Wang Annabel Z, Li Lin, Zhang Bin, Shen Gong-Qing, Wang Qing Kenneth
Center for Cardiovascular Genetics, Department of Molecular Cardiology, Cleveland Clinic, Cleveland, OH 44195, USA.
Ann Hum Genet. 2011 Jul;75(4):475-82. doi: 10.1111/j.1469-1809.2011.00646.x. Epub 2011 Apr 4.
Recent genome-wide single nucleotide polymorphism (SNP) association studies (GWAS) have identified a number of SNPs that were significantly associated with coronary artery disease and myocardial infarction (MI). However, many independent replication studies in other populations are needed to unequivocally confirm the GWAS association. To assess GWAS association, we have established a case-control cohort consisting of 1231 well-characterised MI patients and 560 controls without detectable coronary stenosis, all selected from the Cleveland Genebank population. The Genebank cohort has sufficient power to detect the association between MI and four GWAS SNPs, including rs17465637 within the MIA3 gene, rs2943634 (intergenic), rs6922269 in MTHFD1L, and rs599839 near SORT1. SNPs were genotyped by TaqMan assays and follow-up multivariate logistic regression analysis with incorporation of significant covariates showed significant association with MI for MIA3 SNP rs17465637 (P-adj= 0.0034) and SORT1 SNP rs599839 (P-adj= 0.009). The minor allele G of rs599839 was also associated with a decreased LDL-C level of 5-9 mg/dL per allele, but not with HDL-C or triglyceride levels. No association for MI or lipid levels was found for SNPs rs2943634 and rs6922269 (P-adj > 0.05). Our results establish two SNPs, rs17465637 in MIA3 and rs599839 near SORT1 as significant risk factors for MI in the American Genebank Caucasian population.
近期全基因组单核苷酸多态性(SNP)关联研究(GWAS)已鉴定出一些与冠状动脉疾病和心肌梗死(MI)显著相关的SNP。然而,需要在其他人群中进行许多独立的重复研究,才能明确证实GWAS关联。为了评估GWAS关联,我们建立了一个病例对照队列,由1231例特征明确的MI患者和560例无可检测冠状动脉狭窄的对照组成,所有样本均选自克利夫兰基因库人群。该基因库队列有足够的能力检测MI与四个GWAS SNP之间的关联,包括MIA3基因内的rs17465637、rs2943634(基因间)、MTHFD1L中的rs6922269以及SORT1附近的rs599839。通过TaqMan分析对SNP进行基因分型,并纳入显著协变量进行后续多变量逻辑回归分析,结果显示MIA3 SNP rs17465637(P校正=0.0034)和SORT1 SNP rs599839(P校正=0.009)与MI显著相关。rs599839的次要等位基因G还与每个等位基因LDL-C水平降低5 - 9 mg/dL相关,但与HDL-C或甘油三酯水平无关。未发现SNP rs2943634和rs6922269与MI或血脂水平有关联(P校正>0.05)。我们的结果确定了两个SNP,即MIA3中的rs17465637和SORT1附近的rs599839,是美国基因库白种人群中MI的显著危险因素。