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GWAS and colocalization analyses implicate carotid intima-media thickness and carotid plaque loci in cardiovascular outcomes

  • MEGASTROKE Consortium
  • University of North Carolina at Chapel Hill
  • University of California at Los Angeles
  • University of Texas Health Science Center at Houston
  • University College London
  • University of Washington
  • National Institutes of Health
  • University of Regensburg
  • Erasmus University Rotterdam
  • Icelandic Heart Association
  • University of Iceland
  • Medical University of Graz
  • University of Groningen
  • Wake Forest University
  • Leipzig University
  • Institut national de la santé et de la recherche médicale
  • University of Turku
  • Icahn School of Medicine at Mount Sinai
  • Clinical Gene Networks AB
  • University of Edinburgh
  • Leiden University
  • Framingham Heart Study
  • University of Mississippi
  • University of Greifswald
  • Columbia University
  • Maastricht University
  • Harvard University
  • German Centre for Cardiovascular Research
  • Menzies Health Institute Queensland
  • Medical Research Council
  • University of Pittsburgh
  • University of Tartu
  • Allergy Center of Childrens's Clinic of Tartu University Hospital
  • Karolinska Institutet
  • Uppsala University
  • Lund University
  • VU University
  • Premier Inc.
  • University of Verona
  • University of Milan
  • IRCCS Centro Cardiologico S.P.A. Fondazione Monzino - Milano

Research output: Contribution to journalArticlepeer-review

127 Scopus citations

Abstract

Carotid artery intima media thickness (cIMT) and carotid plaque are measures of subclinical atherosclerosis associated with ischemic stroke and coronary heart disease (CHD). Here, we undertake meta-analyses of genome-wide association studies (GWAS) in 71,128 individuals for cIMT, and 48,434 individuals for carotid plaque traits. We identify eight novel susceptibility loci for cIMT, one independent association at the previously-identified PINX1 locus, and one novel locus for carotid plaque. Colocalization analysis with nearby vascular expression quantitative loci (cis-eQTLs) derived from arterial wall and metabolic tissues obtained from patients with CHD identifies candidate genes at two potentially additional loci, ADAMTS9 and LOXL4. LD score regression reveals significant genetic correlations between cIMT and plaque traits, and both cIMT and plaque with CHD, any stroke subtype and ischemic stroke. Our study provides insights into genes and tissue-specific regulatory mechanisms linking atherosclerosis both to its functional genomic origins and its clinical consequences in humans.

Original languageEnglish
Article number5141
JournalNature Communications
Volume9
Issue number1
DOIs
StatePublished - Dec 1 2018

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