TY - JOUR T1 - Pharmacogenetic meta-analysis of genome-wide association studies of LDL cholesterol response to statins. JF - Nat Commun Y1 - 2014 A1 - Postmus, Iris A1 - Trompet, Stella A1 - Deshmukh, Harshal A A1 - Barnes, Michael R A1 - Li, Xiaohui A1 - Warren, Helen R A1 - Chasman, Daniel I A1 - Zhou, Kaixin A1 - Arsenault, Benoit J A1 - Donnelly, Louise A A1 - Wiggins, Kerri L A1 - Avery, Christy L A1 - Griffin, Paula A1 - Feng, QiPing A1 - Taylor, Kent D A1 - Li, Guo A1 - Evans, Daniel S A1 - Smith, Albert V A1 - de Keyser, Catherine E A1 - Johnson, Andrew D A1 - de Craen, Anton J M A1 - Stott, David J A1 - Buckley, Brendan M A1 - Ford, Ian A1 - Westendorp, Rudi G J A1 - Slagboom, P Eline A1 - Sattar, Naveed A1 - Munroe, Patricia B A1 - Sever, Peter A1 - Poulter, Neil A1 - Stanton, Alice A1 - Shields, Denis C A1 - O'Brien, Eoin A1 - Shaw-Hawkins, Sue A1 - Chen, Y-D Ida A1 - Nickerson, Deborah A A1 - Smith, Joshua D A1 - Dubé, Marie Pierre A1 - Boekholdt, S Matthijs A1 - Hovingh, G Kees A1 - Kastelein, John J P A1 - McKeigue, Paul M A1 - Betteridge, John A1 - Neil, Andrew A1 - Durrington, Paul N A1 - Doney, Alex A1 - Carr, Fiona A1 - Morris, Andrew A1 - McCarthy, Mark I A1 - Groop, Leif A1 - Ahlqvist, Emma A1 - Bis, Joshua C A1 - Rice, Kenneth A1 - Smith, Nicholas L A1 - Lumley, Thomas A1 - Whitsel, Eric A A1 - Stürmer, Til A1 - Boerwinkle, Eric A1 - Ngwa, Julius S A1 - O'Donnell, Christopher J A1 - Vasan, Ramachandran S A1 - Wei, Wei-Qi A1 - Wilke, Russell A A1 - Liu, Ching-Ti A1 - Sun, Fangui A1 - Guo, Xiuqing A1 - Heckbert, Susan R A1 - Post, Wendy A1 - Sotoodehnia, Nona A1 - Arnold, Alice M A1 - Stafford, Jeanette M A1 - Ding, Jingzhong A1 - Herrington, David M A1 - Kritchevsky, Stephen B A1 - Eiriksdottir, Gudny A1 - Launer, Leonore J A1 - Harris, Tamara B A1 - Chu, Audrey Y A1 - Giulianini, Franco A1 - MacFadyen, Jean G A1 - Barratt, Bryan J A1 - Nyberg, Fredrik A1 - Stricker, Bruno H A1 - Uitterlinden, André G A1 - Hofman, Albert A1 - Rivadeneira, Fernando A1 - Emilsson, Valur A1 - Franco, Oscar H A1 - Ridker, Paul M A1 - Gudnason, Vilmundur A1 - Liu, Yongmei A1 - Denny, Joshua C A1 - Ballantyne, Christie M A1 - Rotter, Jerome I A1 - Adrienne Cupples, L A1 - Psaty, Bruce M A1 - Palmer, Colin N A A1 - Tardif, Jean-Claude A1 - Colhoun, Helen M A1 - Hitman, Graham A1 - Krauss, Ronald M A1 - Wouter Jukema, J A1 - Caulfield, Mark J KW - Cholesterol, LDL KW - Genome-Wide Association Study KW - Humans KW - Hydroxymethylglutaryl-CoA Reductase Inhibitors KW - Pharmacogenetics KW - Polymorphism, Single Nucleotide AB -

Statins effectively lower LDL cholesterol levels in large studies and the observed interindividual response variability may be partially explained by genetic variation. Here we perform a pharmacogenetic meta-analysis of genome-wide association studies (GWAS) in studies addressing the LDL cholesterol response to statins, including up to 18,596 statin-treated subjects. We validate the most promising signals in a further 22,318 statin recipients and identify two loci, SORT1/CELSR2/PSRC1 and SLCO1B1, not previously identified in GWAS. Moreover, we confirm the previously described associations with APOE and LPA. Our findings advance the understanding of the pharmacogenetic architecture of statin response.

