Genome-wide association of lipid-lowering response to statins in combined study populations.

Genome-wide association of lipid-lowering response to statins in combined study populations.
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DOI:
10.1371/journal.pone.0009763
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发表时间:
2010-03-22
期刊:
影响因子:
3.7
通讯作者:
Krauss RM
Krauss RM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Barber MJ;Mangravite LM;Hyde CL;Chasman DI;Smith JD;McCarty CA;Li X;Wilke RA;Rieder MJ;Williams PT;Ridker PM;Chatterjee A;Rotter JI;Nickerson DA;Stephens M;Krauss RM

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他汀类药物可有效降低总胆固醇和血浆LDL-胆固醇,但降低幅度因个体而异。为了确定单核苷酸多态性(SNPs)有助于这种变化,我们进行了一个综合分析的全基因组关联(GWA)的结果,从三个试验的他汀类药物的疗效。使用来自3项研究的数据,对共计3932例受试者的未经治疗和他汀类药物介导的LDL-胆固醇、总胆固醇、HDL-胆固醇和甘油三酯变化进行贝叶斯和标准频率相关分析:胆固醇与药物遗传学(40 mg/天辛伐他汀,6周),普伐他汀/炎症CRP评价(40 mg/天普伐他汀,24周)和治疗新目标(10 mg/天阿托伐他汀,8周)。基因型插补用于最大化基因组覆盖率并将研究间的信息联合收割机组合。在每项研究中对表型进行标准化,以说明研究之间的系统差异,并对合并样本进行固定效应合并分析,以检测研究之间的一致效应。两个SNP关联被评估为后验概率大于50%,表明它们更可能与他汀类药物介导的脂质反应真正相关。SNP rs 8014194位于14号染色体上的CLMN基因内,与他汀类药物介导的总胆固醇变化密切相关,贝叶斯分析的概率为84%,频率分析的p值超过了常规的全基因组显著性水平(P = 1.8×10−8)。  该SNP与LDL-胆固醇变化的相关性不太显著(后验概率= 0.16,P = 4.0×10−6)。    Bayesian分析还指定了51%的概率,即位于APOC 1和APOE附近的rs 4420638与LDL-胆固醇变化相关。使用来自三项临床试验的联合GWA分析,涉及近4,000名接受辛伐他汀、普伐他汀或阿托伐他汀治疗的个体,我们已经确定了可能与他汀介导的总胆固醇和LDL胆固醇降低幅度变化相关的SNP,包括CLMN基因中的一个,其相关性的统计学证据超过了常规的全基因组显著性水平。PRINCE和TNT没有注册。CAP注册于Clinicaltrials.gov NCT 00451828
Statins effectively lower total and plasma LDL-cholesterol, but the magnitude of decrease varies among individuals. To identify single nucleotide polymorphisms (SNPs) contributing to this variation, we performed a combined analysis of genome-wide association (GWA) results from three trials of statin efficacy. Bayesian and standard frequentist association analyses were performed on untreated and statin-mediated changes in LDL-cholesterol, total cholesterol, HDL-cholesterol, and triglyceride on a total of 3932 subjects using data from three studies: Cholesterol and Pharmacogenetics (40 mg/day simvastatin, 6 weeks), Pravastatin/Inflammation CRP Evaluation (40 mg/day pravastatin, 24 weeks), and Treating to New Targets (10 mg/day atorvastatin, 8 weeks). Genotype imputation was used to maximize genomic coverage and to combine information across studies. Phenotypes were normalized within each study to account for systematic differences among studies, and fixed-effects combined analysis of the combined sample were performed to detect consistent effects across studies. Two SNP associations were assessed as having posterior probability greater than 50%, indicating that they were more likely than not to be genuinely associated with statin-mediated lipid response. SNP rs8014194, located within the CLMN gene on chromosome 14, was strongly associated with statin-mediated change in total cholesterol with an 84% probability by Bayesian analysis, and a p-value exceeding conventional levels of genome-wide significance by frequentist analysis (P = 1.8×10−8). This SNP was less significantly associated with change in LDL-cholesterol (posterior probability = 0.16, P = 4.0×10−6). Bayesian analysis also assigned a 51% probability that rs4420638, located in APOC1 and near APOE, was associated with change in LDL-cholesterol. Using combined GWA analysis from three clinical trials involving nearly 4,000 individuals treated with simvastatin, pravastatin, or atorvastatin, we have identified SNPs that may be associated with variation in the magnitude of statin-mediated reduction in total and LDL-cholesterol, including one in the CLMN gene for which statistical evidence for association exceeds conventional levels of genome-wide significance. PRINCE and TNT are not registered. CAP is registered at Clinicaltrials.gov NCT00451828
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