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Common genetic loci influencing plasma homocysteine concentrations and their effect on risk of coronary artery disease.

TitleCommon genetic loci influencing plasma homocysteine concentrations and their effect on risk of coronary artery disease.
Publication TypeJournal Article
Year of Publication2013
Authorsvan Meurs, JBJ, Paré, G, Schwartz, SM, Hazra, A, Tanaka, T, Vermeulen, SH, Cotlarciuc, I, Yuan, X, Mälarstig, A, Bandinelli, S, Bis, JC, Blom, H, Brown, MJ, Chen, C, Der Chen, Y-, Clarke, RJ, Dehghan, A, Erdmann, J, Ferrucci, L, Hamsten, A, Hofman, A, Hunter, DJ, Goel, A, Johnson, AD, Kathiresan, S, Kampman, E, Kiel, DP, Kiemeney, LALM, Chambers, JC, Kraft, P, Lindemans, J, McKnight, B, Nelson, CP, O'Donnell, CJ, Psaty, BM, Ridker, PM, Rivadeneira, F, Rose, LM, Seedorf, U, Siscovick, DS, Schunkert, H, Selhub, J, Ueland, PM, Vollenweider, P, Waeber, G, Waterworth, DM, Watkins, H, Witteman, JCM, Heijer, Mden, Jacques, P, Uitterlinden, AG, Kooner, JS, Rader, DJ, Reilly, MP, Mooser, V, Chasman, DI, Samani, NJ, Ahmadi, KR
JournalAm J Clin Nutr
Volume98
Issue3
Pagination668-76
Date Published2013 Sep
ISSN1938-3207
KeywordsCoronary Artery Disease, Genes, Genetic Loci, Genetic Predisposition to Disease, Genotype, Homocysteine, Humans, Polymorphism, Genetic, Risk Factors
Abstract<p><b>BACKGROUND: </b>The strong observational association between total homocysteine (tHcy) concentrations and risk of coronary artery disease (CAD) and the null associations in the homocysteine-lowering trials have prompted the need to identify genetic variants associated with homocysteine concentrations and risk of CAD.</p><p><b>OBJECTIVE: </b>We tested whether common genetic polymorphisms associated with variation in tHcy are also associated with CAD.</p><p><b>DESIGN: </b>We conducted a meta-analysis of genome-wide association studies (GWAS) on tHcy concentrations in 44,147 individuals of European descent. Polymorphisms associated with tHcy (P < 10(⁻⁸) were tested for association with CAD in 31,400 cases and 92,927 controls.</p><p><b>RESULTS: </b>Common variants at 13 loci, explaining 5.9% of the variation in tHcy, were associated with tHcy concentrations, including 6 novel loci in or near MMACHC (2.1 × 10⁻⁹), SLC17A3 (1.0 × 10⁻⁸), GTPB10 (1.7 × 10⁻⁸), CUBN (7.5 × 10⁻¹⁰), HNF1A (1.2 × 10⁻¹²)), and FUT2 (6.6 × 10⁻⁹), and variants previously reported at or near the MTHFR, MTR, CPS1, MUT, NOX4, DPEP1, and CBS genes. Individuals within the highest 10% of the genotype risk score (GRS) had 3-μmol/L higher mean tHcy concentrations than did those within the lowest 10% of the GRS (P = 1 × 10⁻³⁶). The GRS was not associated with risk of CAD (OR: 1.01; 95% CI: 0.98, 1.04; P = 0.49).</p><p><b>CONCLUSIONS: </b>We identified several novel loci that influence plasma tHcy concentrations. Overall, common genetic variants that influence plasma tHcy concentrations are not associated with risk of CAD in white populations, which further refutes the causal relevance of moderately elevated tHcy concentrations and tHcy-related pathways for CAD.</p>
DOI10.3945/ajcn.112.044545
Alternate JournalAm. J. Clin. Nutr.
