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Genetic association analysis highlights new loci that modulate hematological trait variation in Caucasians and African Americans

Lo, Ken Sin; Wilson, James G; Lange, Leslie A; Folsom, Aaron R; Galarneau, Geneviève; Ganesh, Santhi K; Grant, Struan F A; Keating, Brendan J; McCarroll, Steven A; Mohler, Emile R; O'Donnell, Christopher J; Palmas, Walter; Tang, Weihong; Tracy, Russell P; Reiner, Alexander P; Lettre, Guillaume
Red blood cell, white blood cell, and platelet measures, including their count, sub-type and volume, are important diagnostic and prognostic clinical parameters for several human diseases. To identify novel loci associated with hematological traits, and compare the architecture of these phenotypes between ethnic groups, the CARe Project genotyped 49,094 single nucleotide polymorphisms (SNPs) that capture variation in ~2,100 candidate genes in DNA of 23,439 Caucasians and 7,112 African Americans from five population-based cohorts. We found strong novel associations between erythrocyte phenotypes and the glucose-6 phosphate dehydrogenase (G6PD) A-allele in African Americans (rs1050828, P<2.0×10(-13), T-allele associated with lower red blood cell count, hemoglobin, and hematocrit, and higher mean corpuscular volume), and between platelet count and a SNP at the tropomyosin-4 (TPM4) locus (rs8109288, P=3.0×10(-7) in Caucasians; P=3.0×10(-7) in African Americans, T-allele associated with lower platelet count). We strongly replicated many genetic associations to blood cell phenotypes previously established in Caucasians. A common variant of the α-globin (HBA2-HBA1) locus was associated with red blood cell traits in African Americans, but not in Caucasians (rs1211375, P<7×10(-8), A-allele associated with lower hemoglobin, mean corpuscular hemoglobin, and mean corpuscular volume). Our results show similarities but also differences in the genetic regulation of hematological traits in European- and African-derived populations, and highlight the role of natural selection in shaping these differences.
PMCID:3442357
PMID: 21153663
ISSN: 1432-1203
CID: 5477802

Genome-wide association study of coronary heart disease and its risk factors in 8,090 African Americans: the NHLBI CARe Project

Lettre, Guillaume; Palmer, Cameron D; Young, Taylor; Ejebe, Kenechi G; Allayee, Hooman; Benjamin, Emelia J; Bennett, Franklyn; Bowden, Donald W; Chakravarti, Aravinda; Dreisbach, Al; Farlow, Deborah N; Folsom, Aaron R; Fornage, Myriam; Forrester, Terrence; Fox, Ervin; Haiman, Christopher A; Hartiala, Jaana; Harris, Tamara B; Hazen, Stanley L; Heckbert, Susan R; Henderson, Brian E; Hirschhorn, Joel N; Keating, Brendan J; Kritchevsky, Stephen B; Larkin, Emma; Li, Mingyao; Rudock, Megan E; McKenzie, Colin A; Meigs, James B; Meng, Yang A; Mosley, Tom H; Newman, Anne B; Newton-Cheh, Christopher H; Paltoo, Dina N; Papanicolaou, George J; Patterson, Nick; Post, Wendy S; Psaty, Bruce M; Qasim, Atif N; Qu, Liming; Rader, Daniel J; Redline, Susan; Reilly, Muredach P; Reiner, Alexander P; Rich, Stephen S; Rotter, Jerome I; Liu, Yongmei; Shrader, Peter; Siscovick, David S; Tang, W H Wilson; Taylor, Herman A; Tracy, Russell P; Vasan, Ramachandran S; Waters, Kevin M; Wilks, Rainford; Wilson, James G; Fabsitz, Richard R; Gabriel, Stacey B; Kathiresan, Sekar; Boerwinkle, Eric
Coronary heart disease (CHD) is the leading cause of mortality in African Americans. To identify common genetic polymorphisms associated with CHD and its risk factors (LDL- and HDL-cholesterol (LDL-C and HDL-C), hypertension, smoking, and type-2 diabetes) in individuals of African ancestry, we performed a genome-wide association study (GWAS) in 8,090 African Americans from five population-based cohorts. We replicated 17 loci previously associated with CHD or its risk factors in Caucasians. For five of these regions (CHD: CDKN2A/CDKN2B; HDL-C: FADS1-3, PLTP, LPL, and ABCA1), we could leverage the distinct linkage disequilibrium (LD) patterns in African Americans to identify DNA polymorphisms more strongly associated with the phenotypes than the previously reported index SNPs found in Caucasian populations. We also developed a new approach for association testing in admixed populations that uses allelic and local ancestry variation. Using this method, we discovered several loci that would have been missed using the basic allelic and global ancestry information only. Our conclusions suggest that no major loci uniquely explain the high prevalence of CHD in African Americans. Our project has developed resources and methods that address both admixture- and SNP-association to maximize power for genetic discovery in even larger African-American consortia.
PMCID:3037413
PMID: 21347282
ISSN: 1553-7404
CID: 2747332

