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Genome-wide analysis yields new loci associating with aortic valve stenosis.

Anna Helgadottir | Gudmar Thorleifsson | Solveig Gretarsdottir | Olafur A Stefansson | Vinicius Tragante | Rosa B Thorolfsdottir | Ingileif Jonsdottir | Thorsteinn Bjornsson | Valgerdur Steinthorsdottir | Niek Verweij | Jonas B Nielsen | Wei Zhou | Lasse Folkersen | Andreas Martinsson | Mahyar Heydarpour | Siddharth Prakash | Gylfi Oskarsson | Tomas Gudbjartsson | Arnar Geirsson | Isleifur Olafsson | Emil L Sigurdsson | Peter Almgren | Olle Melander | Anders Franco-Cereceda | Anders Hamsten | Lars Fritsche | Maoxuan Lin | Bo Yang | Whitney Hornsby | Dongchuan Guo | Chad M Brummett | Gonçalo Abecasis | Michael Mathis | Dianna Milewicz | Simon C Body | Per Eriksson | Cristen J Willer | Kristian Hveem | Christopher Newton-Cheh | J Gustav Smith | Ragnar Danielsen | Gudmundur Thorgeirsson | Unnur Thorsteinsdottir | Daniel F Gudbjartsson | Hilma Holm | Kari Stefansson
Nature communications | 2018

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.

Pubmed ID: 29511194

Research resources used in this publication

None found

Antibodies used in this publication

None found

Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL114823
  • Agency: NHLBI NIH HHS, United States
    Id: R35 HL135824
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR000371
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR001863

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This is a list of tools and resources that we have found mentioned in this publication.


PLINK (tool)

RRID:SCR_001757

Open source whole genome association analysis toolset, designed to perform range of basic, large scale analyses in computationally efficient manner. Used for analysis of genotype/phenotype data. Through integration with gPLINK and Haploview, there is some support for subsequent visualization, annotation and storage of results. PLINK 1.9 is improved and second generation of the software.

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Ensembl (tool)

RRID:SCR_002344

Collection of genome databases for vertebrates and other eukaryotic species with DNA and protein sequence search capabilities. Used to automatically annotate genome, integrate this annotation with other available biological data and make data publicly available via web. Ensembl tools include BLAST, BLAT, BioMart and the Variant Effect Predictor (VEP) for all supported species.

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Variant Effect Predictor (tool)

RRID:SCR_007931

Data analysis service to predict the functional consequences of known and unknown variants.

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SNPTEST (tool)

RRID:SCR_009406

Software program for the analysis of single SNP association in genome-wide studies. The tests implemented can cater for binary (case-control) and quantitative phenotypes, can condition upon an arbitrary set of covariates and properly account for the uncertainty in genotypes. The program is designed to work seamlessly with the output of both the genotype calling program CHIAMO, the genotype imputation program IMPUTE and the program GTOOL. This program was used in the analysis of the 7 genome-wide association studies carried out by the Wellcome Trust Case-Control Consortium (WTCCC). (entry from Genetic Analysis Software)

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GenomeStudio (tool)

RRID:SCR_010973

Visualize and analyze data generated by all of Illumina''s platforms.

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IMPUTE2 (tool)

RRID:SCR_013055

A computer program for phasing observed genotypes and imputing missing genotypes.

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