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

被引:138
作者
Teupser, Daniel [1 ,2 ]
Baber, Ronny [1 ]
Ceglarek, Uta [1 ,2 ]
Scholz, Markus [2 ,3 ]
Illig, Thomas [8 ]
Gieger, Christian [8 ]
Holdt, Lesca M. [1 ]
Leichtle, Alexander [1 ]
Greiser, Karin H. [13 ]
Huster, Dominik [4 ]
Linsel-Nitschke, Patrick [15 ]
Schaefer, Arne [17 ,18 ]
Braund, Peter S. [19 ,20 ]
Tiret, Laurence [21 ]
Stark, Klaus [22 ]
Raaz-Schrauder, Dorette [23 ]
Fiedler, Georg M. [1 ]
Wilfert, Wolfgang [1 ]
Beutner, Frank [1 ,2 ]
Gielen, Stephan [2 ,5 ]
Grosshennig, Anika [15 ,16 ]
Koenig, Inke R. [16 ]
Lichtner, Peter [9 ]
Heid, Iris M. [8 ,10 ]
Kluttig, Alexander [13 ]
El Mokhtari, Nour E. [24 ]
Rubin, Diana [17 ,18 ]
Ekici, Arif B. [25 ]
Reis, Andre [25 ]
Garlichs, Christoph D. [23 ]
Hall, Alistair S. [26 ]
Matthes, Gert [6 ]
Wittekind, Christian [7 ]
Hengstenberg, Christian [22 ]
Cambien, Francois [21 ]
Schreiber, Stefan [17 ,18 ]
Werdan, Karl [14 ]
Meitinger, Thomas [9 ,12 ]
Loeffler, Markus [2 ,3 ]
Samani, Nilesh J. [19 ,20 ]
Erdmann, Jeanette [15 ]
Wichmann, H. -Erich [8 ,11 ]
Schunkert, Heribert [15 ]
Thiery, Joachim [1 ,2 ]
机构
[1] Univ Leipzig, Inst Lab Med Clin Chem & Mol Diagnost, Leipzig, Germany
[2] Univ Leipzig, Leipzig Res Ctr Civilizat Dis LIFE, Leipzig, Germany
[3] Univ Leipzig, Inst Med Informat Stat & Epidemiol, Leipzig, Germany
[4] Univ Leipzig, Dept Med 2, Leipzig, Germany
[5] Univ Leipzig, Ctr Heart, Dept Internal Med Cardiol, Leipzig, Germany
[6] Univ Leipzig, Inst Transfus Med, Leipzig, Germany
[7] Univ Leipzig, Inst Pathol, Leipzig, Germany
[8] German Res Ctr Environm Hlth, Helmholtz Zentrum Munchen, Inst Epidemiol, Neuherberg, Germany
[9] German Res Ctr Environm Hlth, Helmholtz Zentrum Munchen, Inst Human Genet, Neuherberg, Germany
[10] Univ Regensburg, Med Ctr, Dept Epidemiol & Prevent Med, Regensburg, Germany
[11] Univ Munich, Inst Med Informat Biometry & Epidemiol, D-80539 Munich, Germany
[12] Tech Univ Munich, Klinikum Rechts Isar, Inst Human Genet, D-8000 Munich, Germany
[13] Univ Halle Wittenberg, Inst Med Epidemiol Biostat & Informat, Halle, Saale, Germany
[14] Univ Halle Wittenberg, Dept Med 3, Halle, Saale, Germany
[15] Univ Lubeck, Med Klin 2, D-23538 Lubeck, Germany
[16] Univ Lubeck, Inst Med Biometrie & Stat, D-23538 Lubeck, Germany
[17] Univ Klinikum Schleswig Holstein, Inst Klin Mol Biol, Kiel, Germany
[18] Univ Klinikum Schleswig Holstein, Dept Internal Med 1, Kiel, Germany
[19] Univ Leicester, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England
[20] Univ Leicester, Glenfield Hosp, Leicester Natl Inst Hlth Res, Biomed Res Unit Cardiovasc Dis, Leicester, Leics, England
[21] Univ Paris, Univ Paris 06, Inst Natl Sante & Rech Med Unite INSERM, Mixte Rech UMR S937, F-75252 Paris, France
[22] Univ Regensburg, Klin & Poliklin Innere Med 2, Regensburg, Germany
[23] Univ Hosp Erlangen, Dept Cardiol & Angiol, Erlangen, Germany
[24] Kreiskrankenhaus Rendsburg, Innere Med Klin, Rendsburg, Germany
[25] Univ Erlangen Nurnberg, Inst Human Genet, D-8520 Erlangen, Germany
[26] Univ Leeds, Leeds Inst Genet Hlth & Therapeut, Leeds, W Yorkshire, England
关键词
coronary disease; genes; genetics; lipids; GENOME-WIDE ASSOCIATION; MYOCARDIAL-INFARCTION; BLOOD-GROUPS; HEART-DISEASE; PLANT STEROL; CHOLESTEROL; ABCG5; SUSCEPTIBILITY; POLYMORPHISMS; MONICA/KORA;
D O I
10.1161/CIRCGENETICS.109.907873
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 x 10(-50) and 6.2 x 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 x 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 x 10(-6); rs657152 odds ratio, 1.13; 95% CI, 1.07 to 1.19; P = 9.4 x 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 x 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. (Circ Cardiovasc Genet. 2010;3:331-339.)
引用
收藏
页码:331 / 339
页数:9
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