Meta-analysis of Dense Genecentric Association Studies Reveals Common and Uncommon Variants Associated with Height

Lanktree, Matthew B; Guo, Yiran; Murtaza, Muhammed; Glessner, Joseph T; Bailey, Swneke D; Onland-Moret, N Charlotte; Lettre, Guillaume; Ongen, Halit; Rajagopalan, Ramakrishnan; Johnson, Toby; Shen, Haiqing; Nelson, Christopher P; Klopp, Norman; Baumert, Jens; Padmanabhan, Sandosh; Pankratz, Nathan; Pankow, James S; Shah, Sonia; Taylor, Kira; Barnard, John; Peters, Bas J; Maloney, Cliona M; Lobmeyer, Maximilian T; Stanton, Alice; Zafarmand, M Hadi; Romaine, Simon P R; Mehta, Amar; van Iperen, Erik P A; Gong, Yan; Price, Tom S; Smith, Erin N; Kim, Cecilia E; Li, Yun R; Asselbergs, Folkert W; Atwood, Larry D; Bailey, Kristian M; Bhatt, Deepak; Bauer, Florianne; Behr, Elijah R; Bhangale, Tushar; Boer, Jolanda M A; Boehm, Bernhard O; Bradfield, Jonathan P; Brown, Morris; Braund, Peter S; Burton, Paul R; Carty, Cara; Chandrupatla, Hareesh R; Chen, Wei; Connell, John; Dalgeorgou, Chrysoula; Boer, Anthonius de; Drenos, Fotios; Elbers, Clara C; Fang, James C; Fox, Caroline S; Frackelton, Edward C; Fuchs, Barry; Furlong, Clement E; Gibson, Quince; Gieger, Christian; Goel, Anuj; Grobbee, Diederik E; Hastie, Claire; Howard, Philip J; Huang, Guan-Hua; Johnson, W Craig; Li, Qing; Kleber, Marcus E; Klein, Barbara E K; Klein, Ronald; Kooperberg, Charles; Ky, Bonnie; Lacroix, Andrea; Lanken, Paul; Lathrop, Mark; Li, Mingyao; Marshall, Vanessa; Melander, Olle; Mentch, Frank D; Meyer, Nuala J; Monda, Keri L; Montpetit, Alexandre; Murugesan, Gurunathan; Nakayama, Karen; Nondahl, Dave; Onipinla, Abiodun; Rafelt, Suzanne; Newhouse, Stephen J; Otieno, F George; Patel, Sanjey R; Putt, Mary E; Rodriguez, Santiago; Safa, Radwan N; Sawyer, Douglas B; Schreiner, Pamela J; Simpson, Claire; Sivapalaratnam, Suthesh; Srinivasan, Sathanur R; Suver, Christine; Swergold, Gary; Sweitzer, Nancy K; Thomas, Kelly A; Thorand, Barbara; Timpson, Nicholas J; Tischfield, Sam; Tobin, Martin; Tomaszewski, Maciej; Verschuren, W M Monique; Wallace, Chris; Winkelmann, Bernhard; Zhang, Haitao; Zheng, Dongling; Zhang, Li; Zmuda, Joseph M; Clarke, Robert; Balmforth, Anthony J; Danesh, John; Day, Ian N; Schork, Nicholas J; de Bakker, Paul I W; Delles, Christian; Duggan, David; Hingorani, Aroon D; Hirschhorn, Joel N; Hofker, Marten H; Humphries, Steve E; Kivimaki, Mika; Lawlor, Debbie A; Kottke-Marchant, Kandice; Mega, Jessica L; Mitchell, Braxton D; Morrow, David A; Palmen, Jutta; Redline, Susan; Shields, Denis C; Shuldiner, Alan R; Sleiman, Patrick M; Smith, George Davey; Farrall, Martin; Jamshidi, Yalda; Christiani, David C; Casas, Juan P; Hall, Alistair S; Doevendans, Pieter A; Christie, Jason D; Berenson, Gerald S; Murray, Sarah S; Illig, Thomas; Dorn, Gerald W; Cappola, Thomas P; Boerwinkle, Eric; Sever, Peter; Rader, Daniel J; Reilly, Muredach P; Caulfield, Mark; Talmud, Philippa J; Topol, Eric; Engert, James C; Wang, Kai; Dominiczak, Anna; Hamsten, Anders; Curtis, Sean P; Silverstein, Roy L; Lange, Leslie A; Sabatine, Marc S; Trip, Mieke; Saleheen, Danish; Peden, John F; Cruickshanks, Karen J; März, Winfried; O'Connell, Jeffrey R; Klungel, Olaf H; Wijmenga, Cisca; Maitland-van der Zee, Anke Hilse; Schadt, Eric E; Johnson, Julie A; Jarvik, Gail P; Papanicolaou, George J; Grant, Struan F A; Munroe, Patricia B; North, Kari E; Samani, Nilesh J; Koenig, Wolfgang; Gaunt, Tom R; Anand, Sonia S; van der Schouw, Yvonne T; Soranzo, Nicole; Fitzgerald, Garret A; Reiner, Alex; Hegele, Robert A; Hakonarson, Hakon; Keating, Brendan J
Height is a classic complex trait with common variants in a growing list of genes known to contribute to the phenotype. Using a genecentric genotyping array targeted toward cardiovascular-related loci, comprising 49,320 SNPs across approximately 2000 loci, we evaluated the association of common and uncommon SNPs with adult height in 114,223 individuals from 47 studies and six ethnicities. A total of 64 loci contained a SNP associated with height at array-wide significance (p < 2.4 × 10(-6)), with 42 loci surpassing the conventional genome-wide significance threshold (p < 5 × 10(-8)). Common variants with minor allele frequencies greater than 5% were observed to be associated with height in 37 previously reported loci. In individuals of European ancestry, uncommon SNPs in IL11 and SMAD3, which would not be genotyped with the use of standard genome-wide genotyping arrays, were strongly associated with height (p < 3 × 10(-11)). Conditional analysis within associated regions revealed five additional variants associated with height independent of lead SNPs within the locus, suggesting allelic heterogeneity. Although underpowered to replicate findings from individuals of European ancestry, the direction of effect of associated variants was largely consistent in African American, South Asian, and Hispanic populations. Overall, we show that dense coverage of genes for uncommon SNPs, coupled with large-scale meta-analysis, can successfully identify additional variants associated with a common complex trait.
PMID: 21194676
ISSN: 1537-6605
CID: 5477812

