2011
DOI: 10.1016/s0140-6736(10)61996-4
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Identification of ADAMTS7 as a novel locus for coronary atherosclerosis and association of ABO with myocardial infarction in the presence of coronary atherosclerosis: two genome-wide association studies

Abstract: Summary Background We tested whether genetic factors distinctly contribute to either development of coronary atherosclerosis or, specifically, to myocardial infarction in existing coronary atherosclerosis. Methods We did two genome-wide association studies (GWAS) with coronary angiographic phenotyping in participants of European ancestry. To identify loci that predispose to angiographic coronary artery disease (CAD), we compared individuals who had this disorder (n=12 393) with those who did not (controls, … Show more

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Cited by 473 publications
(375 citation statements)
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“…Although not directly proven by our study, this suggestion is in line with the results from a recent GWAS showing associations between the individual SNPs of the score and CAD, but not MI on top of CAD [38]. Thus it is possible that clinical use of known anti-atherosclerotic therapy is warranted to reduce the speed of development of the intermediate phenotypes of atherosclerosis in the form of increased IMT and carotid plaques, and in turn ultimately to minimize the development of atherosclerosis and the increased risk of MI in subjects with a high genetic risk score.…”
Section: Possible Clinical Implicationssupporting
confidence: 91%
“…Although not directly proven by our study, this suggestion is in line with the results from a recent GWAS showing associations between the individual SNPs of the score and CAD, but not MI on top of CAD [38]. Thus it is possible that clinical use of known anti-atherosclerotic therapy is warranted to reduce the speed of development of the intermediate phenotypes of atherosclerosis in the form of increased IMT and carotid plaques, and in turn ultimately to minimize the development of atherosclerosis and the increased risk of MI in subjects with a high genetic risk score.…”
Section: Possible Clinical Implicationssupporting
confidence: 91%
“…In this context, it has been hypothesized that different genetic risk factors may contribute to either CAD or MI given the complex nature of transition from a normal coronary artery to MI. Indeed, a recent GWA metaanalysis 33 has addressed this issue and has indicated the presence of genetic predispositions leading to MI (in the presence of coronary atherosclerosis) as well as those shared between CAD and MI (promoting coronary atherosclerosis). The present findings of SNPtrait associations can support this notion; that is, the strength of association is prominent for MI at BRAP/ALDH2 on 12q24, whereas it is comparable between the disease entities at CDKN2A/B on 9q21 (Supplementary Table IX).…”
Section: Discussionmentioning
confidence: 99%
“…A novel mechanism linking these observations might involve ADAMTS‐7, an extracellular matrix (ECM) protease. Variants in ADAMTS7 have been identified to be associated with CAD (Coronary Artery Disease C4D Genetics Consortium, 2011; Reilly et al , 2011; Schunkert et al , 2011). ADAMTS7 was more strongly associated with CAD rather than MI, suggesting a major role in plaque formation and not in plaque rupture (Reilly et al , 2011).…”
Section: Vascular Remodellingmentioning
confidence: 99%