Genetic Regulation of Serum Phytosterol Levels and Risk of Coronary Artery Disease

Autor: François Cambien, Markus Loeffler, Arif B. Ekici, Jeanette Erdmann, Christian Gieger, Iris M. Heid, Christian Hengstenberg, Klaus Stark, Markus Scholz, Karl Werdan, Arne Schäfer, Uta Ceglarek, Gert Matthes, Alistair S. Hall, Thomas Meitinger, Heribert Schunkert, Peter Lichtner, Dominik Huster, Alexander Kluttig, Thomas Illig, Frank Beutner, Daniel Teupser, Stefan Schreiber, Lesca M. Holdt, Nilesh J. Samani, Inke R. König, Karin Halina Greiser, Christoph D. Garlichs, H.-Erich Wichmann, Dorette Raaz-Schrauder, Nour Eddine El Mokhtari, Anika Großhennig, Alexander Benedikt Leichtle, Ronny Baber, Patrick Linsel-Nitschke, Wolfgang Wilfert, Peter S. Braund, André Reis, Christian Wittekind, Stephan Gielen, Diana Rubin, Georg Martin Fiedler, Laurence Tiret, Joachim Thiery
Rok vydání: 2010
Předmět:
Male
medicine.medical_specialty
Lipoproteins
Campesterol
Population
Genome-wide association study
Single-nucleotide polymorphism
Coronary Artery Disease
Validation Studies as Topic
Biology
Polymorphism
Single Nucleotide

Linkage Disequilibrium
ABO Blood-Group System
chemistry.chemical_compound
Meta-Analysis as Topic
Risk Factors
Internal medicine
ABO blood group system
Genetics
medicine
Humans
Genetic Predisposition to Disease
ATP Binding Cassette Transporter
Subfamily G
Member 5

Allele
education
Genetic Association Studies
Genetics (clinical)
education.field_of_study
ATP Binding Cassette Transporter
Subfamily G
Member 8

Case-control study
Phytosterols
Odds ratio
Metabolism
Endocrinology
chemistry
Case-Control Studies
ATP-Binding Cassette Transporters
Female
Cardiology and Cardiovascular Medicine
Genome-Wide Association Study
Zdroj: Circulation: Cardiovascular Genetics. 3:331-339
ISSN: 1942-3268
1942-325X
Popis: Background— Phytosterols are plant-derived sterols that are taken up from food and can serve as biomarkers of cholesterol uptake. Serum levels are under tight genetic control. We used a genomic approach to study the molecular regulation of serum phytosterol levels and potential links to coronary artery disease (CAD). Methods and Results— A genome-wide association study for serum phytosterols (campesterol, sitosterol, brassicasterol) was conducted in a population-based sample from KORA (Cooperative Research in the Region of Augsburg) (n=1495) with subsequent replication in 2 additional samples (n=1157 and n=1760). Replicated single-nucleotide polymorphisms (SNPs) were tested for association with premature CAD in a metaanalysis of 11 different samples comprising 13 764 CAD cases and 13 630 healthy controls. Genetic variants in the ATP-binding hemitransporter ABCG8 and at the blood group ABO locus were significantly associated with serum phytosterols. Effects in ABCG8 were independently related to SNPs rs4245791 and rs41360247 (combined P =1.6×10 −50 and 6.2×10 −25 , respectively; n=4412). Serum campesterol was elevated 12% for each rs4245791 T-allele. The same allele was associated with 40% decreased hepatic ABCG8 mRNA expression ( P =0.009). Effects at the ABO locus were related to SNP rs657152 (combined P =9.4×10 −13 ). Alleles of ABCG8 and ABO associated with elevated phytosterol levels displayed significant associations with increased CAD risk (rs4245791 odds ratio, 1.10; 95% CI, 1.06 to 1.14; P =2.2×10 −6 ; rs657152 odds ratio, 1.13; 95% CI, 1.07 to 1.19; P =9.4×10 −6 ), whereas alleles at ABCG8 associated with reduced phytosterol levels were associated with reduced CAD risk (rs41360247 odds ratio, 0.84; 95% CI, 0.78 to 0.91; P =1.3×10 −5 ). Conclusion— Common variants in ABCG8 and ABO are strongly associated with serum phytosterol levels and show concordant and previously unknown associations with CAD.
Databáze: OpenAIRE