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Large-scale candidate gene analysis in whites and African Americans identifies IL6R polymorphism in relation to atrial fibrillation: the National Heart, Lung, and Blood Institute's Candidate Gene Association Resource (CARe) project.

TitleLarge-scale candidate gene analysis in whites and African Americans identifies IL6R polymorphism in relation to atrial fibrillation: the National Heart, Lung, and Blood Institute's Candidate Gene Association Resource (CARe) project.
Publication TypeJournal Article
Year of Publication2011
AuthorsSchnabel, RB, Kerr, KF, Lubitz, SA, Alkylbekova, EL, Marcus, GM, Sinner, MF, Magnani, JW, Wolf, PA, Deo, R, Lloyd-Jones, DM, Lunetta, KL, Mehra, R, Levy, D, Fox, ER, Arking, DE, Mosley, TH, Müller-Nurasyid, M, Young, TR, Wichmann, H-E, Seshadri, S, Farlow, DN, Rotter, JI, Soliman, EZ, Glazer, NL, Wilson, JG, Breteler, MMB, Sotoodehnia, N, Newton-Cheh, C, Kääb, S, Ellinor, PT, Alonso, A, Benjamin, EJ, Heckbert, SR
Corporate/Institutional AuthorsCandidate Gene Association Resource (CARe) Atrial Fibrillation/Electrocardiography Working Group,
JournalCirc Cardiovasc Genet
Volume4
Issue5
Pagination557-64
Date Published2011 Oct
ISSN1942-3268
KeywordsAfrican Americans, Aged, Alleles, Atrial Fibrillation, Chromosomes, Human, Pair 4, Cohort Studies, European Continental Ancestry Group, Female, Humans, Male, Middle Aged, National Heart, Lung, and Blood Institute (U.S.), Polymorphism, Single Nucleotide, Receptors, Interleukin-6, Risk Factors, Stroke, United States
Abstract<p><b>BACKGROUND: </b>The genetic background of atrial fibrillation (AF) in whites and African Americans is largely unknown. Genes in cardiovascular pathways have not been systematically investigated.</p><p><b>METHODS AND RESULTS: </b>We examined a panel of approximately 50,000 common single-nucleotide polymorphisms (SNPs) in 2095 cardiovascular candidate genes and AF in 3 cohorts with participants of European (n=18,524; 2260 cases) or African American descent (n=3662; 263 cases) in the National Heart, Lung, and Blood Institute's Candidate Gene Association Resource. Results in whites were followed up in the German Competence Network for AF (n=906, 468 cases). The top result was assessed in relation to incident ischemic stroke in the Cohorts for Heart and Aging Research in Genomic Epidemiology Stroke Consortium (n=19,602 whites, 1544 incident strokes). SNP rs4845625 in the IL6R gene was associated with AF (relative risk [RR] C allele, 0.90; 95% confidence interval [CI], 0.85-0.95; P=0.0005) in whites but did not reach statistical significance in African Americans (RR, 0.86; 95% CI, 0.72-1.03; P=0.09). The results were comparable in the German AF Network replication, (RR, 0.71; 95% CI, 0.57-0.89; P=0.003). No association between rs4845625 and stroke was observed in whites. The known chromosome 4 locus near PITX2 in whites also was associated with AF in African Americans (rs4611994; hazard ratio, 1.40; 95% CI, 1.16-1.69; P=0.0005).</p><p><b>CONCLUSIONS: </b>In a community-based cohort meta-analysis, we identified genetic association in IL6R with AF in whites. Additionally, we demonstrated that the chromosome 4 locus known from recent genome-wide association studies in whites is associated with AF in African Americans.</p>
DOI10.1161/CIRCGENETICS.110.959197
Alternate JournalCirc Cardiovasc Genet
PubMed ID21846873
PubMed Central IDPMC3224824
Grant ListN01HC55020 / HL / NHLBI NIH HHS / United States
UL1RR025005 / RR / NCRR NIH HHS / United States
R01AG027002 / AG / NIA NIH HHS / United States
N02-HL-6-4278 / HL / NHLBI NIH HHS / United States
N01-HC-25195 / HC / NHLBI NIH HHS / United States
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T32 HL007575-26A1 / HL / NHLBI NIH HHS / United States
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RC1HL099452 / HL / NHLBI NIH HHS / United States
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N01-HC-85085 / HC / NHLBI NIH HHS / United States
R01HL59367 / HL / NHLBI NIH HHS / United States
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N01 HC025195 / HC / NHLBI NIH HHS / United States
R01 AG027002-06 / AG / NIA NIH HHS / United States
T32 HL007575 / HL / NHLBI NIH HHS / United States
N01 HC065226 / HC / NHLBI NIH HHS / United States
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P30 DK063491-03 / DK / NIDDK NIH HHS / United States
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N02 HL64278 / HL / NHLBI NIH HHS / United States
AG033193 / AG / NIA NIH HHS / United States
RC1 HL099452 / HL / NHLBI NIH HHS / United States
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HHSN268200625226C / / PHS HHS / United States
U01 HG004402 / HG / NHGRI NIH HHS / United States
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RC1 HL101056 / HL / NHLBI NIH HHS / United States
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R01 HL080295 / HL / NHLBI NIH HHS / United States
DA027021 / DA / NIDA NIH HHS / United States
AG031287 / AG / NIA NIH HHS / United States
RC1 HL099452-01 / HL / NHLBI NIH HHS / United States
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R01 AG027002 / AG / NIA NIH HHS / United States
N01 HC055021 / HC / NHLBI NIH HHS / United States
R01 HL104156-03 / HL / NHLBI NIH HHS / United States
U01 HG004402-02S1 / HG / NHGRI NIH HHS / United States
N01HC55019 / HL / NHLBI NIH HHS / United States
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N01HC75150 / HL / NHLBI NIH HHS / United States
N01HC25195 / HL / NHLBI NIH HHS / United States
R01 AG031287-02 / AG / NIA NIH HHS / United States
DK063491 / DK / NIDDK NIH HHS / United States
N01-HC-85079 / HC / NHLBI NIH HHS / United States
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U01HL080295 / HL / NHLBI NIH HHS / United States
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