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Updated: May 29, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Thirty-five common variants for coronary artery disease: the fruits of much collaborative labour
1Department of Cardiovascular Medicine, The Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, UK.
Insights
Genetic studies have identified 34 common variants associated with coronary artery disease (CAD), a leading global cause of death. Further research is needed to understand the mechanisms behind these genetic links and discover more CAD-related genes.
Area of Science:
- Genetics
- Cardiovascular Disease Research
- Genomics
Background:
- Coronary artery disease (CAD) is the primary cause of mortality globally.
- Familial clustering of CAD suggests a significant genetic component.
- Previous genome-wide association studies (GWAS) have identified numerous common variants linked to CAD.
Purpose of the Study:
- To summarize the current understanding of genetic loci associated with coronary artery disease.
- To highlight the implications of identified variants for disease pathogenesis and risk factor mechanisms.
- To identify future research directions for uncovering novel CAD-related genes.
Main Methods:
- Large-scale genome-wide and gene-centric genotyping studies.
- Analysis of tens of thousands of cases and controls.
- Examination of allelic heterogeneity and copy number variation in common variants.
- Utilizing quantitative trait loci associations and Mendelian randomization studies.
Main Results:
- 34 distinct genetic loci associated with common coronary artery disease variants have been mapped.
- Some identified loci contain candidate genes suggesting conventional or emerging risk factor pathways.
- Common variants explain approximately 4% of inter-individual CAD risk variation and up to 13% of heritability.
- Mechanistic links for most loci remain uncertain, indicating potential for novel research avenues.
Conclusions:
- Genetic factors play a substantial role in coronary artery disease susceptibility.
- Current common variants explain a small proportion of CAD heritability, suggesting many genes remain undiscovered.
- Future large-scale GWAS and resequencing studies are expected to identify additional common and rare variants contributing to CAD risk.
Abstract:
Coronary artery disease (CAD) is the leading cause of death worldwide. Affected individuals cluster in families in patterns that reflect the sharing of numerous susceptibility genes. Genome-wide and large-scale gene-centric genotyping studies that involve tens of thousands of cases and controls have now mapped common disease variants to 34 distinct loci. Some coronary disease common variants show allelic heterogeneity or copy number variation. Some of the loci include candidate genes that imply conventional or emerging risk factor-mediated mechanisms of disease pathogenesis. Quantitative trait loci associations with risk factors have been informative in Mendelian randomization studies as well as fine-mapping of causative variants. But, for most loci, plausible mechanistic links are uncertain or obscure at present but provide potentially novel directions for research into this disease's pathogenesis. The common variants explain ~4% of inter-individual variation in disease risk and no more than 13% of the total heritability of coronary disease. Although many CAD genes are presently undiscovered, it is likely that larger collaborative genome-wide association studies will map further common/low-penetrance variants and hoped that low-frequency or rare high-penetrance variants will also be identified in medical resequencing experiments.
Related Concept Videos
Principles of Pharmacogenetics: Types of Genetic Variants
Coronary Artery Disease I: Introduction
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease III: Clinical Manifestations
Pharmacogenomics: Identification of New Drug Targets
Acute Coronary Syndrome III: Diagnostic Studies
