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Whole-exome sequencing identifies rare and low-frequency coding variants associated with LDL cholesterol.

Leslie A Lange | Youna Hu | He Zhang | Chenyi Xue | Ellen M Schmidt | Zheng-Zheng Tang | Chris Bizon | Ethan M Lange | Joshua D Smith | Emily H Turner | Goo Jun | Hyun Min Kang | Gina Peloso | Paul Auer | Kuo-Ping Li | Jason Flannick | Ji Zhang | Christian Fuchsberger | Kyle Gaulton | Cecilia Lindgren | Adam Locke | Alisa Manning | Xueling Sim | Manuel A Rivas | Oddgeir L Holmen | Omri Gottesman | Yingchang Lu | Douglas Ruderfer | Eli A Stahl | Qing Duan | Yun Li | Peter Durda | Shuo Jiao | Aaron Isaacs | Albert Hofman | Joshua C Bis | Adolfo Correa | Michael E Griswold | Johanna Jakobsdottir | Albert V Smith | Pamela J Schreiner | Mary F Feitosa | Qunyuan Zhang | Jennifer E Huffman | Jacy Crosby | Christina L Wassel | Ron Do | Nora Franceschini | Lisa W Martin | Jennifer G Robinson | Themistocles L Assimes | David R Crosslin | Elisabeth A Rosenthal | Michael Tsai | Mark J Rieder | Deborah N Farlow | Aaron R Folsom | Thomas Lumley | Ervin R Fox | Christopher S Carlson | Ulrike Peters | Rebecca D Jackson | Cornelia M van Duijn | André G Uitterlinden | Daniel Levy | Jerome I Rotter | Herman A Taylor | Vilmundur Gudnason | David S Siscovick | Myriam Fornage | Ingrid B Borecki | Caroline Hayward | Igor Rudan | Y Eugene Chen | Erwin P Bottinger | Ruth J F Loos | Pål Sætrom | Kristian Hveem | Michael Boehnke | Leif Groop | Mark McCarthy | Thomas Meitinger | Christie M Ballantyne | Stacey B Gabriel | Christopher J O'Donnell | Wendy S Post | Kari E North | Alexander P Reiner | Eric Boerwinkle | Bruce M Psaty | David Altshuler | Sekar Kathiresan | Dan-Yu Lin | Gail P Jarvik | L Adrienne Cupples | Charles Kooperberg | James G Wilson | Deborah A Nickerson | Goncalo R Abecasis | Stephen S Rich | Russell P Tracy | Cristen J Willer | NHLBI Grand Opportunity Exome Sequencing Project
American journal of human genetics | 2014

Elevated low-density lipoprotein cholesterol (LDL-C) is a treatable, heritable risk factor for cardiovascular disease. Genome-wide association studies (GWASs) have identified 157 variants associated with lipid levels but are not well suited to assess the impact of rare and low-frequency variants. To determine whether rare or low-frequency coding variants are associated with LDL-C, we exome sequenced 2,005 individuals, including 554 individuals selected for extreme LDL-C (>98(th) or <2(nd) percentile). Follow-up analyses included sequencing of 1,302 additional individuals and genotype-based analysis of 52,221 individuals. We observed significant evidence of association between LDL-C and the burden of rare or low-frequency variants in PNPLA5, encoding a phospholipase-domain-containing protein, and both known and previously unidentified variants in PCSK9, LDLR and APOB, three known lipid-related genes. The effect sizes for the burden of rare variants for each associated gene were substantially higher than those observed for individual SNPs identified from GWASs. We replicated the PNPLA5 signal in an independent large-scale sequencing study of 2,084 individuals. In conclusion, this large whole-exome-sequencing study for LDL-C identified a gene not known to be implicated in LDL-C and provides unique insight into the design and analysis of similar experiments.

Pubmed ID: 24507775 RIS Download

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R01 CA082659
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL102923
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL-102923
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK079637
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR000124
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL067406
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL-102925
  • Agency: NIA NIH HHS, United States
    Id: U01 AG049505
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL107816
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL109946
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL102926
  • Agency: NHLBI NIH HHS, United States
    Id: R01 HL67406
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL-102926
  • Agency: NHGRI NIH HHS, United States
    Id: U01 HG007416
  • Agency: NHLBI NIH HHS, United States
    Id: R01HL107816
  • Agency: NHLBI NIH HHS, United States
    Id: T32 HL007208
  • Agency: NHLBI NIH HHS, United States
    Id: R00HL94535
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK063491
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL-102924
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL102924
  • Agency: NIA NIH HHS, United States
    Id: R01 AG008122
  • Agency: NIMHD NIH HHS, United States
    Id: P20 MD006899
  • Agency: NIA NIH HHS, United States
    Id: R01 AG033193
  • Agency: NHLBI NIH HHS, United States
    Id: R00 HL094535
  • Agency: Wellcome Trust, United Kingdom
    Id: 090532
  • Agency: Medical Research Council, United Kingdom
    Id: MC_PC_U127561128
  • Agency: NIDDK NIH HHS, United States
    Id: U01 DK062370
  • Agency: NHLBI NIH HHS, United States
    Id: UC2 HL102924
  • Agency: NIDDK NIH HHS, United States
    Id: P30 DK020572
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL103010
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL-103010
  • Agency: NHLBI NIH HHS, United States
    Id: RC2 HL102925
  • Agency: NHLBI NIH HHS, United States
    Id: UC2 HL102925

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