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Novel Genetic Approach to Investigate the Role of Plasma Secretory Phospholipase A2 (sPLA2)-V Isoenzyme in Coronary Heart Disease Modified Mendelian Randomization Analysis Using PLA2G5 Expression Levels
被引:19
|作者:
Holmes, Michael V.
[1
,2
]
Exeter, Holly J.
[3
]
Folkersen, Lasse
[6
]
Nelson, Christopher P.
[7
,8
]
Guardiola, Montse
[3
,9
]
Cooper, Jackie A.
[3
]
Sofat, Reecha
[5
]
Boekholdt, S. Matthijs
[10
]
Khaw, Kay-Tee
[11
]
Li, Ka-Wah
[3
]
Smith, Andrew J. P.
[3
]
van't Hooft, Ferdinand
[12
,14
]
Eriksson, Per
[12
,14
]
Franco-Cereceda, Anders
[13
]
Asselbergs, Folkert W.
[4
,15
,17
]
Boer, Jolanda M. A.
[18
]
Onland-Moret, N. Charlotte
[16
,17
]
Hofker, Marten
[19
]
Erdmann, Jeanette
[20
]
Kivimaki, Mika
[2
]
Kumari, Meena
[2
]
Reiner, Alex P.
[21
]
Keating, Brendan J.
[1
,22
]
Humphries, Steve E.
[3
]
Hingorani, Aroon D.
[2
]
Mallat, Ziad
[23
]
Samani, Nilesh J.
[7
,8
]
Talmud, Philippa J.
[3
]
机构:
[1] Univ Penn, Perelman Sch Med, Div Transplant Surg, Philadelphia, PA 19104 USA
[2] UCL, Genet Epidemiol Grp, London WC1E 6JF, England
[3] UCL, Ctr Cardiovasc Genet, London WC1E 6JF, England
[4] UCL, Fac Populat Hlth Sci, Inst Cardiovasc Sci, London WC1E 6JF, England
[5] UCL, Div Med, London WC1E 6JF, England
[6] Novo Nordisk, Dept Mol Genet, Copenhagen, Denmark
[7] Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
[8] Glenfield Hosp, NIHR Leicester Cardiovasc Biomed Res Unit, Leicester, Leics, England
[9] Univ Rovira & Virgili, CIBERDEM, Unitat Recerca Lipids & Arteriosclerosi, E-43201 Reus, Spain
[10] Univ Amsterdam, Acad Med Ctr, Dept Cardiol, NL-1105 AZ Amsterdam, Netherlands
[11] Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England
[12] Karolinska Inst, Atherosclerosis Res Unit, Dept Med Solna, Stockholm, Sweden
[13] Karolinska Inst, Dept Mol Med & Surg, Cardiothorac Surg Unit, Stockholm, Sweden
[14] Karolinska Univ Hosp Solna, Ctr Mol Med, Stockholm, Sweden
[15] Univ Med Ctr Utrecht, Dept Cardiol, Div Heart & Lungs, Utrecht, Netherlands
[16] Univ Med Ctr Utrecht, Dept Med Genet, Utrecht, Netherlands
[17] ICIN Netherlands Heart Inst, Durrer Ctr Cardiogenet Res, Utrecht, Netherlands
[18] Natl Inst Publ Hlth & Environm RIVM, Bilthoven, Netherlands
[19] Univ Groningen, Univ Med Ctr Groningen, Dept Mol Genet, Groningen, Netherlands
[20] Med Univ Lubeck, Med Klin 2, D-23538 Lubeck, Germany
[21] Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98104 USA
[22] Childrens Hosp Philadelphia, Ctr Appl Genom, Philadelphia, PA 19104 USA
[23] Univ Cambridge, Addenbrookes Hosp, Div Cardiovasc Med, Cambridge CB2 2QQ, England
来源:
基金:
美国国家卫生研究院;
英国医学研究理事会;
关键词:
Mendelian randomization analysis;
GROUP-V;
CARDIOVASCULAR-DISEASE;
ARTERY-DISEASE;
EPIC-NORFOLK;
HEALTHY-MEN;
A(2);
ASSOCIATION;
ATHEROSCLEROSIS;
EVENTS;
RISK;
D O I:
10.1161/CIRCGENETICS.113.000271
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background- Secretory phospholipase A(2) (sPLA(2)) enzymes are considered to play a role in atherosclerosis. sPLA(2) activity encompasses several sPLA(2) isoenzymes, including sPLA(2)-V. Although observational studies show a strong association between elevated sPLA(2) activity and CHD, no assay to measure sPLA(2)-V levels exists, and the only evidence linking the sPLA(2)-V isoform to atherosclerosis progression comes from animal studies. In the absence of an assay that directly quantifies sPLA(2)-V levels, we used PLA2G5 mRNA levels in a novel, modified Mendelian randomization approach to investigate the hypothesized causal role of sPLA(2)-V in coronary heart disease (CHD) pathogenesis. Methods and Results- Using data from the Advanced Study of Aortic Pathology, we identified the single-nucleotide polymorphism in PLA2G5 showing the strongest association with PLA2G5 mRNA expression levels as a proxy for sPLA(2)-V levels. We tested the association of this SNP with sPLA(2) activity and CHD events in 4 prospective and 14 case-control studies with 27 230 events and 70 500 controls. rs525380C > A showed the strongest association with PLA2G5 mRNA expression (P=5.1x10(-6)). There was no association of rs525380C > A with plasma sPLA(2) activity (difference in geometric mean of sPLA(2) activity per rs525380 A-allele 0.4% (95% confidence intervals [-0.9%, 1.6%]; P=0.56). In meta-analyses, the odds ratio for CHD per A-allele was 1.02 (95% confidence intervals [0.99, 1.04]; P=0.20). Conclusions- This novel approach for single-nucleotide polymorphism selection for this modified Mendelian randomization analysis showed no association between rs525380 (the lead single-nucleotide polymorphism for PLA2G5 expression, a surrogate for sPLA(2)-V levels) and CHD events. The evidence does not support a causal role for sPLA(2)-V in CHD.
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页码:144 / 150
页数:7
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