Cited by 1,866Genetic Associations and EpidemiologyGenetic Mapping and Diversity in Plants and AnimalsCardiovascular Health and Risk Factors

Large-scale association analysis identifies 13 new susceptibility loci for coronary artery disease

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Cardiogenics, Schunkert, Heribert, the CARDIoGRAM Consortium, König, Inke R, Kathiresan, Sekar, Reilly, Muredach P, Assimes, Themistocles L, Holm, Hilma +160 more·2011·Nature Genetics

Abstract

We performed a meta-analysis of 14 genome-wide association studies of coronary artery disease (CAD) comprising 22,233 individuals with CAD (cases) and 64,762 controls of European descent followed by genotyping of top association signals in 56,682 additional individuals. This analysis identified 13 loci newly associated with CAD at P < 5 × 10⁻⁸ and confirmed the association of 10 of 12 previously reported CAD loci. The 13 new loci showed risk allele frequencies ranging from 0.13 to 0.91 and were associated with a 6% to 17% increase in the risk of CAD per allele. Notably, only three of the new loci showed significant association with traditional CAD risk factors and the majority lie in gene regions not previously implicated in the pathogenesis of CAD. Finally, five of the new CAD risk loci appear to have pleiotropic effects, showing strong association with various other human diseases or traits.

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  • In a genetic risk score analysis combining lead variants at all seven LTL-associated loci in 22,233 CAD cases and 64,762 controls, alleles associated with shorter LTL were associated with increased risk of CAD (21% (95% CI: 5-35%) per standard deviation in LTL, p=0.014).

    “Moreover, a genetic risk score analysis combining lead variants at all seven loci in 22,233 coronary artery disease cases and 64,762 controls showed an association of the alleles associated with shorter LTL with increased risk of CAD (21% (95% CI: 5–35%) per standard deviation in LTL, p=0.014).”

