Common Genetic Variation in MC4R Does Not Affect Atherosclerotic Plaque Phenotypes and Cardiovascular Disease Outcomes

Autor: Johan Wouter Jukema, Lisanne L. Blauw, Stella Trompet, Sander Kooijman, Jimmy F.P. Berbée, Anne Tybjærg-Hansen, Raymond Noordam, Gerard Pasterkamp, Gert J. de Borst, Diana van Heemst, Sander W. van der Laan, Patrick C.N. Rensen, Jessica van Setten
Rok vydání: 2021
Předmět:
Zdroj: Blauw, L L, Noordam, R, van der Laan, S W, Trompet, S, Kooijman, S, van Heemst, D, Jukema, J W, van Setten, J, de Borst, G J, Tybjærg-Hansen, A, Pasterkamp, G, Berbée, J F P & Rensen, P C N 2021, ' Common genetic variation in mc4r does not affect atherosclerotic plaque phenotypes and cardiovascular disease outcomes ', Journal of Clinical Medicine, vol. 10, no. 5, 932 . https://doi.org/10.3390/jcm10050932
Journal of Clinical Medicine
Journal of Clinical Medicine, Vol 10, Iss 932, p 932 (2021)
Volume 10
Issue 5
Journal of Clinical Medicine, 10(5). MDPI
ISSN: 2077-0383
DOI: 10.3390/jcm10050932
Popis: We analyzed the effects of the common BMI-increasing melanocortin 4 receptor (MC4R) rs17782313-C allele with a minor allele frequency of 0.22–0.25 on (1) cardiovascular disease outcomes in two large population-based cohorts (Copenhagen City Heart Study and Copenhagen General Population Study, n = 106,018
and UK Biobank, n = 357,426) and additionally in an elderly population at risk for cardiovascular disease (n = 5241), and on (2) atherosclerotic plaque phenotypes in samples of patients who underwent endarterectomy (n = 1439). Using regression models, we additionally analyzed whether potential associations were modified by sex or explained by changes in body mass index. We confirmed the BMI-increasing effects of +0.22 kg/m2 per additional copy of the C allele (p <
0.001). However, we found no evidence for an association of common MC4R genetic variation with coronary artery disease (HR 1.03
95% CI 0.99, 1.07), ischemic vascular disease (HR 1.00
95% CI 0.98, 1.03), myocardial infarction (HR 1.01
95% CI 0.94, 1.08 and 1.02
0.98, 1.07) or stroke (HR 0.93
95% CI 0.85, 1.01), nor with any atherosclerotic plaque phenotype. Thus, common MC4R genetic variation, despite increasing BMI, does not affect cardiovascular disease risk in the general population or in populations at risk for cardiovascular disease.
Databáze: OpenAIRE