Center for Statistical Genetics, Department of Biostatistics, University of Michigan, Ann Arbor, Michigan 48109, USA.
Nature. 2010 Aug 5;466(7307):707-13. doi: 10.1038/nature09270.
Plasma concentrations of total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglycerides are among the most important risk factors for coronary artery disease (CAD) and are targets for therapeutic intervention. We screened the genome for common variants associated with plasma lipids in >100,000 individuals of European ancestry. Here we report 95 significantly associated loci (P < 5 x 10(-8)), with 59 showing genome-wide significant association with lipid traits for the first time. The newly reported associations include single nucleotide polymorphisms (SNPs) near known lipid regulators (for example, CYP7A1, NPC1L1 and SCARB1) as well as in scores of loci not previously implicated in lipoprotein metabolism. The 95 loci contribute not only to normal variation in lipid traits but also to extreme lipid phenotypes and have an impact on lipid traits in three non-European populations (East Asians, South Asians and African Americans). Our results identify several novel loci associated with plasma lipids that are also associated with CAD. Finally, we validated three of the novel genes-GALNT2, PPP1R3B and TTC39B-with experiments in mouse models. Taken together, our findings provide the foundation to develop a broader biological understanding of lipoprotein metabolism and to identify new therapeutic opportunities for the prevention of CAD.
血浆总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和甘油三酯浓度是冠心病(CAD)的最重要的风险因素之一,也是治疗干预的目标。我们对超过 10 万名欧洲血统个体的基因组进行了常见变体与血浆脂质相关的筛查。在这里,我们报告了 95 个与血浆脂质显著相关的位点(P < 5 x 10(-8)),其中 59 个首次显示与脂质特征具有全基因组显著关联。新报道的关联包括已知脂质调节剂(例如 CYP7A1、NPC1L1 和 SCARB1)附近的单核苷酸多态性(SNP),以及先前未涉及脂蛋白代谢的众多位点。这 95 个位点不仅与脂质特征的正常变化有关,而且与极端脂质表型有关,并对三个非欧洲人群(东亚人、南亚人和非裔美国人)的脂质特征有影响。我们的研究结果确定了几个与血浆脂质相关的新位点,这些位点也与 CAD 相关。最后,我们通过小鼠模型实验验证了三个新基因-GALNT2、PPP1R3B 和 TTC39B-的作用。总之,我们的研究结果为进一步了解脂蛋白代谢提供了基础,并为预防 CAD 提供了新的治疗机会。
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