Genome-wide association study identifies a susceptibility locus for thoracic aortic aneurysms and aortic dissections spanning FBN1 at 15q21.1

被引:157
作者
LeMaire, Scott A. [2 ]
McDonald, Merry-Lynn N. [3 ]
Guo, Dong-chuan [1 ]
Russell, Ludivine [2 ]
Miller, Charles C., III [4 ]
Johnson, Ralph J. [1 ]
Bekheirnia, Mir Reza [3 ]
Franco, Luis M. [3 ]
Nguyen, Mary [2 ]
Pyeritz, Reed E. [5 ]
Bavaria, Joseph E. [6 ]
Devereux, Richard [7 ]
Maslen, Cheryl [8 ]
Holmes, Kathryn W. [9 ]
Eagle, Kim [10 ]
Body, Simon C. [11 ]
Seidman, Christine [12 ]
Seidman, J. G. [12 ]
Isselbacher, Eric M. [13 ]
Bray, Molly [14 ]
Coselli, Joseph S. [2 ]
Estrera, Anthony L. [4 ]
Safi, Hazim J. [4 ]
Belmont, John W. [3 ]
Leal, Suzanne M. [3 ]
Milewicz, Dianna M. [1 ,15 ]
机构
[1] Univ Texas Hlth Sci Ctr Houston, Div Med Genet, Dept Internal Med, Houston, TX USA
[2] Baylor Coll Med, Div Cardiothorac Surg, Michael E DeBakey Dept Surg, Houston, TX 77030 USA
[3] Baylor Coll Med, Dept Mol & Human Genet, Houston, TX 77030 USA
[4] Univ Texas Hlth Sci Ctr Houston, Dept Cardiothorac & Vasc Surg, Houston, TX USA
[5] Univ Penn, Dept Med, Div Med Genet, Perelman Sch Med, Philadelphia, PA 19104 USA
[6] Univ Penn, Dept Surg, Div Cardiovasc Surg, Perelman Sch Med, Philadelphia, PA 19104 USA
[7] Weill Cornell Med Coll, Dept Med, Greenberg Div Cardiol, New York, NY USA
[8] Oregon Hlth & Sci Univ, Div Cardiovasc Med, Dept Mol & Med Genet, Portland, OR 97201 USA
[9] Johns Hopkins Univ, Sch Med, Dept Pediat, Baltimore, MD 21205 USA
[10] Univ Michigan, Sch Med, Dept Internal Med, Ann Arbor, MI USA
[11] Harvard Univ, Sch Med, Dept Anesthesiol, Boston, MA USA
[12] Harvard Univ, Sch Med, Dept Genet, Boston, MA USA
[13] Harvard Univ, Sch Med, Dept Med, Boston, MA USA
[14] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA
[15] St Lukes Episcopal Hosp, Texas Heart Inst, Med Serv, Houston, TX USA
基金
美国国家卫生研究院;
关键词
MARFAN-SYNDROME; MOUSE MODEL; MUTATIONS; DISEASE; VALVE; ADULTS;
D O I
10.1038/ng.934
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Although thoracic aortic aneurysms and dissections (TAAD) can be inherited as a single-gene disorder, the genetic predisposition in the majority of affected people is poorly understood. In a multistage genome-wide association study (GWAS), we compared 765 individuals who had sporadic TAAD (STAAD) with 874 controls and identified common SNPs at a 15q21.1 locus that were associated with STAAD, with odds ratios of 1.6-1.8 that achieved genome-wide significance. We followed up 107 SNPs associated with STAAD with P < 1 x 10(-5) in the region, in two separate STAAD cohorts. The associated SNPs fall into a large region of linkage disequilibrium encompassing FBN1, which encodes fibrillin-1. FBN1 mutations cause Marfan syndrome, whose major cardiovascular complication is TAAD. This study shows that common genetic variants at 15q21.1 that probably act via FBN1 are associated with STAAD, suggesting a common pathogenesis of aortic disease in Marfan syndrome and STAAD.
引用
收藏
页码:996 / U109
页数:7
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