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FGL1 as a modulator of plasma D-dimer levels: Exome-wide marker analysis of plasma tPA, PAI-1, and D-dimer.

TitleFGL1 as a modulator of plasma D-dimer levels: Exome-wide marker analysis of plasma tPA, PAI-1, and D-dimer.
Publication TypeJournal Article
Year of Publication2021
AuthorsThibord, F, Song, C, Pattee, J, Rodriguez, BAT, Chen, M-H, O'Donnell, CJ, Kleber, ME, Delgado, GE, Guo, X, Yao, J, Taylor, KD, Ozel, ABilge, Brody, JA, McKnight, B, Gyorgy, B, Simonsick, E, Leonard, HL, Carrasquilla, GD, Guindo-Martinez, M, Silveira, A, Temprano-Sagrera, G, Yanek, LR, Becker, DM, Mathias, RA, Becker, LC, Raffield, LM, Kilpeläinen, TO, Grarup, N, Pedersen, O, Hansen, T, Linneberg, A, Hamsten, A, Watkins, H, Sabater-Lleal, M, Nalls, MA, Trégouët, D-A, Morange, P-E, Psaty, BM, Tracy, RP, Smith, NL, Desch, KC, Cushman, M, Rotter, JI, de Vries, PS, Pankratz, ND, Folsom, AR, Morrison, AC, März, W, Tang, W, Johnson, AD
JournalJ Thromb Haemost
Date Published2021 Apr 20
ISSN1538-7836
Abstract<p><b>BACKGROUND: </b>Use of targeted exome-arrays with common, rare variants and functionally enriched variation has led to discovery of new genes contributing to population variation in risk factors. Plasminogen activator-inhibitor 1 (PAI-1), tissue plasminogen activator (tPA), and the plasma product D-dimer are important components of the fibrinolytic system. There have been few large-scale genome-wide or exome-wide studies of PAI-1, tPA, and D-dimer.</p><p><b>OBJECTIVES: </b>We sought to discover new genetic loci contributing to variation in these traits using an exome-array approach.</p><p><b>METHODS: </b>Cohort-level analyses and fixed effects meta-analyses of PAI-1 (n = 15 603), tPA (n = 6876,) and D-dimer (n = 19 306) from 12 cohorts of European ancestry with diverse study design were conducted, including single-variant analyses and gene-based burden testing.</p><p><b>RESULTS: </b>Five variants located in NME7, FGL1, and the fibrinogen locus, all associated with D-dimer levels, achieved genome-wide significance (P < 5 × 10 ). Replication was sought for these 5 variants, as well as 45 well-imputed variants with P < 1 × 10 in the discovery using an independent cohort. Replication was observed for three out of the five significant associations, including a novel and uncommon (0.013 allele frequency) coding variant p.Trp256Leu in FGL1 (fibrinogen-like-1) with increased plasma D-dimer levels. Additionally, a candidate-gene approach revealed a suggestive association for a coding variant (rs143202684-C) in SERPINB2, and suggestive associations with consistent effect in the replication analysis include an intronic variant (rs11057830-A) in SCARB1 associated with increased D-dimer levels.</p><p><b>CONCLUSION: </b>This work provides new evidence for a role of FGL1 in hemostasis.</p>
DOI10.1111/jth.15345
Alternate JournalJ Thromb Haemost
PubMed ID33876560
Grant List5RC2HL102419 / GF / NIH HHS / United States
N01-HC-95163 / / MESA /
N01HC85082 / HB / NHLBI NIH HHS / United States
8691 / / Foundation for Strategic Research /
/ / Johns Hopkins University School of Medicine General Clinical Research Center /
/ / Novo Nordisk /
UCLA CTSI UL1-TR001881 / HB / NHLBI NIH HHS / United States
N01HC8508 / HB / NHLBI NIH HHS / United States
LSHM-CT-2007-037273 / / European Commission /
UL1TR001881 / TR / NCATS NIH HHS / United States
HL135793 / / National Institutes of Health/National Heart, Lung, and Blood Institute /
UL1-TR-001079 / / MESA /
HHSN268201500001I / HL / NHLBI NIH HHS / United States
NNF17SA0031406 / / Novo Nordisk Foundation /
