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Holmes, MV; Exeter, HJ; Folkersen, L; Nelson, CP; Guardiola, M; Cooper, JA; Sofat, R; Boekholdt, SM; Khaw, KT; Li, KW; Smith, AJ; Van't Hooft, F; Eriksson, P; Franco-Cereceda, A; Asselbergs, FW; Boer, JM; Onland-Moret, NC; Hofker, M; Erdmann, J; Kivimaki, M; Kumari, M; Reiner, AP; Keating, BJ; Humphries, SE; Hingorani, AD; Mallat, Z; Samani, NJ; Talmud, PJ; CARDIoGRAM Consortium.
Novel genetic approach to investigate the role of plasma secretory phospholipase A2 (sPLA2)-V isoenzyme in coronary heart disease: modified Mendelian randomization analysis using PLA2G5 expression levels.
Circ Cardiovasc Genet. 2014; 7(2):144-150
Doi: 10.1161/CIRCGENETICS.113.000271
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Stojakovic Tatjana
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- Abstract:
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Secretory phospholipase A2 (sPLA2) enzymes are considered to play a role in atherosclerosis. sPLA2 activity encompasses several sPLA2 isoenzymes, including sPLA2-V. Although observational studies show a strong association between elevated sPLA2 activity and CHD, no assay to measure sPLA2-V levels exists, and the only evidence linking the sPLA2-V isoform to atherosclerosis progression comes from animal studies. In the absence of an assay that directly quantifies sPLA2-V levels, we used PLA2G5 mRNA levels in a novel, modified Mendelian randomization approach to investigate the hypothesized causal role of sPLA2-V in coronary heart disease (CHD) pathogenesis.
Using data from the Advanced Study of Aortic Pathology, we identified the single-nucleotide polymorphism in PLA2G5 showing the strongest association with PLA2G5 mRNA expression levels as a proxy for sPLA2-V levels. We tested the association of this SNP with sPLA2 activity and CHD events in 4 prospective and 14 case-control studies with 27 230 events and 70 500 controls. rs525380C>A showed the strongest association with PLA2G5 mRNA expression (P=5.1×10(-6)). There was no association of rs525380C>A with plasma sPLA2 activity (difference in geometric mean of sPLA2 activity per rs525380 A-allele 0.4% (95% confidence intervals [-0.9%, 1.6%]; P=0.56). In meta-analyses, the odds ratio for CHD per A-allele was 1.02 (95% confidence intervals [0.99, 1.04]; P=0.20).
This novel approach for single-nucleotide polymorphism selection for this modified Mendelian randomization analysis showed no association between rs525380 (the lead single-nucleotide polymorphism for PLA2G5 expression, a surrogate for sPLA2-V levels) and CHD events. The evidence does not support a causal role for sPLA2-V in CHD.
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Alleles -
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Case-Control Studies -
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Coronary Disease - blood
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Coronary Disease - enzymology
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Coronary Disease - genetics
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Genotype -
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Group V Phospholipases A2 - blood
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Group V Phospholipases A2 - genetics
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Humans -
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Isoenzymes - blood
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Isoenzymes - genetics
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Mendelian Randomization Analysis -
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Polymorphism, Single Nucleotide -
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Mendelian randomization analysis