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Variant on 9p21 strongly associates with coronary heart disease, but lacks association with common stroke
Robin Lemmens1, Shérine Abboud, Wim Robberecht
1Department of Neurology, University Hospitals Leuven, Leuven, Belgium. robin.lemmens@med.kuleuven.be
Insights
A specific gene variant on chromosome 9p21 is linked to coronary artery disease (CAD) in Belgians. This variant was not associated with cerebrovascular disease (CVD) alone, suggesting different disease pathways.
Area of Science:
- Genetics
- Cardiovascular Disease
- Neurology
Background:
- Genome-wide association studies (GWAS) have identified chromosome 9p21 variants linked to myocardial infarction.
- Coronary artery disease (CAD) and cerebrovascular disease (CVD) may share common underlying pathological mechanisms.
- The specific role of 9p21 variants in Belgian populations with CAD and CVD requires further investigation.
Purpose of the Study:
- To investigate the association between chromosome 9p21 variants and coronary artery disease (CAD) in a Belgian population.
- To examine the association of 9p21 variants with cerebrovascular disease (CVD), considering potential shared pathways with CAD.
- To conduct a systematic review and meta-analysis to confirm findings across studies.
Main Methods:
- Genotyping of SNP rs10757278 on chromosome 9 in 926 CAD patients, 648 CVD patients, and 828 controls from Belgian cohorts.
- Statistical analysis including odds ratio (OR) calculation to determine the association strength.
- Systematic review and meta-analysis were performed for both CAD and CVD to consolidate evidence.
Main Results:
- The risk allele rs10757278(*)G showed a significant association with CAD (OR=1.35, P=1.3 x 10(-5)).
- No significant association was found between rs10757278 and CVD (OR=1.03, P=0.73).
- Meta-analysis confirmed a consistent association with CAD, but only a marginal association with CVD that disappeared when excluding CAD patients.
Conclusions:
- The chromosome 9 risk variant rs10757278 is associated with coronary artery disease in the Belgian population.
- This specific variant is not associated with isolated cerebrovascular disease, indicating distinct pathogenic mechanisms.
- Findings highlight the importance of population-specific genetic associations and differential disease etiology.
Abstract:
Recently, genome-wide analyses revealed that variants on chromosome 9p21 are associated with myocardial infarction. We investigated whether this association was also present in a Belgian population of coronary artery disease (CAD) patients. As CAD and ischemic cerebrovascular disease (CVD) are thought to share some pathogenic pathways, we further examined the association of 9p21 with this disease. SNP rs10757278 on chromosome 9 was genotyped in 926 patients with CAD from the CAREGENE study, in 648 patients with CVD from the Leuven Stroke Genetics Study (LSGS) and the Belgian Stroke Study (BSS) and in 828 unrelated controls. A systematic review and meta-analysis were carried out in both vascular diseases. The frequency of the risk allele, rs10757278(*)G, was 55% in CAD cases versus 48% in controls, odds ratio (OR)=1.35 (1.18-1.54), P=1.3 x 10(-5). No association was found with CVD, OR=1.03 (0.89-1.19), P=0.73. Meta-analysis revealed a consistent relationship between the risk variant and CAD. However, using a meta-analytic approach in CVD, only a marginal association was observed, which was no longer present after excluding patients with a history of CAD. The risk variant on chromosome 9, tagged by rs10757278, is associated with coronary heart disease in the Belgian population, but not with isolated CVD. These findings suggest different pathogenic mechanisms in CAD versus CVD.
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