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Atherosclerosis and Lipoproteins |
From the Division of Genetics and Development, Guys, Kings, and St. Thomas School of Medicine, London, England.
Correspondence to Dr B.D. Chiodini, Division of Genetics and Development, Guys, Kings, and St. Thomas School of Medicine, 8th Floor, Guys Tower, Guys Hospital, London SE1 9RT, UK, E-mail benedetta.chiodini{at}kcl.ac.uk
Objective In coronary heart disease (CHD), 4 independent, genome-wide screens have now been published on Finnish, Mauritian, European, and Australian families. Results from these studies are inconclusive. We performed a meta-analysis to identify genetic regions that show evidence for susceptibility genes across studies.
Methods and Results The rank-based genome-scan meta-analysis (GSMA) method was applied to the 4 CHD genome-wide linkage studies. The strongest evidence for linkage was found on chromosomes 3q2627 (P=0.0001) and 2q3437 (P=0.009). Analysis weighted by study size confirmed linkage in these regions (3q2627, P=0.0002; 2q3437, P=0.014).
Conclusions The genetic regions 3q2627 and 2q3437 might contain susceptibility genes for CHD. Linkage to the 3q26-qter region has previously been shown in type 2 diabetes mellitus, metabolic syndrome, cholesterol concentration in LDL size fractions, and renal function in hypertensive subjects. The 2q3437 region lies close to the type 2 diabetes NIDDM1 locus. Both of these regions harbor several candidate genes involved in the homeostasis of glucose and lipid metabolism. These results are particularly intriguing, given the growing evidence of an association between CHD risk and metabolic abnormalities, such as insulin resistance, type 2 diabetes, abdominal obesity, and dyslipidemia.
Key Words: meta-analysis coronary heart disease genome scan linkage analysis genetics
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