Association of genomic loci from a cardiovascular gene SNP array with fibrinogen levels in European Americans and African-Americans from six cohort studies: the Candidate Gene Association Resource (CARe)

Wassel, Christina L; Lange, Leslie A; Keating, Brendan J; Taylor, Kira C; Johnson, Andrew D; Palmer, Cameron; Ho, Lindsey A; Smith, Nicholas L; Lange, Ethan M; Li, Yun; Yang, Qiong; Delaney, Joseph A; Tang, Weihong; Tofler, Geoffrey; Redline, Susan; Taylor, Herman A; Wilson, James G; Tracy, Russell P; Jacobs, David R; Folsom, Aaron R; Green, David; O'Donnell, Christopher J; Reiner, Alexander P
Several common genomic loci, involving various immunity- and metabolism-related genes, have been associated with plasma fibrinogen in European Americans (EAs). The genetic determinants of fibrinogen in African Americans (AAs) are poorly characterized. Using a vascular gene-centric array in 23,634 EA and 6657 AA participants from 6 studies comprising the Candidate Gene Association Resource project, we examined the association of 47,539 common and lower frequency variants with fibrinogen concentration. We identified a rare Pro265Leu variant in FGB (rs6054) associated with lower fibrinogen. Common fibrinogen gene single nucleotide polymorphisms (FGB rs1800787 and FGG rs2066861) significantly associated with fibrinogen in EAs were prevalent in AAs and showed consistent associations. Several fibrinogen locus single nucleotide polymorphism associated with lower fibrinogen were exclusive to AAs; these include a newly reported association with FGA rs10050257. For IL6R, IL1RN, and NLRP3 inflammatory gene loci, associations with fibrinogen were concordant between EAs and AAs, but not at other loci (CPS1, PCCB, and SCL22A5-IRF1). The association of FGG rs2066861 with fibrinogen differed according to assay type used to measure fibrinogen. Further characterization of common and lower-frequency genetic variants that contribute to interpopulation differences in fibrinogen phenotype may help refine our understanding of the contribution of hemostasis and inflammation to atherothrombotic risk.
PMCID:3037748
PMID: 20978265
ISSN: 1528-0020
CID: 5477792

