Mapping of 79 loci for 83 plasma protein biomarkers in cardiovascular disease
Open accessAbstract
Recent advances in highly multiplexed immunoassays have allowed systematic large-scale measurement of hundreds of plasma proteins in large cohort studies. In combination with genotyping, such studies offer the prospect to 1) identify mechanisms involved with regulation of protein expression in plasma, and 2) determine whether the plasma proteins are likely to be causally implicated in disease. We report here the results of genome-wide association (GWA) studies of 83 proteins considered relevant to cardiovascular disease (CVD), measured in 3,394 individuals with multiple CVD risk factors. We identified 79 genome-wide significant (p<5e-8) association signals, 55 of which replicated at P<0.0007 in separate validation studies (n = 2,639 individuals). Using automated text mining, manual curation, and network-based methods incorporating information on expression quantitative trait loci (eQTL), we propose plausible causal mechanisms for 25 trans-acting loci, including a potential post-translational regulation of stem cell factor by matrix metalloproteinase 9 and receptor-ligand pairs such as RANK-RANK ligand. Using public GWA study data, we further evaluate all 79 loci for their causal effect on coronary artery disease, and highlight several potentially causal associations. Overall, a majority of the plasma proteins studied showed evidence of regulation at the genetic level. Our results enable future studies of the causal architecture of human disease, which in turn should aid discovery of new drug targets.
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IL6R was selected because it has been widely reported by previous pQTL studies as an example of the successful linking of molecular traits and diseases to discover drug targets.
“IL6R was selected because it has been widely reported by previous pQTL studies as an example of the successful linking of molecular traits and diseases to discover drug targets50,59.”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [50]
The Discussion (‘Insights into potential causal involvement of the plasma proteins in CVD’; page unavailable) identifies IL6R as a protein with evidence of potentially causal involvement in coronary artery disease and notes trials of an IL6R inhibitor. The Discussion also says the IL6R pQTL association was previously known and replicated. It does not establish that previous pQTL studies widely reported IL6R as a successful example of drug-target discovery; the inhibitor trials were still underway. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOf the 278 pQTLs, 34 (12.23%) were tested in the Folkersen et al. study; 29 (85.29%) were significant at Benjamini-Hochberg FDR < 0.05 and all significant pQTLs were directionally concordant.
“12.23% (34/278) pQTLs were tested in the Folkersen et al. study50 and 85.29% (29/34) of the pQTLs were significant (Benjamini–Hochberg FDR < 0.05) and all the significant pQTLs were also directionally concordant with the current study (Supplementary Table S2).”
From Genetic determinants of plasma protein levels in the Estonian population (2024) · cites this paper as [50]
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“This proximity by extension assay (PEA) measures 92 proteins in just 1 μL of plasma [9, 18].”
Method
- Authors
- Folkersen, L., Fauman, E., Sabater-Lleal, M., Strawbridge, R. J., Frånberg, M., Sennblad, B., Baldassarre, D., Veglia, F., Humphries, S. E., Rauramaa, R., de Faire, U., Smit, A. J., Giral, P., Kurl, S., Mannarino, E., Enroth, S., Johansson, Å., Enroth, S. B., Gustafsson, S., Lind, L., Lindgren, C., Morris, A. P., Giedraitis, V., Silveira, A., Franco-Cereceda, A., Tremoli, E., IMPROVE study group, Gyllensten, U., Ingelsson, E., Brunak, S., Eriksson, P., Ziemek, D., Hamsten, A., & Mälarstig, A.
- Affiliations
- Karolinska Institutet (SE)
- Pfizer (United States) (US)
- University of Milan (IT)
- Centro Cardiologico Monzino (IT)
- British Heart Foundation (GB)
- University Medical Center Groningen (NL)
- Assistance Publique – Hôpitaux de Paris (FR)
- University of Eastern Finland (FI)
- University of Perugia (IT)
- Uppsala University (SE)
- Centre for Human Genetics (GB)
- University of Liverpool (GB)
- Corresponding author
- Mälarstig, Anders
- ORCID
- Folkersen, Lasse
- Fauman, Eric
- Sabater-Lleal, Maria
- Strawbridge, Rona J.
- Frånberg, Mattias
- Sennblad, Bengt
- Baldassarre, Damiano
- Veglia, Fabrizio
- Humphries, Steve E.
- Smit, Andries J.
- Giral, Philippe
- Kurl, Sudhir
- Mannarino, Elmo
- Enroth, Stefan
- Johansson, Åsa
- Gustafsson, Stefan
- Lind, Lars
- Lindgren, Cecilia
- Morris, Andrew P.
- Giedraitis, Vilmantas
- Silveira, Angela
- Tremoli, Elena
- Gyllensten, Ulf
- Ingelsson, Erik
- Brunak, Søren
- Eriksson, Per
- Hamsten, Anders
- Mälarstig, Anders
- Venue
- PLOS Genetics
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-04-03
- Volume
- 13
- Issue
- 4
- Pages
- e1006706
- ISSN
- 1553-7390 (ISSN-L)
- 1553-7404
- PMC
- PMC5393901
- OpenAlex
- W2605261164
- Cited by
- 343
- References
- 4
- Citations by year
- 2026: 36 · 2025: 57 · 2024: 92 · 2023: 38 · 2022: 31 · 2021: 32 · 2020: 24 · 2019: 16 · 2018: 13 · 2017: 4
- FWCI
- 10.28
- Type
- journal article
- Language
- en
- Update notices
- new_version (2017-04-17)
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS Genetics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, cc-by)
- UEF eRepo (University of Eastern Finland) (submittedVersion, cc-by)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- UEF eRepo (University of Eastern Finland) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Oxford University Research Archive (ORA) (University of Oxford) (submittedVersion, cc-by)
- Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
- Funders
- European Hematology Association
- Wellcome Trust (WT098017)
- Innovationsfonden
- National Institute for Health and Care Research (PG08/008)
- British Heart Foundation (PG 08/008, RG/08/008/25291)
- University College London
- National Heart, Lung, and Blood Institute (R01HL135313)
- 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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Keywords
- plasma protein biomarkers, cardiovascular disease, genome-wide association study, expression quantitative trait loci, stem cell factor, MMP-9, coronary artery disease, causal mechanisms, post-translational regulation, drug target identification
- MeSH terms
- Blood Proteins, Cardiovascular Diseases, Coronary Artery Disease, Female, Humans, Male, Biomarkers, Genetic Predisposition to Disease, Quantitative Trait Loci, Genome-Wide Association Study
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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