Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.

Glatiramer acetate is used therapeutically in multiple sclerosis but also known for adverse effects including elevated coronary artery disease (CAD) risk. The mechanisms underlying the cardiovascular side effects of the medication are unclear. Here, we made use of the chromosomal variation in the ge...

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Main Authors: Ingrid Brænne, Lingyao Zeng, Christina Willenborg, Vinicius Tragante, Thorsten Kessler, CARDIoGRAM Consortium, CARDIoGRAMplusC4D Consortium, Cristen J Willer, Markku Laakso, Lars Wallentin, Paul W Franks, Veikko Salomaa, Abbas Dehghan, Thomas Meitinger, Nilesh J Samani, Folkert W Asselbergs, Jeanette Erdmann, Heribert Schunkert
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5567477?pdf=render
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author Ingrid Brænne
Lingyao Zeng
Christina Willenborg
Vinicius Tragante
Thorsten Kessler
CARDIoGRAM Consortium
CARDIoGRAMplusC4D Consortium
Cristen J Willer
Markku Laakso
Lars Wallentin
Paul W Franks
Veikko Salomaa
Abbas Dehghan
Thomas Meitinger
Nilesh J Samani
Folkert W Asselbergs
Jeanette Erdmann
Heribert Schunkert
author_facet Ingrid Brænne
Lingyao Zeng
Christina Willenborg
Vinicius Tragante
Thorsten Kessler
CARDIoGRAM Consortium
CARDIoGRAMplusC4D Consortium
Cristen J Willer
Markku Laakso
Lars Wallentin
Paul W Franks
Veikko Salomaa
Abbas Dehghan
Thomas Meitinger
Nilesh J Samani
Folkert W Asselbergs
Jeanette Erdmann
Heribert Schunkert
author_sort Ingrid Brænne
collection DOAJ
description Glatiramer acetate is used therapeutically in multiple sclerosis but also known for adverse effects including elevated coronary artery disease (CAD) risk. The mechanisms underlying the cardiovascular side effects of the medication are unclear. Here, we made use of the chromosomal variation in the genes that are known to be affected by glatiramer treatment. Focusing on genes and gene products reported by drug-gene interaction database to interact with glatiramer acetate we explored a large meta-analysis on CAD genome-wide association studies aiming firstly, to investigate whether variants in these genes also affect cardiovascular risk and secondly, to identify new CAD risk genes. We traced association signals in a 200-kb region around genomic positions of genes interacting with glatiramer in up to 60 801 CAD cases and 123 504 controls. We validated the identified association in additional 21 934 CAD cases and 76 087 controls. We identified three new CAD risk alleles within the TGFB1 region on chromosome 19 that independently affect CAD risk. The lead SNP rs12459996 was genome-wide significantly associated with CAD in the extended meta-analysis (odds ratio 1.09, p = 1.58×10-12). The other two SNPs at the locus were not in linkage disequilibrium with the lead SNP and by a conditional analysis showed p-values of 4.05 × 10-10 and 2.21 × 10-6. Thus, studying genes reported to interact with glatiramer acetate we identified genetic variants that concordantly with the drug increase the risk of CAD. Of these, TGFB1 displayed signal for association. Indeed, the gene has been associated with CAD previously in both in vivo and in vitro studies. Here we establish genome-wide significant association with CAD in large human samples.
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spelling doaj.art-73eeb4fe985946ec82b07e430312a6f32022-12-21T18:51:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01128e018299910.1371/journal.pone.0182999Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.Ingrid BrænneLingyao ZengChristina WillenborgVinicius TraganteThorsten KesslerCARDIoGRAM ConsortiumCARDIoGRAMplusC4D ConsortiumCristen J WillerMarkku LaaksoLars WallentinPaul W FranksVeikko SalomaaAbbas DehghanThomas MeitingerNilesh J SamaniFolkert W AsselbergsJeanette ErdmannHeribert SchunkertGlatiramer acetate is used therapeutically in multiple sclerosis but also known for adverse effects including elevated coronary artery disease (CAD) risk. The mechanisms underlying the cardiovascular side effects of the medication are unclear. Here, we made use of the chromosomal variation in the genes that are known to be affected by glatiramer treatment. Focusing on genes and gene products reported by drug-gene interaction database to interact with glatiramer acetate we explored a large meta-analysis on CAD genome-wide association studies aiming firstly, to investigate whether variants in these genes also affect cardiovascular risk and secondly, to identify new CAD risk genes. We traced association signals in a 200-kb region around genomic positions of genes interacting with glatiramer in up to 60 801 CAD cases and 123 504 controls. We validated the identified association in additional 21 934 CAD cases and 76 087 controls. We identified three new CAD risk alleles within the TGFB1 region on chromosome 19 that independently affect CAD risk. The lead SNP rs12459996 was genome-wide significantly associated with CAD in the extended meta-analysis (odds ratio 1.09, p = 1.58×10-12). The other two SNPs at the locus were not in linkage disequilibrium with the lead SNP and by a conditional analysis showed p-values of 4.05 × 10-10 and 2.21 × 10-6. Thus, studying genes reported to interact with glatiramer acetate we identified genetic variants that concordantly with the drug increase the risk of CAD. Of these, TGFB1 displayed signal for association. Indeed, the gene has been associated with CAD previously in both in vivo and in vitro studies. Here we establish genome-wide significant association with CAD in large human samples.http://europepmc.org/articles/PMC5567477?pdf=render
spellingShingle Ingrid Brænne
Lingyao Zeng
Christina Willenborg
Vinicius Tragante
Thorsten Kessler
CARDIoGRAM Consortium
CARDIoGRAMplusC4D Consortium
Cristen J Willer
Markku Laakso
Lars Wallentin
Paul W Franks
Veikko Salomaa
Abbas Dehghan
Thomas Meitinger
Nilesh J Samani
Folkert W Asselbergs
Jeanette Erdmann
Heribert Schunkert
Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.
PLoS ONE
title Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.
title_full Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.
title_fullStr Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.
title_full_unstemmed Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.
title_short Genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk.
title_sort genomic correlates of glatiramer acetate adverse cardiovascular effects lead to a novel locus mediating coronary risk
url http://europepmc.org/articles/PMC5567477?pdf=render
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