Integrative Prioritization of Causal Genes for Coronary Artery Disease

Ke Hao1,2, Raili Ermel3, Katyayani Sukhavasi3

  • 1Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, NY (K.H., H.C., L.M., L.A., J.L.M.B.).

Abstract

Insights

Researchers identified 162 candidate causal genes for coronary artery disease (CAD) by integrating genome-wide association studies with gene expression data. Top genes like CDKN2B and PHACTR1 show effects in the arterial wall, aiding targeted therapy development.

Area of Science:

  • Genomics
  • Cardiovascular Research
  • Systems Biology

Background:

  • Genome-wide association studies (GWAS) have identified numerous coronary artery disease (CAD) candidate genes.
  • A lack of systematic methods hinders understanding causal mechanisms and prioritizing genes for CAD therapies.
  • Integrative genomics pipelines offer a powerful approach to identify and prioritize causal genes by combining GWAS with gene expression data.

Purpose of the Study:

  • To develop a comprehensive integrative genomics pipeline for CAD.
  • To identify and prioritize causal genes for coronary artery disease.
  • To localize the tissue-specific effects of these causal genes.

Main Methods:

  • Integrated GWAS summary statistics (UK Biobank, CARDIoGRAMplusC4D) with transcriptomic and expression quantitative trait loci (eQTL) data.
  • Utilized data from the STARNET study across 9 cardiometabolic tissue/cell types.
  • Employed complementary informatics approaches for comprehensive analysis.

Main Results:

  • Identified 162 unique candidate causal genes for CAD.
  • These genes exert effects in 1–7 disease-relevant tissues, including arterial wall, blood, liver, and immune cells.
  • Top prioritized genes include CDKN2B and PHACTR1, primarily acting in the arterial wall; 22 genes were key drivers in CAD-associated networks.

Conclusions:

  • Successfully identified and prioritized candidate causal CAD genes.
  • Localized the tissue(s) of causal effect for these genes.
  • Provides a valuable resource to facilitate targeted studies on the functional impact of top CAD genes.

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