N01-HC-95164 / / MESA /
18CDA34110116 / / American Heart Association /
/ / Health Foundation in Denmark /
NNF15CC0018486 / / Novo Nordisk Foundation /
/ / European Social Fund /
20653 / / Swedish Research Council /
75N92020D00004 / / MESA /
N01-HC-95169 / / MESA /
75N92020D00007 / / MESA /
LSH-2005-2.1.1-1 / / 6th Framework Program of the European Union /
U01 HL130114 / HL / NHLBI NIH HHS / United States
/ / Association of Danish Pharmacies /
U01HL130114 / HB / NHLBI NIH HHS / United States
CP17/00142 / / ISCIII Spanish Health Institute /
/ / Copenhagen County /
NNF17OC0026848 / / Novo Nordisk Foundation /
N01HC55222 / HB / NHLBI NIH HHS / United States
/ / Augustinus Foundation /
UL1-TR-000040 / / MESA /
HHSN268201700002I / HH / HHS / United States
N01-HC-95168 / / MESA /
N01-HC-95167 / / MESA /
ANR-10-LABX-0013 / / GENMED Laboratory of Excellence on Medical Genomics /
75N92020D00003 / / MESA /
HL59684 / / National Institutes of Health/National Heart, Lung, and Blood Institute /
R01 HL105756 / HL / NHLBI NIH HHS / United States
HHSN268201500003I / HL / NHLBI NIH HHS / United States
N01HC85083 / HB / NHLBI NIH HHS / United States
HHSN268201700005I / HH / HHS / United States
HHSN268201700001I / HH / HHS / United States
HHSN268201800001C / HB / NHLBI NIH HHS / United States
R01HL103612 / HB / NHLBI NIH HHS / United States
/ / Velux Foundation /
/ / U.S. /
/ / Knut and Alice Wallenberg Foundation /
/ / Danish Heart Foundation /
HL134894 / / CHARGE Hemostasis Working Group /
/ / Danish Research Councils /
N02-HL-64278 / HB / NHLBI NIH HHS / United States
75N92020D00006 / / MESA /
HL141399 / / National Institutes of Health/National Heart, Lung, and Blood Institute /
N01-HC-95162 / / MESA /
DK063491 / / National Institute of Diabetes and Digestive and Kidney Disease Diabetes Research Center (DRC) /
HL112064 / / National Institutes of Health/National Heart, Lung, and Blood Institute /
HHSN268201700003I / HH / HHS / United States
N01-HC-95166 / / MESA /
N01HC85079 / HB / NHLBI NIH HHS / United States
/ NH / NIH HHS / United States
N01HC85086 / HB / NHLBI NIH HHS / United States
R01HL068986 / HB / NHLBI NIH HHS / United States
N01-HC-95159 / / MESA /
75N92020D00002 / / MESA /
N01-HC-95161 / / MESA /
HHSN268200800007C / HB / NHLBI NIH HHS / United States
N01-HC-95160 / / MESA /
HHSN268201700004I / HH / HHS / United States
75N92020D00001 / / MESA /
N01HC85080 / HB / NHLBI NIH HHS / United States
R01HL087652 / HB / NHLBI NIH HHS / United States
/ / Ministry of Health and Prevention in Denmark /
/ / Becket Foundation /
/ / Stockholm County Council /
/ / National Institute of Neurological Disorders and Stroke (NINDS) /
560183 / / Stockholm County Council /
N01-HC-95165 / / MESA /
/ / Danish Centre for Evaluation and Health Technology Assessment /
/ / NHLBI Intramural funds /
U01HL080295 / HB / NHLBI NIH HHS / United States
UL1-TR-001420 / / MESA /
R01AG023629 / / National Institute on Aging (NIA) /
M01 RR00052 / NH / NIH HHS / United States
R01HL120393 / HB / NHLBI NIH HHS / United States
HL139553 / / CHARGE Hemostasis Working Group /
12660 / / Swedish Heart-Lung Foundation /
R01HL105756 / HB / NHLBI NIH HHS / United States
/ / Strategic Cardiovascular and Diabetes Programmes of Karolinska Institutet /
75N92020D00005 / / MESA /
/ / Torsten and Ragnar Söderberg Foundation /
HHSN268201200036C / HB / NHLBI NIH HHS / United States
NO1-HL 25195 / / National Heart, Lung, and Blood Institute contracts /
NNF18CC0034900 / / Novo Nordisk Foundation /
DRC DK063491 / / S. Calif /
HHSN268201100037C / HL / NHLBI NIH HHS / United States
/ / Ib Henriksens Foundation /
ePub date: 
21/04