A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.

Statins are prescribed widely to lower plasma low-density lipoprotein (LDL) concentrations and cardiovascular disease risk and have been shown to have beneficial effects in a broad range of patients. However, statins are associated with an increased risk, albeit small, of clinical myopathy and type...

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Päätekijät: Mangravite, L, Engelhardt, B, Medina, M, Smith, J, Brown, C, Chasman, D, Mecham, B, Howie, B, Shim, H, Naidoo, D, Feng, Q, Rieder, M, Chen, Y, Rotter, J, Ridker, P, Hopewell, J, Parish, S, Armitage, J, Collins, R, Wilke, R, Nickerson, D, Stephens, M, Krauss, R
Aineistotyyppi: Journal article
Kieli:English
Julkaistu: 2013
_version_ 1826274547293224960
author Mangravite, L
Engelhardt, B
Medina, M
Smith, J
Brown, C
Chasman, D
Mecham, B
Howie, B
Shim, H
Naidoo, D
Feng, Q
Rieder, M
Chen, Y
Rotter, J
Ridker, P
Hopewell, J
Parish, S
Armitage, J
Collins, R
Wilke, R
Nickerson, D
Stephens, M
Krauss, R
author_facet Mangravite, L
Engelhardt, B
Medina, M
Smith, J
Brown, C
Chasman, D
Mecham, B
Howie, B
Shim, H
Naidoo, D
Feng, Q
Rieder, M
Chen, Y
Rotter, J
Ridker, P
Hopewell, J
Parish, S
Armitage, J
Collins, R
Wilke, R
Nickerson, D
Stephens, M
Krauss, R
author_sort Mangravite, L
collection OXFORD
description Statins are prescribed widely to lower plasma low-density lipoprotein (LDL) concentrations and cardiovascular disease risk and have been shown to have beneficial effects in a broad range of patients. However, statins are associated with an increased risk, albeit small, of clinical myopathy and type 2 diabetes. Despite evidence for substantial genetic influence on LDL concentrations, pharmacogenomic trials have failed to identify genetic variations with large effects on either statin efficacy or toxicity, and have produced little information regarding mechanisms that modulate statin response. Here we identify a downstream target of statin treatment by screening for the effects of in vitro statin exposure on genetic associations with gene expression levels in lymphoblastoid cell lines derived from 480 participants of a clinical trial of simvastatin treatment. This analysis identified six expression quantitative trait loci (eQTLs) that interacted with simvastatin exposure, including rs9806699, a cis-eQTL for the gene glycine amidinotransferase (GATM) that encodes the rate-limiting enzyme in creatine synthesis. We found this locus to be associated with incidence of statin-induced myotoxicity in two separate populations (meta-analysis odds ratio = 0.60). Furthermore, we found that GATM knockdown in hepatocyte-derived cell lines attenuated transcriptional response to sterol depletion, demonstrating that GATM may act as a functional link between statin-mediated lowering of cholesterol and susceptibility to statin-induced myopathy.
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spelling oxford-uuid:5ce3fa11-eadf-48ae-84d1-97f65f4d314a2022-03-26T17:31:08ZA statin-dependent QTL for GATM expression is associated with statin-induced myopathy.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5ce3fa11-eadf-48ae-84d1-97f65f4d314aEnglishSymplectic Elements at Oxford2013Mangravite, LEngelhardt, BMedina, MSmith, JBrown, CChasman, DMecham, BHowie, BShim, HNaidoo, DFeng, QRieder, MChen, YRotter, JRidker, PHopewell, JParish, SArmitage, JCollins, RWilke, RNickerson, DStephens, MKrauss, RStatins are prescribed widely to lower plasma low-density lipoprotein (LDL) concentrations and cardiovascular disease risk and have been shown to have beneficial effects in a broad range of patients. However, statins are associated with an increased risk, albeit small, of clinical myopathy and type 2 diabetes. Despite evidence for substantial genetic influence on LDL concentrations, pharmacogenomic trials have failed to identify genetic variations with large effects on either statin efficacy or toxicity, and have produced little information regarding mechanisms that modulate statin response. Here we identify a downstream target of statin treatment by screening for the effects of in vitro statin exposure on genetic associations with gene expression levels in lymphoblastoid cell lines derived from 480 participants of a clinical trial of simvastatin treatment. This analysis identified six expression quantitative trait loci (eQTLs) that interacted with simvastatin exposure, including rs9806699, a cis-eQTL for the gene glycine amidinotransferase (GATM) that encodes the rate-limiting enzyme in creatine synthesis. We found this locus to be associated with incidence of statin-induced myotoxicity in two separate populations (meta-analysis odds ratio = 0.60). Furthermore, we found that GATM knockdown in hepatocyte-derived cell lines attenuated transcriptional response to sterol depletion, demonstrating that GATM may act as a functional link between statin-mediated lowering of cholesterol and susceptibility to statin-induced myopathy.
spellingShingle Mangravite, L
Engelhardt, B
Medina, M
Smith, J
Brown, C
Chasman, D
Mecham, B
Howie, B
Shim, H
Naidoo, D
Feng, Q
Rieder, M
Chen, Y
Rotter, J
Ridker, P
Hopewell, J
Parish, S
Armitage, J
Collins, R
Wilke, R
Nickerson, D
Stephens, M
Krauss, R
A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.
title A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.
title_full A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.
title_fullStr A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.
title_full_unstemmed A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.
title_short A statin-dependent QTL for GATM expression is associated with statin-induced myopathy.
title_sort statin dependent qtl for gatm expression is associated with statin induced myopathy
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