A Meta-Analysis of 34,506 Individuals of European Descent Identifies Novel Genetic Associations With Central Adiposity, Including Two Genes With Roles in Lipid Regulation [Meeting Abstract]

Taylor, Kira C.; Yoneyama, Sachiko; Fox, Caroline S.; North, Kari; Monda, Keri L.; Lange, Leslie A.; Keating, Brendan; Guo, Yiran; Reiner, Alex; Grant, Struan; Patel, Sanjay R.; Speliotes, Elizabeth; Redline, Susan; Burke, Gregory L.; Taylor, Herman; Papanicolaou, George J.; Liu, Jiankang; Ordovas, Jose M.; Jaquish, Cashell E.; Heard-Costa, Nancy L.; Demerath, Ellen W.
ISI:000296603100080
ISSN: 1930-7381
CID: 5479072

Association of the vitamin D metabolism gene CYP24A1 with coronary artery calcification

Shen, Haiqing; Bielak, Lawrence F; Ferguson, Jane F; Streeten, Elizabeth A; Yerges-Armstrong, Laura M; Liu, Jie; Post, Wendy; O'Connell, Jeffery R; Hixson, James E; Kardia, Sharon L R; Sun, Yan V; Jhun, Min A; Wang, Xuexia; Mehta, Nehal N; Li, Mingyao; Koller, Daniel L; Hakonarson, Hakan; Keating, Brendan J; Rader, Daniel J; Shuldiner, Alan R; Peyser, Patricia A; Reilly, Muredach P; Mitchell, Braxton D
OBJECTIVE:The vitamin D endocrine system is essential for calcium homeostasis, and low levels of vitamin D metabolites have been associated with cardiovascular disease risk. We hypothesized that DNA sequence variation in genes regulating vitamin D metabolism and signaling pathways might influence variation in coronary artery calcification (CAC). METHODS AND RESULTS/RESULTS:We genotyped single-nucleotide polymorphisms (SNPs) in GC, CYP27B1, CYP24A1, and VDR and tested their association with CAC quantity, as measured by electron beam computed tomography. Initial association studies were carried out in a discovery sample comprising 697 Amish subjects, and SNPs nominally associated with CAC quantity (4 SNPs in CYP24A1, P=0.008 to 0.00003) were then tested for association with CAC quantity in 2 independent cohorts of subjects of white European ancestry (Genetic Epidemiology Network of Arteriopathy study [n=916] and the Penn Coronary Artery Calcification sample [n=2061]). One of the 4 SNPs, rs2762939, was associated with CAC quantity in both the Genetic Epidemiology Network of Arteriopathy (P=0.007) and Penn Coronary Artery Calcification (P=0.01) studies. In all 3 populations, the rs2762939 C allele was associated with lower CAC quantity. Metaanalysis for the association of this SNP with CAC quantity across all 3 studies yielded a P value of 2.9×10(-6). CONCLUSIONS:A common SNP in the CYP24A1 gene was associated with CAC quantity in 3 independent populations. This result suggests a role for vitamin D metabolism in the development of CAC quantity.
PMID: 20847308
ISSN: 1524-4636
CID: 5477782