VL - 5 U1 - http://www.ncbi.nlm.nih.gov/pubmed/25350695?dopt=Abstract ER - TY - JOUR T1 - Discovery of novel heart rate-associated loci using the Exome Chip. JF - Hum Mol Genet Y1 - 2017 A1 - van den Berg, Marten E A1 - Warren, Helen R A1 - Cabrera, Claudia P A1 - Verweij, Niek A1 - Mifsud, Borbala A1 - Haessler, Jeffrey A1 - Bihlmeyer, Nathan A A1 - Fu, Yi-Ping A1 - Weiss, Stefan A1 - Lin, Henry J A1 - Grarup, Niels A1 - Li-Gao, Ruifang A1 - Pistis, Giorgio A1 - Shah, Nabi A1 - Brody, Jennifer A A1 - Müller-Nurasyid, Martina A1 - Lin, Honghuang A1 - Mei, Hao A1 - Smith, Albert V A1 - Lyytikäinen, Leo-Pekka A1 - Hall, Leanne M A1 - van Setten, Jessica A1 - Trompet, Stella A1 - Prins, Bram P A1 - Isaacs, Aaron A1 - Radmanesh, Farid A1 - Marten, Jonathan A1 - Entwistle, Aiman A1 - Kors, Jan A A1 - Silva, Claudia T A1 - Alonso, Alvaro A1 - Bis, Joshua C A1 - de Boer, Rudolf A1 - de Haan, Hugoline G A1 - de Mutsert, Renée A1 - Dedoussis, George A1 - Dominiczak, Anna F A1 - Doney, Alex S F A1 - Ellinor, Patrick T A1 - Eppinga, Ruben N A1 - Felix, Stephan B A1 - Guo, Xiuqing A1 - Hagemeijer, Yanick A1 - Hansen, Torben A1 - Harris, Tamara B A1 - Heckbert, Susan R A1 - Huang, Paul L A1 - Hwang, Shih-Jen A1 - Kähönen, Mika A1 - Kanters, Jørgen K A1 - Kolcic, Ivana A1 - Launer, Lenore J A1 - Li, Man A1 - Yao, Jie A1 - Linneberg, Allan A1 - Liu, Simin A1 - Macfarlane, Peter W A1 - Mangino, Massimo A1 - Morris, Andrew D A1 - Mulas, Antonella A1 - Murray, Alison D A1 - Nelson, Christopher P A1 - Orrù, Marco A1 - Padmanabhan, Sandosh A1 - Peters, Annette A1 - Porteous, David J A1 - Poulter, Neil A1 - Psaty, Bruce M A1 - Qi, Lihong A1 - Raitakari, Olli T A1 - Rivadeneira, Fernando A1 - Roselli, Carolina A1 - Rudan, Igor A1 - Sattar, Naveed A1 - Sever, Peter A1 - Sinner, Moritz F A1 - Soliman, Elsayed Z A1 - Spector, Timothy D A1 - Stanton, Alice V A1 - Stirrups, Kathleen E A1 - Taylor, Kent D A1 - Tobin, Martin D A1 - Uitterlinden, Andre A1 - Vaartjes, Ilonca A1 - Hoes, Arno W A1 - van der Meer, Peter A1 - Völker, Uwe A1 - Waldenberger, Melanie A1 - Xie, Zhijun A1 - Zoledziewska, Magdalena A1 - Tinker, Andrew A1 - Polasek, Ozren A1 - Rosand, Jonathan A1 - Jamshidi, Yalda A1 - van Duijn, Cornelia M A1 - Zeggini, Eleftheria A1 - Wouter Jukema, J A1 - Asselbergs, Folkert W A1 - Samani, Nilesh J A1 - Lehtimäki, Terho A1 - Gudnason, Vilmundur A1 - Wilson, James A1 - Lubitz, Steven A A1 - Kääb, Stefan A1 - Sotoodehnia, Nona A1 - Caulfield, Mark J A1 - Palmer, Colin N A A1 - Sanna, Serena A1 - Mook-Kanamori, Dennis O A1 - Deloukas, Panos A1 - Pedersen, Oluf A1 - Rotter, Jerome I A1 - Dörr, Marcus A1 - O'Donnell, Chris J A1 - Hayward, Caroline A1 - Arking, Dan E A1 - Kooperberg, Charles A1 - van der Harst, Pim A1 - Eijgelsheim, Mark A1 - Stricker, Bruno H A1 - Munroe, Patricia B AB -