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Authors
Cardiogenics, Schunkert, H., the CARDIoGRAM Consortium, König, I. R., Kathiresan, S., Reilly, M. P., Assimes, T. L., Holm, H., Preuss, M., Stewart, A. F. R., Barbalic, M., Gieger, C., Absher, D., Aherrahrou, Z., Allayee, H., Altshuler, D., Anand, S. S., Andersen, K., Anderson, J. L., Ardissino, D., Ball, S. G., Balmforth, A. J., Barnes, T. A., Becker, D. M., Becker, L. C., Berger, K., Bis, J. C., Boekholdt, S. M., Boerwinkle, E., Braund, P. S., Brown, M. J., Burnett, M. S., Buysschaert, I., Carlquist, J. F., Chen, L., Cichon, S., Codd, V., Davies, R. W., Dedoussis, G., Dehghan, A., Demissie, S., Devaney, J. M., Diemert, P., Do, R., Doering, A., Eifert, S., Mokhtari, N. E. E., Ellis, S. G., Elosua, R., Engert, J. C., Epstein, S. E., de Faire, U., Fischer, M., Folsom, A. R., Freyer, J., Gigante, B., Girelli, D., Gretarsdottir, S., Gudnason, V., Gulcher, J. R., Halperin, E., Hammond, N., Hazen, S. L., Hofman, A., Horne, B. D., Illig, T., Iribarren, C., Jones, G. T., Jukema, J. W., Kaiser, M. A., Kaplan, L. M., Kastelein, J. J. P., Khaw, K.-T., Knowles, J. W., Kolovou, G., Kong, A., Laaksonen, R., Lambrechts, D., Leander, K., Lettre, G., Li, M., Lieb, W., Loley, C., Lotery, A. J., Mannucci, P. M., Maouche, S., Martinelli, N., McKeown, P. P., Meisinger, C., Meitinger, T., Melander, O., Merlini, P. A., Mooser, V., Morgan, T., Mühleisen, T. W., Muhlestein, J. B., Münzel, T., Musunuru, K., Nahrstaedt, J., Nelson, C. P., Nöthen, M. M., Olivieri, O., Patel, R. S., Patterson, C. C., Peters, A., Peyvandi, F., Qu, L., Quyyumi, A. A., Rader, D. J., Rallidis, L. S., Rice, C., Rosendaal, F. R., Rubin, D., Salomaa, V., Sampietro, M. L., Sandhu, M. S., Schadt, E., Schäfer, A., Schillert, A., Schreiber, S., Schrezenmeir, J., Schwartz, S. M., Siscovick, D. S., Sivananthan, M., Sivapalaratnam, S., Smith, A., Smith, T. B., Snoep, J. D., Soranzo, N., Spertus, J. A., Stark, K., Stirrups, K., Stoll, M., Tang, W. H. W., Tennstedt, S., Thorgeirsson, G., Thorleifsson, G., Tomaszewski, M., Uitterlinden, A. G., van Rij, A. M., Voight, B. F., Wareham, N. J., Wells, G. A., Wichmann, H.-E., Wild, P. S., Willenborg, C., Witteman, J. C. M., Wright, B. J., Ye, S., Zeller, T., Ziegler, A., Cambien, F., Goodall, A. H., Cupples, L. A., Quertermous, T., März, W., Hengstenberg, C., Blankenberg, S., Ouwehand, W. H., Hall, A. S., Deloukas, P., Thompson, J. R., Stefansson, K., Roberts, R., Thorsteinsdottir, U., O'Donnell, C. J., McPherson, R., & Erdmann, J.
Affiliations
  • University of Lübeck (DE)
  • Massachusetts General Hospital (US)
  • Broad Institute (US)
  • Stanford Medicine (US)
  • deCODE Genetics (Iceland) (IS)
  • Ottawa Heart Institute (CA)
  • Helmholtz Munich (DE)
  • HudsonAlpha Institute for Biotechnology (US)
  • University of Southern California (US)
  • Population Health Research Institute (CA)
  • University of Iceland (IS)
  • University of Utah (US)
  • University of Leeds (GB)
  • Johns Hopkins University (US)
  • University of Washington (US)
  • Amsterdam UMC Location University of Amsterdam (NL)
  • University of Leicester (GB)
  • MedStar Washington Hospital Center (US)
  • University of Bonn (DE)
  • Harokopio University of Athens (GR)
  • Erasmus MC (NL)
  • Boston University (US)
  • McGill University (CA)
  • München Klinik (DE)
  • Cleveland Clinic (US)
  • University of Minnesota (US)
  • Karolinska Institutet (SE)
  • University of Verona (IT)
  • International Computer Science Institute (US)
  • Kaiser Permanente (US)
  • Leiden University Medical Center (NL)
  • University of Cambridge (GB)
  • Onassis Cardiac Surgery Center (GR)
  • Tampere University Hospital (FI)
  • Montreal Heart Institute (CA)
  • University of Pennsylvania (US)
  • Southampton General Hospital (GB)
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
  • Queen's University Belfast (GB)
  • TUM Klinikum (DE)
  • Lund University (SE)
  • Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
  • Vanderbilt University (US)
  • Johannes Gutenberg University Mainz (DE)
  • University of Milan (IT)
  • Emory University (US)
  • National and Kapodistrian University of Athens (GR)
  • Finnish Institute for Health and Welfare (FI)
  • Sage Bionetworks (US)
  • Christian-Albrechts-Universität zu Kiel (DE)
  • National Health Service (GB)
  • National Institutes of Health (US)
  • Wellcome Sanger Institute (GB)
  • University of Missouri–Kansas City (US)
  • University of Münster (DE)
  • Queen Mary University of London (GB)
  • Inserm (FR)
  • Medical University of Graz (AT)
  • NHS Blood and Transplant (GB)
Corresponding author
Schunkert, Heribert
ORCID
Venue
Nature Genetics
Published
2011-03-06
Volume
43
Issue
4
Pages
333-338
ISSN
  • 1061-4036 (ISSN-L)
  • 1546-1718
OpenAlex
W2112848098
Cited by
1,866
References
40
Citations by year
2026: 36 · 2025: 58 · 2024: 91 · 2023: 82 · 2022: 92 · 2021: 101 · 2020: 112 · 2019: 109 · 2018: 145 · 2017: 154 · 2016: 175 · 2015: 182 · 2014: 141 · 2013: 152 · 2012: 163
FWCI
17.62
Type
journal article
Language
en
Open access
Locations
  • Nature Genetics (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • PubMed Central (acceptedVersion)
  • University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Leiden Repository (Leiden University) (submittedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • JuSER (Forschungszentrum Jülich) (submittedVersion)
  • Leicester Research Archive (University of Leicester) (submittedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • Research Portal (Queen's University Belfast) (submittedVersion)
  • OPUS (Augsburg University) (submittedVersion)
  • Hirsla (Landspítali University Hospital) (submittedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
  • OpenAgrar (submittedVersion)
Funders
  • British Heart Foundation (PG/08/094/26019, RG/08/014/24067, RG/09/012/28096)
  • National Institutes of Health (n01hc25195-41-0-1)
  • Economic and Social Research Council (ES/G007438/1)
  • National Heart, Lung, and Blood Institute (R01HL087647, HL087647, N01-HC-025195, R01HL089650)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Mapping and Diversity in Plants and Animals
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
coronary artery disease, genetic susceptibility loci, pleiotropy, cardiovascular risk factors, risk alleles, disease risk loci
MeSH terms
Adult, Aged, Alleles, Coronary Artery Disease, Female, Gene Frequency, Humans, Male, Middle Aged, Risk Factors, Case-Control Studies, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Genome-Wide Association Study

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