Leprosy and the adaptation of human toll-like receptor 1

Wong, Sunny H; Gochhait, Sailesh; Malhotra, Dheeraj; Pettersson, Fredrik H; Teo, Yik Y; Khor, Chiea C; Rautanen, Anna; Chapman, Stephen J; Mills, Tara C; Srivastava, Amit; Rudko, Aleksey; Freidin, Maxim B; Puzyrev, Valery P; Ali, Shafat; Aggarwal, Shweta; Chopra, Rupali; Reddy, Belum S N; Garg, Vijay K; Roy, Suchismita; Meisner, Sarah; Hazra, Sunil K; Saha, Bibhuti; Floyd, Sian; Keating, Brendan J; Kim, Cecilia; Fairfax, Benjamin P; Knight, Julian C; Hill, Philip C; Adegbola, Richard A; Hakonarson, Hakon; Fine, Paul E M; Pitchappan, Ramasamy M; Bamezai, Rameshwar N K; Hill, Adrian V S; Vannberg, Fredrik O
Leprosy is an infectious disease caused by the obligate intracellular pathogen Mycobacterium leprae and remains endemic in many parts of the world. Despite several major studies on susceptibility to leprosy, few genomic loci have been replicated independently. We have conducted an association analysis of more than 1,500 individuals from different case-control and family studies, and observed consistent associations between genetic variants in both TLR1 and the HLA-DRB1/DQA1 regions with susceptibility to leprosy (TLR1 I602S, case-control P = 5.7 x 10(-8), OR = 0.31, 95% CI = 0.20-0.48, and HLA-DQA1 rs1071630, case-control P = 4.9 x 10(-14), OR = 0.43, 95% CI = 0.35-0.54). The effect sizes of these associations suggest that TLR1 and HLA-DRB1/DQA1 are major susceptibility genes in susceptibility to leprosy. Further population differentiation analysis shows that the TLR1 locus is extremely differentiated. The protective dysfunctional 602S allele is rare in Africa but expands to become the dominant allele among individuals of European descent. This supports the hypothesis that this locus may be under selection from mycobacteria or other pathogens that are recognized by TLR1 and its co-receptors. These observations provide insight into the long standing host-pathogen relationship between human and mycobacteria and highlight the key role of the TLR pathway in infectious diseases.
PMCID:2895660
PMID: 20617178
ISSN: 1553-7374
CID: 5477772

The role of height-associated loci identified in genome wide association studies in the determination of pediatric stature

Zhao, Jianhua; Li, Mingyao; Bradfield, Jonathan P; Zhang, Haitao; Mentch, Frank D; Wang, Kai; Sleiman, Patrick M; Kim, Cecilia E; Glessner, Joseph T; Hou, Cuiping; Keating, Brendan J; Thomas, Kelly A; Garris, Maria L; Deliard, Sandra; Frackelton, Edward C; Otieno, F George; Chiavacci, Rosetta M; Berkowitz, Robert I; Hakonarson, Hakon; Grant, Struan F A
BACKGROUND:Human height is considered highly heritable and correlated with certain disorders, such as type 2 diabetes and cancer. Despite environmental influences, genetic factors are known to play an important role in stature determination. A number of genetic determinants of adult height have already been established through genome wide association studies. METHODS:To examine 51 single nucleotide polymorphisms (SNPs) corresponding to the 46 previously reported genomic loci for height in 8,184 European American children with height measurements. We leveraged genotyping data from our ongoing GWA study of height variation in children in order to query the 51 SNPs in this pediatric cohort. RESULTS:Sixteen of these SNPs yielded at least nominally significant association to height, representing fifteen different loci including EFEMP1-PNPT1, GPR126, C6orf173, SPAG17, Histone class 1, HLA class III and GDF5-UQCC. Other loci revealed no evidence for association, including HMGA1 and HMGA2. For the 16 associated variants, the genotype score explained 1.64% of the total variation for height z-score. CONCLUSION/CONCLUSIONS:Among 46 loci that have been reported to associate with adult height to date, at least 15 also contribute to the determination of height in childhood.
PMCID:2894790
PMID: 20546612
ISSN: 1471-2350
CID: 5477762

Candidate gene association resource (CARe): design, methods, and proof of concept