PubMed ID23824729
PubMed Central IDPMC4321227
Grant ListN02-HL-6-4278 / HL / NHLBI NIH HHS / United States
N01-HC-25195 / HC / NHLBI NIH HHS / United States
R01 HL087676 / HL / NHLBI NIH HHS / United States
084723/Z/08/Z / / Wellcome Trust / United Kingdom
UL1RR033176 / RR / NCRR NIH HHS / United States
R03CA133937-01A1 / CA / NCI NIH HHS / United States
N01-HC-85085 / HC / NHLBI NIH HHS / United States
SP/04/002 / / British Heart Foundation / United Kingdom
N01-HC-55022 / HC / NHLBI NIH HHS / United States
N01-HC-85081 / HC / NHLBI NIH HHS / United States
HL105756 / HL / NHLBI NIH HHS / United States
N01-HC-55016 / HC / NHLBI NIH HHS / United States
263 MD 821336 / MD / NIMHD NIH HHS / United States
AG-15928 / AG / NIA NIH HHS / United States
G0700931 / / Medical Research Council / United Kingdom
P01 HL098055 / HL / NHLBI NIH HHS / United States
HL054711 / HL / NHLBI NIH HHS / United States
/ / Department of Health / United Kingdom
R01 AR/AG 41398 / AG / NIA NIH HHS / United States
AG-20098 / AG / NIA NIH HHS / United States
HL087652 / HL / NHLBI NIH HHS / United States
UL1 TR000124 / TR / NCATS NIH HHS / United States
N01-HC-55021 / HC / NHLBI NIH HHS / United States
MC_U137686857 / / Medical Research Council / United Kingdom
N01-HC-85086 / HC / NHLBI NIH HHS / United States
R01DK080732 / DK / NIDDK NIH HHS / United States
R01 HL105756 / HL / NHLBI NIH HHS / United States
AG-027058 / AG / NIA NIH HHS / United States
N01-HC-85082 / HC / NHLBI NIH HHS / United States
P30 DK063491 / DK / NIDDK NIH HHS / United States
HL075366 / HL / NHLBI NIH HHS / United States
/ / Intramural NIH HHS / United States
N01-HC-35129 / HC / NHLBI NIH HHS / United States
N01 HC-55222 / HC / NHLBI NIH HHS / United States
N01-HC-55019 / HC / NHLBI NIH HHS / United States
/ / Cancer Research UK / United Kingdom
P01HL087018 / HL / NHLBI NIH HHS / United States
N01-HC-55015 / HC / NHLBI NIH HHS / United States
N01-HC-85083 / HC / NHLBI NIH HHS / United States
090532 / / Wellcome Trust / United Kingdom
N01-HC-75150 / HC / NHLBI NIH HHS / United States
1R01HL103931-01 / HL / NHLBI NIH HHS / United States
N01-HC-55020 / HC / NHLBI NIH HHS / United States
N01-HC-85080 / HC / NHLBI NIH HHS / United States
N01 HC-15103 / HC / NHLBI NIH HHS / United States
G0601966 / / Medical Research Council / United Kingdom
R01HL089650-02 / HL / NHLBI NIH HHS / United States
MOP172605 / / Canadian Institutes of Health Research / Canada
/ / Arthritis Research UK / United Kingdom
N01-AG-12100 / AG / NIA NIH HHS / United States
DK063491 / DK / NIDDK NIH HHS / United States
N01-HC-45133 / HC / NHLBI NIH HHS / United States
N01-HC-85079 / HC / NHLBI NIH HHS / United States
HL080295 / HL / NHLBI NIH HHS / United States
MOP--82810 / / Canadian Institutes of Health Research / Canada
N01-HC-85239 / HC / NHLBI NIH HHS / United States
MOP77682 / / Canadian Institutes of Health Research / Canada
HL087647 / HL / NHLBI NIH HHS / United States
AG-023629 / AG / NIA NIH HHS / United States
N01-HC-55018 / HC / NHLBI NIH HHS / United States
263 MD 9164 / MD / NIMHD NIH HHS / United States
N01-HC-85084 / HC / NHLBI NIH HHS / United States
P01HL076491-06 / HL / NHLBI NIH HHS / United States