Background Resting heart rate is a heritable trait, and an increase in heart rate is associated with increased mortality risk. GWAS analyses have found loci associated with resting heart rate, at the time of our study these loci explained 0.9% of the variation.Aim To discover new genetic loci associated with heart rate from Exome Chip meta-analyses.Methods Heart rate was measured from either elecrtrocardiograms or pulse recordings. We meta-analysed heart rate association results from 104,452 European-ancestry individuals from 30 cohorts, genotyped using the Exome Chip. Twenty-four variants were selected for follow-up in an independent dataset (UK Biobank, N = 134,251). Conditional and gene-based testing was undertaken, and variants were investigated with bioinformatics methods.Results We discovered five novel heart rate loci, and one new independent low-frequency non-synonymous variant in an established heart rate locus (KIAA1755). Lead variants in four of the novel loci are non-synonymous variants in the genes C10orf71, DALDR3, TESK2, SEC31B. The variant at SEC31B is significantly associated with SEC31B expression in heart and tibial nerve tissue. Further candidate genes were detected from long range regulatory chromatin interactions in heart tissue (SCD, SLF2, MAPK8). We observed significant enrichment in DNase I hypersensitive sites in fetal heart and lung. Moreover, enrichment was seen for the first time in human neuronal progenitor cells (derived from embryonic stem cells) and fetal muscle samples by including our novel variants.Conclusion Our findings advance the knowledge of the genetic architecture of heart rate, and indicate new candidate genes for follow-up functional studies.

ER - TY - JOUR T1 - Equalization of four cardiovascular risk algorithms after systematic recalibration: individual-participant meta-analysis of 86 prospective studies. JF - Eur Heart J Y1 - 2018 A1 - Pennells, Lisa A1 - Kaptoge, Stephen A1 - Wood, Angela A1 - Sweeting, Mike A1 - Zhao, Xiaohui A1 - White, Ian A1 - Burgess, Stephen A1 - Willeit, Peter A1 - Bolton, Thomas A1 - Moons, Karel G M A1 - van der Schouw, Yvonne T A1 - Selmer, Randi A1 - Khaw, Kay-Tee A1 - Gudnason, Vilmundur A1 - Assmann, Gerd A1 - Amouyel, Philippe A1 - Salomaa, Veikko A1 - Kivimaki, Mika A1 - Nordestgaard, Børge G A1 - Blaha, Michael J A1 - Kuller, Lewis H A1 - Brenner, Hermann A1 - Gillum, Richard F A1 - Meisinger, Christa A1 - Ford, Ian A1 - Knuiman, Matthew W A1 - Rosengren, Annika A1 - Lawlor, Debbie A A1 - Völzke, Henry A1 - Cooper, Cyrus A1 - Marín Ibañez, Alejandro A1 - Casiglia, Edoardo A1 - Kauhanen, Jussi A1 - Cooper, Jackie A A1 - Rodriguez, Beatriz A1 - Sundström, Johan A1 - Barrett-Connor, Elizabeth A1 - Dankner, Rachel A1 - Nietert, Paul J A1 - Davidson, Karina W A1 - Wallace, Robert B A1 - Blazer, Dan G A1 - Björkelund, Cecilia A1 - Donfrancesco, Chiara A1 - Krumholz, Harlan M A1 - Nissinen, Aulikki A1 - Davis, Barry R A1 - Coady, Sean A1 - Whincup, Peter H A1 - Jørgensen, Torben