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Associations between incident ischemic stroke events and stroke and cardiovascular disease-related genome-wide association studies single nucleotide polymorphisms in the Population Architecture Using Genomics and Epidemiology study.

TitleAssociations between incident ischemic stroke events and stroke and cardiovascular disease-related genome-wide association studies single nucleotide polymorphisms in the Population Architecture Using Genomics and Epidemiology study.
Publication TypeJournal Article
Year of Publication2012
AuthorsCarty, CL, Bůzková, P, Fornage, M, Franceschini, N, Cole, S, Heiss, G, Hindorff, LA, Howard, BV, Mann, S, Martin, LW, Zhang, Y, Matise, TC, Prentice, R, Reiner, AP, Kooperberg, C
JournalCirc Cardiovasc Genet
Volume5
Issue2
Pagination210-6
Date Published2012 Apr 01
ISSN1942-3268
KeywordsAged, Aged, 80 and over, Cardiovascular Diseases, Cholesterol, HDL, Cholesterol, LDL, European Continental Ancestry Group, Female, Genetics, Population, Genome-Wide Association Study, Genomics, Humans, Male, Middle Aged, Polymorphism, Single Nucleotide, Risk Factors, Stroke, Triglycerides
Abstract<p><b>BACKGROUND: </b>Genome-wide association studies (GWAS) have identified loci associated with ischemic stroke (IS) and cardiovascular disease (CVD) in European-descent individuals, but their replication in different populations has been largely unexplored.</p><p><b>METHODS AND RESULTS: </b>Nine single nucleotide polymorphisms (SNPs) selected from GWAS and meta-analyses of stroke, and 86 SNPs previously associated with myocardial infarction and CVD risk factors, including blood lipids (high density lipoprotein [HDL], low density lipoprotein [LDL], and triglycerides), type 2 diabetes, and body mass index (BMI), were investigated for associations with incident IS in European Americans (EA) N=26 276, African-Americans (AA) N=8970, and American Indians (AI) N=3570 from the Population Architecture using Genomics and Epidemiology Study. Ancestry-specific fixed effects meta-analysis with inverse variance weighting was used to combine study-specific log hazard ratios from Cox proportional hazards models. Two of 9 stroke SNPs (rs783396 and rs1804689) were significantly associated with [corrected] IS hazard in AA; none were significant in this large EA cohort. Of 73 CVD risk factor SNPs tested in EA, 2 (HDL and triglycerides SNPs) were associated with IS. In AA, SNPs associated with LDL, HDL, and BMI were significantly associated with IS (3 of 86 SNPs tested). Out of 58 SNPs tested in AI, 1 LDL SNP was significantly associated with IS.</p><p><b>CONCLUSIONS: </b>Our analyses showing lack of replication in spite of reasonable power for many stroke SNPs and differing results by ancestry highlight the need to follow up on GWAS findings and conduct genetic association studies in diverse populations. We found modest IS associations with BMI and lipids SNPs, though these findings require confirmation.</p>
DOI10.1161/CIRCGENETICS.111.962191
Alternate JournalCirc Cardiovasc Genet
PubMed ID22403240
PubMed Central IDPMC3402178
Grant ListN01WH42124 / WH / WHI NIH HHS / United States
M01-RR00425 / RR / NCRR NIH HHS / United States
HHSN268201100012C / HL / NHLBI NIH HHS / United States
N01WH32102 / WH / WHI NIH HHS / United States
HHSN268201100009I / HL / NHLBI NIH HHS / United States
N01-HC-45205 / HC / NHLBI NIH HHS / United States
U01 HL041642 / HL / NHLBI NIH HHS / United States
N01WH42112 / WH / WHI NIH HHS / United States
N01-HC-05187 / HC / NHLBI NIH HHS / United States
U01CA98758 / CA / NCI NIH HHS / United States
N01WH42119 / WH / WHI NIH HHS / United States
U01 HL65520 / HL / NHLBI NIH HHS / United States
N01-HV-48195 / HV / NHLBI NIH HHS / United States
N01WH32112 / WH / WHI NIH HHS / United States
N01WH32101 / WH / WHI NIH HHS / United States
U01 HL041654 / HL / NHLBI NIH HHS / United States
N01-HC-85085 / HC / NHLBI NIH HHS / United States
HHSN268201100010C / HL / NHLBI NIH HHS / United States
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N01-HC-48047 / HC / NHLBI NIH HHS / United States
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P30 CA015704 / CA / NCI NIH HHS / United States
HHSN268201100005G / HL / NHLBI NIH HHS / United States
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HHSN268201100008I / HL / NHLBI NIH HHS / United States
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R01 HL059367 / HL / NHLBI NIH HHS / United States
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HHSN268201100009C / HL / NHLBI NIH HHS / United States
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DK063491 / DK / NIDDK NIH HHS / United States
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N01-HC-85079 / HC / NHLBI NIH HHS / United States
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