diverse populations as well as their correlation with coronary histopathology. Purpose To assess whether high genetic risk associates with histopathologic coronary plaque morphology. Methods We assessed 122 known CAD risk loci in 954 Black and White subjects within our sudden death registry to generate a PRS. The cohort was divided into quintiles according to z-score-standardized PRS, both in a race-stratified fashion and in the pooled sample. Detailed histopathologic examination of the coronary arteries was performed in all subjects. Results Subjects in the highest PRS quintile exhibited more severe atherosclerosis compared to subjects in the lowest quintile, with greater mean cross-sectional luminal narrowing (71.5% (95% CI, 66.6%-76.5%) vs. 56.6% (95% CI, 51.1%-62.1%); adjusted p Conclusions This is the first autopsy study investigating associations between PRS and atherosclerotic plaque morphology at a histopathologic level. Our pathological analysis suggests PRS correlates with plaque burden and coronary artery calcification and may be useful as a method for CAD risk stratification, especially in younger subjects. Funding Acknowledgement Type of funding sources: Foundation. Main funding source(s): R01 HL141425 Leducq Foundation Grant |
| Databáze: | OpenAIRE |
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