A1 - Ducimetiere, Pierre A1 - Trevisan, Maurizio A1 - Engström, Gunnar A1 - Crespo, Carlos J A1 - Meade, Tom W A1 - Visser, Marjolein A1 - Kromhout, Daan A1 - Kiechl, Stefan A1 - Daimon, Makoto A1 - Price, Jackie F A1 - Gómez de la Cámara, Agustin A1 - Wouter Jukema, J A1 - Lamarche, Benoît A1 - Onat, Altan A1 - Simons, Leon A A1 - Kavousi, Maryam A1 - Ben-Shlomo, Yoav A1 - Gallacher, John A1 - Dekker, Jacqueline M A1 - Arima, Hisatomi A1 - Shara, Nawar A1 - Tipping, Robert W A1 - Roussel, Ronan A1 - Brunner, Eric J A1 - Koenig, Wolfgang A1 - Sakurai, Masaru A1 - Pavlovic, Jelena A1 - Gansevoort, Ron T A1 - Nagel, Dorothea A1 - Goldbourt, Uri A1 - Barr, Elizabeth L M A1 - Palmieri, Luigi A1 - Njølstad, Inger A1 - Sato, Shinichi A1 - Monique Verschuren, W M A1 - Varghese, Cherian V A1 - Graham, Ian A1 - Onuma, Oyere A1 - Greenland, Philip A1 - Woodward, Mark A1 - Ezzati, Majid A1 - Psaty, Bruce M A1 - Sattar, Naveed A1 - Jackson, Rod A1 - Ridker, Paul M A1 - Cook, Nancy R A1 - D'Agostino, Ralph B A1 - Thompson, Simon G A1 - Danesh, John A1 - Di Angelantonio, Emanuele AB -

Aims: There is debate about the optimum algorithm for cardiovascular disease (CVD) risk estimation. We conducted head-to-head comparisons of four algorithms recommended by primary prevention guidelines, before and after 'recalibration', a method that adapts risk algorithms to take account of differences in the risk characteristics of the populations being studied.

Methods and results: Using individual-participant data on 360 737 participants without CVD at baseline in 86 prospective studies from 22 countries, we compared the Framingham risk score (FRS), Systematic COronary Risk Evaluation (SCORE), pooled cohort equations (PCE), and Reynolds risk score (RRS). We calculated measures of risk discrimination and calibration, and modelled clinical implications of initiating statin therapy in people judged to be at 'high' 10 year CVD risk. Original risk algorithms were recalibrated using the risk factor profile and CVD incidence of target populations. The four algorithms had similar risk discrimination. Before recalibration, FRS, SCORE, and PCE over-predicted CVD risk on average by 10%, 52%, and 41%, respectively, whereas RRS under-predicted by 10%. Original versions of algorithms classified 29-39% of individuals aged ≥40 years as high risk. By contrast, recalibration reduced this proportion to 22-24% for every algorithm. We estimated that to prevent one CVD event, it would be necessary to initiate statin therapy in 44-51 such individuals using original algorithms, in contrast to 37-39 individuals with recalibrated algorithms.

Conclusion: Before recalibration, the clinical performance of four widely used CVD risk algorithms varied substantially. By contrast, simple recalibration nearly equalized their performance and improved modelled targeting of preventive action to clinical need.

