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Repeated Replication and a Prospective Meta-Analysis of the Association Between Chromosome 9p21.3 and Coronary Artery Disease

Open access
Schunkert, Heribert, Götz, Anika, Braund, Peter, McGinnis, Ralph, Tregouet, David-Alexandre, Mangino, Massimo, Linsel-Nitschke, Patrick, Cambien, Francois, Hengstenberg, Christian, Stark, Klaus, Blankenberg, Stefan, Tiret, Laurence, Ducimetiere, Pierre, Keniry, Andrew, Ghori, Mohammed J.R., Schreiber, Stefan, El Mokhtari, Nour Eddine, Hall, Alistair S., Dixon, Richard J., Goodall, Alison H., Liptau, Henrike, Pollard, Helen, Schwarz, Daniel F., Hothorn, Ludwig A., Wichmann, H. -Erich, König, Inke R., Fischer, Marcus, Meisinger, Christa, Ouwehand, Willem, Deloukas, Panos, Thompson, John R., Erdmann, Jeanette, Ziegler, Andreas, Samani, Nilesh J.·2008·Circulation

Abstract

Background— Recently, genome-wide association studies identified variants on chromosome 9p21.3 as affecting the risk of coronary artery disease (CAD). We investigated the association of this locus with CAD in 7 case-control studies and undertook a meta-analysis. Methods and Results— A single-nucleotide polymorphism (SNP), rs1333049, representing the 9p21.3 locus, was genotyped in 7 case-control studies involving a total of 4645 patients with myocardial infarction or CAD and 5177 controls. The mode of inheritance was determined. In addition, in 5 of the 7 studies, we genotyped 3 additional SNPs to assess a risk-associated haplotype (ACAC). Finally, a meta-analysis of the present data and previously published samples was conducted. A limited fine mapping of the locus was performed. The risk allele (C) of the lead SNP, rs1333049, was uniformly associated with CAD in each study ( P <0.05). In a pooled analysis, the odds ratio per copy of the risk allele was 1.29 (95% confidence interval, 1.22 to 1.37; P =0.0001). Haplotype analysis further suggested that this effect was not homogeneous across the haplotypic background (test for interaction, P =0.0079). An autosomal-additive mode of inheritance best explained the underlying association. The meta-analysis of the rs1333049 SNP in 12 004 cases and 28 949 controls increased the overall level of evidence for association with CAD to P =6.04×10 −10 (odds ratio, 1.24; 95% confidence interval, 1.20 to 1.29). Genotyping of 31 additional SNPs in the region identified several with a highly significant association with CAD, but none had predictive information beyond that of the rs1333049 SNP. Conclusion— This broad replication provides unprecedented evidence for association between genetic variants at chromosome 9p21.3 and risk of CAD.

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Metadata

Authors
Schunkert, H., Götz, A., Braund, P., McGinnis, R., Tregouet, D.-A., Mangino, M., Linsel-Nitschke, P., Cambien, F., Hengstenberg, C., Stark, K., Blankenberg, S., Tiret, L., Ducimetiere, P., Keniry, A., Ghori, M. J. R., Schreiber, S., El Mokhtari, N. E., Hall, A. S., Dixon, R. J., Goodall, A. H., Liptau, H., Pollard, H., Schwarz, D. F., Hothorn, L. A., Wichmann, H. E., König, I. R., Fischer, M., Meisinger, C., Ouwehand, W., Deloukas, P., Thompson, J. R., Erdmann, J., Ziegler, A., & Samani, N. J.
Venue
Circulation
Published
2008-04
Volume
117
Issue
13
Pages
1675-1684
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2144062486
Cited by
387
References
6
FWCI
4.86
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Repeated Replication and a Prospective Meta-Analysis of the Association Between Chromosome 9p21.3 and Coronary Artery Disease. https://app.cochat.ai/papers/10.1161/circulationaha.107.730614
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Schunkert, H., Götz, A., Braund, P., McGinnis, R., Tregouet, D.-A., Mangino, M., Linsel-Nitschke, P., Cambien, F., Hengstenberg, C., Stark, K., Blankenberg, S., Tiret, L., Ducimetiere, P., Keniry, A., Ghori, M. J. R., Schreiber, S., El Mokhtari, N. E., Hall, A. S., Dixon, R. J., . . . Samani, N. J. (2008). Repeated Replication and a Prospective Meta-Analysis of the Association Between Chromosome 9p21.3 and Coronary Artery Disease. Circulation. https://doi.org/10.1161/circulationaha.107.730614

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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