학술논문

Deep coverage whole genome sequences and plasma lipoprotein(a) in individuals of European and African ancestries.
Document Type
article
Source
Nature communications. 9(1)
Subject
NHLBI TOPMed Lipids Working Group
Humans
Cardiovascular Diseases
Lipoprotein(a)
Adaptor Proteins
Vesicular Transport
Risk Factors
Gene Expression
Polymorphism
Single Nucleotide
Quantitative Trait Loci
Genome
Human
African Continental Ancestry Group
European Continental Ancestry Group
Cholesterol
LDL
Genome-Wide Association Study
DNA Copy Number Variations
Whole Genome Sequencing
Atherosclerosis
Genetics
Cardiovascular
Prevention
Human Genome
Heart Disease
2.1 Biological and endogenous factors
Language
Abstract
Lipoprotein(a), Lp(a), is a modified low-density lipoprotein particle that contains apolipoprotein(a), encoded by LPA, and is a highly heritable, causal risk factor for cardiovascular diseases that varies in concentrations across ancestries. Here, we use deep-coverage whole genome sequencing in 8392 individuals of European and African ancestry to discover and interpret both single-nucleotide variants and copy number (CN) variation associated with Lp(a). We observe that genetic determinants between Europeans and Africans have several unique determinants. The common variant rs12740374 associated with Lp(a) cholesterol is an eQTL for SORT1 and independent of LDL cholesterol. Observed associations of aggregates of rare non-coding variants are largely explained by LPA structural variation, namely the LPA kringle IV 2 (KIV2)-CN. Finally, we find that LPA risk genotypes confer greater relative risk for incident atherosclerotic cardiovascular diseases compared to directly measured Lp(a), and are significantly associated with measures of subclinical atherosclerosis in African Americans.