ER - TY - JOUR T1 - Multi-ancestry GWAS of the electrocardiographic PR interval identifies 202 loci underlying cardiac conduction. JF - Nat Commun Y1 - 2020 A1 - Ntalla, Ioanna A1 - Weng, Lu-Chen A1 - Cartwright, James H A1 - Hall, Amelia Weber A1 - Sveinbjornsson, Gardar A1 - Tucker, Nathan R A1 - Choi, Seung Hoan A1 - Chaffin, Mark D A1 - Roselli, Carolina A1 - Barnes, Michael R A1 - Mifsud, Borbala A1 - Warren, Helen R A1 - Hayward, Caroline A1 - Marten, Jonathan A1 - Cranley, James J A1 - Concas, Maria Pina A1 - Gasparini, Paolo A1 - Boutin, Thibaud A1 - Kolcic, Ivana A1 - Polasek, Ozren A1 - Rudan, Igor A1 - Araujo, Nathalia M A1 - Lima-Costa, Maria Fernanda A1 - Ribeiro, Antonio Luiz P A1 - Souza, Renan P A1 - Tarazona-Santos, Eduardo A1 - Giedraitis, Vilmantas A1 - Ingelsson, Erik A1 - Mahajan, Anubha A1 - Morris, Andrew P A1 - del Greco M, Fabiola A1 - Foco, Luisa A1 - Gögele, Martin A1 - Hicks, Andrew A A1 - Cook, James P A1 - Lind, Lars A1 - Lindgren, Cecilia M A1 - Sundström, Johan A1 - Nelson, Christopher P A1 - Riaz, Muhammad B A1 - Samani, Nilesh J A1 - Sinagra, Gianfranco A1 - Ulivi, Sheila A1 - Kähönen, Mika A1 - Mishra, Pashupati P A1 - Mononen, Nina A1 - Nikus, Kjell A1 - Caulfield, Mark J A1 - Dominiczak, Anna A1 - Padmanabhan, Sandosh A1 - Montasser, May E A1 - O'Connell, Jeff R A1 - Ryan, Kathleen A1 - Shuldiner, Alan R A1 - Aeschbacher, Stefanie A1 - Conen, David A1 - Risch, Lorenz A1 - Thériault, Sébastien A1 - Hutri-Kähönen, Nina A1 - Lehtimäki, Terho A1 - Lyytikäinen, Leo-Pekka A1 - Raitakari, Olli T A1 - Barnes, Catriona L K A1 - Campbell, Harry A1 - Joshi, Peter K A1 - Wilson, James F A1 - Isaacs, Aaron A1 - Kors, Jan A A1 - van Duijn, Cornelia M A1 - Huang, Paul L A1 - Gudnason, Vilmundur A1 - Harris, Tamara B A1 - Launer, Lenore J A1 - Smith, Albert V A1 - Bottinger, Erwin P A1 - Loos, Ruth J F A1 - Nadkarni, Girish N A1 - Preuss, Michael H A1 - Correa, Adolfo A1 - Mei, Hao A1 - Wilson, James A1 - Meitinger, Thomas A1 - Müller-Nurasyid, Martina A1 - Peters, Annette A1 - Waldenberger, Melanie A1 - Mangino, Massimo A1 - Spector, Timothy D A1 - Rienstra, Michiel A1 - van de Vegte, Yordi J A1 - van der Harst, Pim A1 - Verweij, Niek A1 - Kääb, Stefan A1 - Schramm, Katharina A1 - Sinner, Moritz F A1 - Strauch, Konstantin A1 - Cutler, Michael J A1 - Fatkin, Diane A1 - London, Barry A1 - Olesen, Morten A1 - Roden, Dan M A1 - Benjamin Shoemaker, M A1 - Gustav Smith, J A1 - Biggs, Mary L A1 - Bis, Joshua C A1 - Brody, Jennifer A A1 - Psaty, Bruce M A1 - Rice, Kenneth A1 - Sotoodehnia, Nona A1 - De Grandi, Alessandro A1 - Fuchsberger, Christian A1 - Pattaro, Cristian A1 - Pramstaller, Peter P A1 - Ford, Ian A1 - Wouter Jukema, J A1 - Macfarlane, Peter W A1 - Trompet, Stella A1 - Dörr, Marcus A1 - Felix, Stephan