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Genome-wide meta-analysis of variant-by-diuretic interactions as modulators of lipid traits in persons of European and African ancestry.
The Pharmacogenomics Journal ( IF 2.9 ) Pub Date : 2019-12-06 , DOI: 10.1038/s41397-019-0132-y
L de Las Fuentes 1 , Y J Sung 2 , C M Sitlani 3 , C L Avery 4 , T M Bartz 5 , C de Keyser 6 , D S Evans 7 , X Li 8 , S K Musani 9 , R Ruiter 6 , A V Smith 10, 11 , F Sun 12 , S Trompet 13, 14 , H Xu 12 , D K Arnett 15 , J C Bis 3 , U Broeckel 16 , E L Busch 17, 18 , Y-D I Chen 8 , A Correa 9 , S R Cummings 7 , J S Floyd 19 , I Ford 20 , X Guo 8 , T B Harris 21 , M A Ikram 6 , L Lange 22 , L J Launer 21 , A P Reiner 23, 24 , K Schwander 2 , N L Smith 25, 26 , N Sotoodehnia 19, 27 , J D Stewart 4, 28 , D J Stott 29 , T Stürmer 4, 30 , K D Taylor 8 , A Uitterlinden 6 , R S Vasan 31, 32 , K L Wiggins 3 , L A Cupples 12, 31 , V Gudnason 10, 11 , S R Heckbert 25 , J W Jukema 13, 33 , Y Liu 34 , B M Psaty 35, 36 , D C Rao 2 , J I Rotter 8 , B Stricker 6 , J G Wilson 37 , E A Whitsel 4, 38
Affiliation  

Hypertension (HTN) is a significant risk factor for cardiovascular morbidity and mortality. Metabolic abnormalities, including adverse cholesterol and triglycerides (TG) profiles, are frequent comorbid findings with HTN and contribute to cardiovascular disease. Diuretics, which are used to treat HTN and heart failure, have been associated with worsening of fasting lipid concentrations. Genome-wide meta-analyses with 39,710 European-ancestry (EA) individuals and 9925 African-ancestry (AA) individuals were performed to identify genetic variants that modify the effect of loop or thiazide diuretic use on blood lipid concentrations. Both longitudinal and cross sectional data were used to compute cohort-specific interaction results, which were then combined through meta-analysis in each ancestry. These ancestry-specific results were further combined through trans-ancestry meta-analysis. Analysis of EA data identified two genome-wide significant (p < 5 × 10-8) loci with single nucleotide variant (SNV)-loop diuretic interaction on TG concentrations (including COL11A1). Analysis of AA data identified one genome-wide significant locus adjacent to BMP2 with SNV-loop diuretic interaction on TG concentrations. Trans-ancestry analysis strengthened evidence of association for SNV-loop diuretic interaction at two loci (KIAA1217 and BAALC). There were few significant SNV-thiazide diuretic interaction associations on TG concentrations and for either diuretic on cholesterol concentrations. Several promising loci were identified that may implicate biologic pathways that contribute to adverse metabolic side effects from diuretic therapy.

中文翻译:


对欧洲和非洲血统的人的脂质特征调节剂的变体与利尿剂相互作用的全基因组荟萃分析。



高血压(HTN)是心血管疾病发病和死亡的重要危险因素。代谢异常,包括不良胆固醇和甘油三酯 (TG) 谱,是 HTN 常见的合并症,并导致心血管疾病。用于治疗高血压和心力衰竭的利尿剂与空腹血脂浓度恶化有关。对 39,710 名欧洲血统 (EA) 个体和 9925 名非洲血统 (AA) 个体进行全基因组荟萃分析,以确定改变袢利尿剂或噻嗪类利尿剂使用对血脂浓度影响的遗传变异。纵向和横向数据都用于计算特定队列的相互作用结果,然后通过每个祖先的荟萃分析将其合并。这些特定于血统的结果通过跨血统荟萃分析进一步结合起来。 EA 数据分析确定了两个全基因组显着 (p < 5 × 10-8) 位点,其与 TG 浓度(包括 COL11A1)的单核苷酸变异 (SNV) 环利尿相互作用。 AA 数据分析确定了与 BMP2 相邻的一个全基因组显着位点,该位点与 SNV 环利尿剂对 TG 浓度有相互作用。跨祖先分析强化了两个位点(KIAA1217 和 BAALC)SNV 环利尿相互作用关联的证据。 SNV-噻嗪类利尿剂与 TG 浓度以及任一利尿剂与胆固醇浓度之间几乎没有显着的相互作用关联。确定了几个有希望的位点,这些位点可能涉及导致利尿治疗不良代谢副作用的生物途径。
更新日期:2019-12-06
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