Association of genetic variants with coronary artery disease and ischemic stroke in a longitudinal population-based
Yoshiji Yamada1, Kota Matsui2, Ichiro Takeuchi2
1Department of Human Functional Genomics, Life Science Research Center, Mie University, Tsu, Mie 514-8507, Japan ; Core Research for Evolutional Science and Technology, Japan Science and Technology Agency, Chiyoda-ku, Tokyo 102-0075, Japan.
Insights
This study identified genetic variants in the ALPK1 and THBS2 genes, along with a locus at chromosome 3q28, as protective factors against coronary artery disease and ischemic stroke. These findings highlight shared genetic susceptibility for these cardiovascular conditions.
Area of Science:
- Genetics
- Cardiovascular Epidemiology
- Genomic Association Studies
Background:
- Previous research identified nine genes and chromosomal region 3q28 as susceptibility loci for myocardial infarction, ischemic stroke, or chronic kidney disease.
- Coronary artery disease (CAD) and ischemic stroke may share common genetic factors, necessitating investigation into shared susceptibility variants.
Purpose of the Study:
- To examine the association of 13 polymorphisms at 10 previously identified loci with the prevalence of CAD and ischemic stroke.
- To identify specific genetic variants that confer susceptibility to both CAD and ischemic stroke.
Main Methods:
- Recruitment of 170 CAD patients, 117 ischemic stroke patients, and 5,718 controls for the Inabe Health and Longevity Study.
- Longitudinal analysis using generalized estimating equations, adjusting for demographic and clinical factors.
- Analysis of 13 polymorphisms across 10 genetic loci, including ALPK1, THBS2, and chromosome 3q28.
Main Results:
- The polymorphisms rs2074380 and rs2074381 in the ALPK1 gene and rs8089 in the THBS2 gene were significantly associated with CAD prevalence, with specific genotypes showing a protective effect.
- Polymorphisms rs9846911 (chromosome 3q28), rs2074381 (ALPK1), rs8089 (THBS2), and rs6046 (coagulation factor VII) were significantly associated with ischemic stroke prevalence, with specific genotypes conferring protection.
- Identified shared genetic loci (ALPK1, THBS2) associated with both CAD and ischemic stroke.
Conclusions:
- ALPK1 and THBS2 genes may represent susceptibility loci for both coronary artery disease and ischemic stroke.
- Specific genetic variants identified offer protective effects against these cardiovascular conditions.
- These findings contribute to understanding the shared genetic architecture of CAD and ischemic stroke.
Abstract:
Our previous studies identified nine genes and chromosomal region 3q28 as susceptibility loci for myocardial infarction, ischemic stroke or chronic kidney disease by genome-wide or candidate gene association studies. As coronary artery disease (CAD) and ischemic stroke may share genetic architecture, certain genetic variants may confer susceptibility to the two diseases. The present study examined the association of 13 polymorphisms at these 10 loci with the prevalence of CAD or ischemic stroke in community-dwelling individuals, with the aim of identifying genetic variants that confer susceptibility to the two conditions. Study subjects (170 with CAD, 117 with ischemic stroke and 5,718 controls) were recruited to the Inabe Health and Longevity Study, a longitudinal genetic epidemiological study of atherosclerotic, cardiovascular and metabolic diseases. The subjects were recruited from individuals who visited for an annual health checkup and they were followed up each year (mean follow-up period, 5 years). Longitudinal analysis with a generalized estimating equation, and with adjustment for age, gender, body mass index, smoking status, the prevalence of hypertension, diabetes mellitus and dyslipidemia and the serum concentration of creatinine, revealed that rs2074380 (G→A) and rs2074381 (A→G) of the α-kinase 1 (ALPK1) gene and rs8089 (T→G) of the thrombospondin 2 (THBS2) gene were significantly (P<2×10-16) associated with the prevalence of CAD, with the AA genotype of rs2074380 and GG genotypes of rs2074381 and rs8089 being protective against this condition. Similar analysis revealed that rs9846911 (A→G) at chromosome 3q28, rs2074381 of ALPK1, rs8089 of THBS2 and rs6046 (G→A) of the coagulation factor VII gene were significantly (P<2×10-16) associated with the prevalence of ischemic stroke, with the GG genotypes of rs9846911, rs2074381 and rs8089 and the AA genotype of rs6046 being protective against this condition. ALPK1 and THBS2 may thus be susceptibility loci for CAD and ischemic stroke.
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