Musunuru, Kiran; Lettre, Guillaume; Young, Taylor; Farlow, Deborah N; Pirruccello, James P; Ejebe, Kenechi G; Keating, Brendan J; Yang, Qiong; Chen, Ming-Huei; Lapchyk, Nina; Crenshaw, Andrew; Ziaugra, Liuda; Rachupka, Anthony; Benjamin, Emelia J; Cupples, L Adrienne; Fornage, Myriam; Fox, Ervin R; Heckbert, Susan R; Hirschhorn, Joel N; Newton-Cheh, Christopher; Nizzari, Marcia M; Paltoo, Dina N; Papanicolaou, George J; Patel, Sanjay R; Psaty, Bruce M; Rader, Daniel J; Redline, Susan; Rich, Stephen S; Rotter, Jerome I; Taylor, Herman A; Tracy, Russell P; Vasan, Ramachandran S; Wilson, James G; Kathiresan, Sekar; Fabsitz, Richard R; Boerwinkle, Eric; Gabriel, Stacey B
BACKGROUND:The National Heart, Lung, and Blood Institute's Candidate Gene Association Resource (CARe), a planned cross-cohort analysis of genetic variation in cardiovascular, pulmonary, hematologic, and sleep-related traits, comprises >40,000 participants representing 4 ethnic groups in 9 community-based cohorts. The goals of CARe include the discovery of new variants associated with traits using a candidate gene approach and the discovery of new variants using the genome-wide association mapping approach specifically in African Americans. METHODS AND RESULTS/RESULTS:CARe has assembled DNA samples for >40,000 individuals self-identified as European American, African American, Hispanic, or Chinese American, with accompanying data on hundreds of phenotypes that have been standardized and deposited in the CARe Phenotype Database. All participants were genotyped for 7 single-nucleotide polymorphisms (SNPs) selected based on prior association evidence. We performed association analyses relating each of these SNPs to lipid traits, stratified by sex and ethnicity, and adjusted for age and age squared. In at least 2 of the ethnic groups, SNPs near CETP, LIPC, and LPL strongly replicated for association with high-density lipoprotein cholesterol concentrations, PCSK9 with low-density lipoprotein cholesterol levels, and LPL and APOA5 with serum triglycerides. Notably, some SNPs showed varying effect sizes and significance of association in different ethnic groups. CONCLUSIONS:The CARe Pilot Study validates the operational framework for phenotype collection, SNP genotyping, and analytic pipeline of the CARe project and validates the planned candidate gene study of approximately 2000 biological candidate loci in all participants and genome-wide association study in approximately 8000 African American participants. CARe will serve as a valuable resource for the scientific community.
PMCID:3048024
PMID: 20400780
ISSN: 1942-3268
CID: 5477752

Common variants in HSPB7 and FRMD4B associated with advanced heart failure

Cappola, Thomas P; Li, Mingyao; He, Jing; Ky, Bonnie; Gilmore, Joan; Qu, Liming; Keating, Brendan; Reilly, Muredach; Kim, Cecelia E; Glessner, Joseph; Frackelton, Edward; Hakonarson, Hakon; Syed, Faisel; Hindes, Anna; Matkovich, Scot J; Cresci, Sharon; Dorn, Gerald W
BACKGROUND:Heart failure results from abnormalities in multiple biological processes that contribute to cardiac dysfunction. We tested the hypothesis that inherited variation in genes of known importance to cardiovascular biology would thus contribute to heart failure risk. METHODS AND RESULTS/RESULTS:We used the ITMAT/Broad/CARe cardiovascular single-nucleotide polymorphism array to screen referral populations of patients with advanced heart failure for variants in approximately 2000 genes of predicted importance to cardiovascular biology. Our design was a 2-stage case-control study. In stage 1, genotypes in Caucasian patients with heart failure (n=1590; ejection fraction, 32+/-16%) were compared with those in unaffected controls (n=577; ejection fraction, 67+/-8%) who were recruited from the same referral centers. Associations were tested for independent replication in stage 2 (308 cases and 2314 controls). Two intronic single-nucleotide polymorphisms showed replicated associations with all-cause heart failure as follows: rs1739843 in HSPB7 (combined P=3.09x10(-6)) and rs6787362 in FRMD4B (P=6.09x10(-6)). For both single-nucleotide polymorphisms, the minor allele was protective. In subgroup analyses, rs1739843 associated with both ischemic and nonischemic heart failure, whereas rs6787362 associated principally with ischemic heart failure. Linkage disequilibrium surrounding rs1739843 suggested that the causal variant resides in a region containing HSPB7 and a neighboring gene, CLCNKA, whereas the causal variant near rs6787362 is probably within FRMD4B. Allele frequencies for these single-nucleotide polymorphisms were substantially different in African Americans (635 cases and 714 controls) and showed no association with heart failure in this population. CONCLUSIONS:Our findings identify regions containing HSPB7 and FRMD4B as novel susceptibility loci for advanced heart failure. More broadly, in an era of genome-wide association studies, we demonstrate how knowledge of candidate genes can be leveraged as a complementary strategy to discern the genetics of complex disorders.
PMCID:2957840
PMID: 20124441
ISSN: 1942-3268
CID: 5477742