Journal
NATURE GENETICS
Volume 47, Issue 10, Pages 1121-+Publisher
NATURE PORTFOLIO
DOI: 10.1038/ng.3396
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Funding
- MRC [MR/L01629X/1, MR/L003120/1] Funding Source: UKRI
- British Heart Foundation [RG/08/014/24067, FS/14/55/30806, RG/14/5/30893] Funding Source: researchfish
- Medical Research Council [MR/L01629X/1, MR/L003120/1] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0512-10165, NF-SI-0611-10170, NF-SI-0508-10235] Funding Source: researchfish
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Existing knowledge of genetic variants affecting risk of coronary artery disease (CAD) is largely based on genome-wide association study (GWAS) analysis of common SNPs. Leveraging phased haplotypes from the 1000 Genomes Project, we report a GWAS meta-analysis of similar to 185,000 CAD cases and controls, interrogating 6.7 million common (minor allele frequency (MAF) > 0.05) and 2.7 million low-frequency (0.005 < MAF < 0.05) variants. In addition to confirming most known CAD-associated loci, we identified ten new loci (eight additive and two recessive) that contain candidate causal genes newly implicating biological processes in vessel walls. We observed intralocus allelic heterogeneity but little evidence of low-frequency variants with larger effects and no evidence of synthetic association. Our analysis provides a comprehensive survey of the fine genetic architecture of CAD, showing that genetic susceptibility to this common disease is largely determined by common SNPs of small effect size.
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