B A1 - Völker, Uwe A1 - Weiss, Stefan A1 - Havulinna, Aki S A1 - Jula, Antti A1 - Sääksjärvi, Katri A1 - Salomaa, Veikko A1 - Guo, Xiuqing A1 - Heckbert, Susan R A1 - Lin, Henry J A1 - Rotter, Jerome I A1 - Taylor, Kent D A1 - Yao, Jie A1 - de Mutsert, Renée A1 - Maan, Arie C A1 - Mook-Kanamori, Dennis O A1 - Noordam, Raymond A1 - Cucca, Francesco A1 - Ding, Jun A1 - Lakatta, Edward G A1 - Qian, Yong A1 - Tarasov, Kirill V A1 - Levy, Daniel A1 - Lin, Honghuang A1 - Newton-Cheh, Christopher H A1 - Lunetta, Kathryn L A1 - Murray, Alison D A1 - Porteous, David J A1 - Smith, Blair H A1 - Stricker, Bruno H A1 - Uitterlinden, Andre A1 - van den Berg, Marten E A1 - Haessler, Jeffrey A1 - Jackson, Rebecca D A1 - Kooperberg, Charles A1 - Peters, Ulrike A1 - Reiner, Alexander P A1 - Whitsel, Eric A A1 - Alonso, Alvaro A1 - Arking, Dan E A1 - Boerwinkle, Eric A1 - Ehret, Georg B A1 - Soliman, Elsayed Z A1 - Avery, Christy L A1 - Gogarten, Stephanie M A1 - Kerr, Kathleen F A1 - Laurie, Cathy C A1 - Seyerle, Amanda A A1 - Stilp, Adrienne A1 - Assa, Solmaz A1 - Abdullah Said, M A1 - Yldau van der Ende, M A1 - Lambiase, Pier D A1 - Orini, Michele A1 - Ramirez, Julia A1 - Van Duijvenboden, Stefan A1 - Arnar, David O A1 - Gudbjartsson, Daniel F A1 - Holm, Hilma A1 - Sulem, Patrick A1 - Thorleifsson, Gudmar A1 - Thorolfsdottir, Rosa B A1 - Thorsteinsdottir, Unnur A1 - Benjamin, Emelia J A1 - Tinker, Andrew A1 - Stefansson, Kari A1 - Ellinor, Patrick T A1 - Jamshidi, Yalda A1 - Lubitz, Steven A A1 - Munroe, Patricia B AB -

The electrocardiographic PR interval reflects atrioventricular conduction, and is associated with conduction abnormalities, pacemaker implantation, atrial fibrillation (AF), and cardiovascular mortality. Here we report a multi-ancestry (N = 293,051) genome-wide association meta-analysis for the PR interval, discovering 202 loci of which 141 have not previously been reported. Variants at identified loci increase the percentage of heritability explained, from 33.5% to 62.6%. We observe enrichment for cardiac muscle developmental/contractile and cytoskeletal genes, highlighting key regulation processes for atrioventricular conduction. Additionally, 8 loci not previously reported harbor genes underlying inherited arrhythmic syndromes and/or cardiomyopathies suggesting a role for these genes in cardiovascular pathology in the general population. We show that polygenic predisposition to PR interval duration is an endophenotype for cardiovascular disease, including distal conduction disease, AF, and atrioventricular pre-excitation. These findings advance our understanding of the polygenic basis of cardiac conduction, and the genetic relationship between PR interval duration and cardiovascular disease.

VL - 11 IS - 1 ER -