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A genetic variant on chromosome 9p21 and incident heart failure in the ARIC study
Kazumasa Yamagishi1, Aaron R Folsom, Wayne D Rosamond
1Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S Second Street, Suite 300, Minneapolis, MN 55454-1015, USA.
Insights
Genetic variations on chromosome 9p21, specifically the GG genotype of rs10757274, are linked to higher heart failure (HF) risk in white individuals. This 9p21 genetic marker also shows a weak association with carotid atherosclerosis.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Molecular Biology
Background:
- Polymorphisms on chromosome 9p21 are established risk factors for coronary heart disease (CHD).
- Limited research has explored the association of these 9p21 polymorphisms with heart failure (HF), stroke, and subclinical atherosclerotic diseases.
Purpose of the Study:
- To investigate the association between chromosome 9p21 polymorphisms and non-coronary atherosclerotic diseases.
- To determine if 9p21 polymorphisms, known for CHD risk, are also associated with HF, stroke, and subclinical atherosclerosis.
Main Methods:
- Analysis of 4018 African-American and 11 085 white participants from the Atherosclerosis Risk in Communities Study.
- Examination of rs10757274 and rs2383206 polymorphisms in relation to incident HF, ischemic stroke, prevalent carotid atherosclerosis, and peripheral artery disease (PAD).
Main Results:
- The GG genotype of rs10757274 was associated with increased HF risk in white participants, independent of known CHD links.
- A weak association was observed between the GG genotype of rs10757274 and increased carotid atherosclerosis risk among whites.
- No significant associations were found for ischemic stroke or PAD in relation to these polymorphisms.
Conclusions:
- The GG genotype of rs10757274 on chromosome 9p21 is associated with increased heart failure risk in whites.
- This genetic variant shows weak or no association with other major atherosclerosis outcomes like stroke and PAD.
Aims:
Recent studies showed that polymorphisms on chromosome 9p21 are associated with coronary heart disease (CHD), but few studies examined the association with heart failure (HF), stroke, or other subclinical atherosclerotic diseases. We tested the association of chromosome 9p21 polymorphisms with non-coronary atherosclerotic diseases.
Methods And Results:
We studied 4018 African-American and 11 085 white participants from the Atherosclerosis Risk in Communities Study, aged 45-64 at baseline (1987-89). We examined associations of rs10757274 and rs2383206 polymorphisms with incident HF through 2005 and ischaemic stroke through 2004, and with prevalent carotid atherosclerosis and peripheral artery disease (PAD) at baseline. The GG genotype of rs10757274 was associated with increased HF risk for whites. This association seemed independent of the established link between rs10757274 and clinical CHD, although an impact of rs10757274 on subclinical CHD leading to HF is not eliminated. Among whites, GG homozygotes were at weakly increased carotid atherosclerosis risk. There seemed to be no associations for ischaemic stroke or PAD. The results were essentially similar for rs2383206.
Conclusion:
The GG genotype of rs10757274 on chromosome 9p21, which has been shown to increase CHD risk, is also associated with increased HF risk among whites. It is weakly or not associated with several other atherosclerosis outcomes.
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