TY - JOUR
T1 - Genome-wide analysis yields new loci associating with aortic valve stenosis
AU - Helgadottir, Anna
AU - Thorleifsson, Gudmar
AU - Gretarsdottir, Solveig
AU - Stefansson, Olafur A
AU - Tragante, Vinicius
AU - Thorolfsdottir, Rosa B
AU - Jonsdottir, Ingileif
AU - Bjornsson, Thorsteinn
AU - Steinthorsdottir, Valgerdur
AU - Verweij, Niek
AU - Nielsen, Jonas B
AU - Zhou, Wei
AU - Folkersen, Lasse
AU - Martinsson, Andreas
AU - Heydarpour, Mahyar
AU - Prakash, Siddharth
AU - Oskarsson, Gylfi
AU - Gudbjartsson, Tomas
AU - Geirsson, Arnar
AU - Olafsson, Isleifur
AU - Sigurdsson, Emil L
AU - Almgren, Peter
AU - Melander, Olle
AU - Franco-Cereceda, Anders
AU - Hamsten, Anders
AU - Fritsche, Lars
AU - Lin, Maoxuan
AU - Yang, Bo
AU - Hornsby, Whitney
AU - Guo, Dongchuan
AU - Brummett, Chad M
AU - Abecasis, Gonçalo
AU - Mathis, Michael
AU - Milewicz, Dianna
AU - Body, Simon C
AU - Eriksson, Per
AU - Willer, Cristen J
AU - Hveem, Kristian
AU - Newton-Cheh, Christopher
AU - Smith, J Gustav
AU - Danielsen, Ragnar
AU - Thorgeirsson, Gudmundur
AU - Thorsteinsdottir, Unnur
AU - Gudbjartsson, Daniel F
AU - Holm, Hilma
AU - Stefansson, Kari
PY - 2018/3/7
Y1 - 2018/3/7
N2 - Aortic valve stenosis (AS) is the most common valvular heart disease, and valve replacement is the only definitive treatment. Here we report a large genome-wide association (GWA) study of 2,457 Icelandic AS cases and 349,342 controls with a follow-up in up to 4,850 cases and 451,731 controls of European ancestry. We identify two new AS loci, on chromosome 1p21 near PALMD (rs7543130; odds ratio (OR) = 1.20, P = 1.2 × 10-22) and on chromosome 2q22 in TEX41 (rs1830321; OR = 1.15, P = 1.8 × 10-13). Rs7543130 also associates with bicuspid aortic valve (BAV) (OR = 1.28, P = 6.6 × 10-10) and aortic root diameter (P = 1.30 × 10-8), and rs1830321 associates with BAV (OR = 1.12, P = 5.3 × 10-3) and coronary artery disease (OR = 1.05, P = 9.3 × 10-5). The results implicate both cardiac developmental abnormalities and atherosclerosis-like processes in the pathogenesis of AS. We show that several pathways are shared by CAD and AS. Causal analysis suggests that the shared risk factors of Lp(a) and non-high-density lipoprotein cholesterol contribute substantially to the frequent co-occurence of these diseases.
AB - Aortic valve stenosis (AS) is the most common valvular heart disease, and valve replacement is the only definitive treatment. Here we report a large genome-wide association (GWA) study of 2,457 Icelandic AS cases and 349,342 controls with a follow-up in up to 4,850 cases and 451,731 controls of European ancestry. We identify two new AS loci, on chromosome 1p21 near PALMD (rs7543130; odds ratio (OR) = 1.20, P = 1.2 × 10-22) and on chromosome 2q22 in TEX41 (rs1830321; OR = 1.15, P = 1.8 × 10-13). Rs7543130 also associates with bicuspid aortic valve (BAV) (OR = 1.28, P = 6.6 × 10-10) and aortic root diameter (P = 1.30 × 10-8), and rs1830321 associates with BAV (OR = 1.12, P = 5.3 × 10-3) and coronary artery disease (OR = 1.05, P = 9.3 × 10-5). The results implicate both cardiac developmental abnormalities and atherosclerosis-like processes in the pathogenesis of AS. We show that several pathways are shared by CAD and AS. Causal analysis suggests that the shared risk factors of Lp(a) and non-high-density lipoprotein cholesterol contribute substantially to the frequent co-occurence of these diseases.
U2 - 10.1038/s41467-018-03252-6
DO - 10.1038/s41467-018-03252-6
M3 - Journal article
C2 - 29511194
SN - 2041-1722
VL - 9
SP - 987
JO - Nature Communications
JF - Nature Communications
IS - 1
ER -